Jennifer Peterson (NPI# 1568877397, PAC ID# 0648542159) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1568877397 |
| PAC ID by PECOS | 0648542159 |
| Professional Enrollment ID | I20170817003767 |
| Full Name | Jennifer Peterson |
| Organization Legal Name | J ROBERT WEST MD INC |
| Address |
2650 N Tenaya Way St 208 Lv Skin and Cancer Clncs Las Vegas NV 89128-1104 |
| Phone Number | 7023602100 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8729990973 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2650 N Tenaya Way St, 208 Lv Skin and Cancer Clncs, Las Vegas, NV 89128-1104 | 7023602100 | J ROBERT WEST MD INC |
| 4350 E Camelback Rd, A200 Spectrum Dermatology, Phoenix, AZ 85018-8354 | 4809488400 | SPECTRUM DERMATOLOGY, PLLC |
| 9500 E Ironwood Square Dr, Suite 110, Scottsdale, AZ 85258-4582 | 4809488400 | SPECTRUM DERMATOLOGY, PLLC |
| Organization Legal Name | J ROBERT WEST MD INC |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juliette Vu Hoang | Nurse Practitioner | J Robert West Md Inc | 630 S Rancho Dr E, Lv Skin and Cancer Clncs, Las Vegas, NV 89106-4873 |
| Mahsa Karavan Jahromi | Dermatology | J Robert West Md Inc | 22032 El Paseo, Suite 220, Rancho Santa Margarita, CA 92688-3947 |
| Amandeep Singh Sandhu | Dermatology | J Robert West Md Inc | 1457 Ford St, Suite 105, Redlands, CA 92373-3906 |
| Heather T Patz | Physician Assistant | J Robert West Md Inc | 880 Seven Hills Dr St, 260 Lv Skin and Cancer Clncs, Henderson, NV 89052-4373 |
| Brittny Call Ahrendes | Physician Assistant | J Robert West Md Inc | 1250 S Buffalo Dr, Suite 170, Las Vegas, NV 89117-8329 |
| Susun Michaels | Dermatology | J Robert West Md Inc | 8205 Warm Springs Rd St, 190 Lv Skin and Cancer Clncs, Las Vegas, NV 89113-3645 |
| Roland S Beverly Iii | Dermatology | J Robert West Md Inc | 24541 Pacific Park Dr, Suite 103, Aliso Viejo, CA 92656-3050 |
| Lorrie J Klein | Dermatology | J Robert West Md Inc | 30201 Golden Lantern, Suite B, Laguna Niguel, CA 92677-5926 |
| Terry L Davis | Physician Assistant | J Robert West Md Inc | 4488 S Pecos Rd, Las Vegas Skin and Cancer Clinics, Las Vegas, NV 89121-5030 |
| Ronald D Shiell | Dermatology | J Robert West Md Inc | 525 Plaza Dr, Suite 200, Santa Maria, CA 93454-6954 |
| Street Address |
2650 N TENAYA WAY ST 208 LV SKIN AND CANCER CLNCS |
| City | LAS VEGAS |
| State | NV |
| Zip | 89128-1104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica E Pempek | Chiropractic | Ian K Yamane Dc PC | 2851 N Tenay Way, 103 Nevada Rehabilitation Centers, Las Vegas, NV 89128 |
| Spencer J Hubbard | Chiropractic | Ian K Yamane Dc PC | 2851 N Tenay Way, 103 Nevada Rehabilitation Centers, Las Vegas, NV 89128 |
| Craig W Calder | Chiropractic | Ian K Yamane Dc PC | 2851 N Tenay Way, 103 Nevada Rehabilitation Centers, Las Vegas, NV 89128 |
| Sean M Dunleavy | Chiropractic | Ian K Yamane Dc PC | 2851 N Tenay Way, 103 Nevada Rehabilitation Centers, Las Vegas, NV 89128 |
| John T Kenny | Chiropractic | Northwest Health Group Inc | 7398 Smoke Ranch Rd, Las Vegas, NV 89128-0256 |
| Julie T Madgwick | Clinical Social Worker | 7473 W Lake Mead Blvd, Suite 100, Las Vegas, NV 89128-0265 | |
| Theresa L Stempien | Qualified Speech Language Pathologist | 7473 W Lake Mead Blvd, Suite 100, Las Vegas, NV 89128-0265 | |
| Andrea C Radtke | Optometry | Optic Gallery Summerlin, Inc | 7450 W Lake Mead Blvd, Suite 2, Las Vegas, NV 89128-0295 |
| Wess M Jordan | Optometry | Optic Gallery Summerlin, Inc | 7450 W Lake Mead Blvd, Suite 2, Las Vegas, NV 89128-0295 |
| David T Wang | Diagnostic Radiology | Kittusamy LLP | 7500 Smoke Ranch Rd, Suite 100, Las Vegas, NV 89128-0373 |
| Find all physicians in zip 89128 | |||
| City | LAS VEGAS |
| Zip Code | 89128 |
| Specialty | DERMATOLOGY |
| City + Specialty | LAS VEGAS + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.