Mark D Peterson (NPI# 1699763607, PAC ID# 0941105092) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1699763607 |
| PAC ID by PECOS | 0941105092 |
| Professional Enrollment ID | I20051028000051 |
| Full Name | Mark D Peterson |
| Organization Legal Name | SOUTHERN OREGON SPINE CARE P.C. |
| Address |
1311 E Barnett Rd Suite 201 Medford OR 97504-8225 |
| Phone Number | 5417795007 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0446486336 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380005 | ASANTE ASHLAND COMMUNITY HOSPITAL |
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| 380075 | PROVIDENCE MEDFORD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1311 E Barnett Rd, Suite 201, Medford, OR 97504-8225 | 5417795007 | SOUTHERN OREGON SPINE CARE P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 79% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 23% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 11% |
| Organization Legal Name | SOUTHERN OREGON SPINE CARE P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher M Weinman | Physician Assistant | Southern Oregon Spine Care P.C. | 1311 E Barnett Rd, Suite 201, Medford, OR 97504-8225 |
| Thomas J Trubenbach | Nurse Practitioner | Southern Oregon Spine Care P.C. | 1311 E Barnett Rd, Suite 201, Medford, OR 97504-8225 |
| Erik Christian Olsson | Orthopedic Surgery | Southern Oregon Spine Care P.C. | 1311 E Barnett Rd, Suite 201, Medford, OR 97504-8225 |
| Street Address |
1311 E BARNETT RD SUITE 201 |
| City | MEDFORD |
| State | OR |
| Zip | 97504-8225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Babek Ii | Physical Therapy | Therapeutic Associates Inc | 1311 E Barnett Rd, Suite 202, Medford, OR 97504-8210 |
| Christopher M Weinman | Physician Assistant | Southern Oregon Spine Care P.C. | 1311 E Barnett Rd, Suite 201, Medford, OR 97504-8225 |
| Thomas J Trubenbach | Nurse Practitioner | Southern Oregon Spine Care P.C. | 1311 E Barnett Rd, Suite 201, Medford, OR 97504-8225 |
| Erik Christian Olsson | Orthopedic Surgery | Southern Oregon Spine Care P.C. | 1311 E Barnett Rd, Suite 201, Medford, OR 97504-8225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Anne Zaslow | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Benjamin Robert Oldson | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Shirley A Malcolm | Osteopathic Manipulative Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Denise M Viss | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Carissa D Scalf | Psychologist, Clinical | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Wesley T Ramoso | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Uzomechine Thabiso Chiedozi | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Grant A Jolliffe | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Travis Adam Day | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Jasmin Williams | Clinical Social Worker | Options for Southern Oregon | 1700 E Barnett Rd, Medford, OR 97504-0052 |
| Find all physicians in zip 97504 | |||
| City | MEDFORD |
| Zip Code | 97504 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MEDFORD + ORTHOPEDIC SURGERY |
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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.