Stephanie C Peterson (NPI# 1770708232, PAC ID# 0749447498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1770708232 |
| PAC ID by PECOS | 0749447498 |
| Professional Enrollment ID | I20120208000015 |
| Full Name | Stephanie C Peterson |
| Organization Legal Name | PROVIDENCE PHYSICIAN PRACTICES, LLC |
| Address |
2001 Laurel St Suite 300 Columbia SC 29204-1018 |
| Phone Number | 8032542786 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9638475627 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420086 | PALMETTO HEALTH BAPTIST |
| 420026 | PROVIDENCE HEALTH |
| 420018 | PALMETTO HEALTH RICHLAND |
| Address | Phone | Organization |
|---|---|---|
| 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 | 8032542786 | PROVIDENCE PHYSICIAN PRACTICES, LLC |
| 2001 Laurel St, Columbia, SC 29204-1018 | 8032542786 | PROVIDENCE PHYSICIAN PRACTICES, LLC |
| 2750 Laurel St, Columbia, SC 29204-2025 | PROVIDENCE PHYSICIAN PRACTICES, LLC |
| Organization Legal Name | PROVIDENCE PHYSICIAN PRACTICES, LLC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri L Mccain | Nurse Practitioner | Providence Physician Practices, LLC | 2351 Augusta Hwy, Lexington, SC 29072-2213 |
| Nusrat Ul Shafi | Family Medicine | Providence Physician Practices, LLC | 114 Gateway Corporate Blvd, Suite 350, Columbia, SC 29203-9785 |
| Robert P Zurcher | Cardiac Surgery | Providence Physician Practices, LLC | 2750 Laurel St, Suite 305, Columbia, SC 29204-2025 |
| Donna S Cambron | Nurse Practitioner | Providence Physician Practices, LLC | 2435 Forest Dr, Columbia, SC 29204-2026 |
| John P Sutton Iii | Cardiac Surgery | Providence Physician Practices, LLC | 2750 Laurel St, Suite 305, Columbia, SC 29204-2025 |
| Benedict R Studnicka | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Whitney P Pitts | Nurse Practitioner | Providence Physician Practices, LLC | 2750 Laurel St, Suite 303, Columbia, SC 29204-2025 |
| Charis P Taylor | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Kelly Cho Harris | General Surgery | Providence Physician Practices, LLC | 2750 Laurel St, Suite 200aandb, Columbia, SC 29204-2038 |
| Frederic A Smith | Internal Medicine | Providence Physician Practices, LLC | 2750 Laurel St, Suite 303, Columbia, SC 29204-2025 |
| Street Address |
2001 LAUREL ST SUITE 300 |
| City | COLUMBIA |
| State | SC |
| Zip | 29204-1018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Jaynes Belk | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Benedict R Studnicka | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Charis P Taylor | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Brittany Winestock | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Susan K Caudle | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Stephen Mullaney | Nurse Practitioner | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Ala Bianca Naomi Lucky | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Kaitlin N Corwin | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Lanneau D Lide | Cardiovascular Disease (cardiology) | Providence Group Practices LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Louise Holmes | Nurse Practitioner | Providence Physician Practices, LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison Stroughton Moore | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Suite B, Columbia, SC 29204-1800 |
| Shanda Hill | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Petra Edwards | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Jordan Polk | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Ernest A Alleyne | Family Medicine | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Suite C, Columbia, SC 29204-1800 |
| Rosa M Castillo-schilder | Obstetrics/gynecology | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Augustus Rodgers | Clinical Social Worker | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Deborah J Davis | Obstetrics/gynecology | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Nita Thapa | Obstetrics/gynecology | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Allison Murrell | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Find all physicians in zip 29204 | |||
| City | COLUMBIA |
| Zip Code | 29204 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COLUMBIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stephanie C Peterson.
| 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.