Peter J Anderson (NPI# 1114967858, PAC ID# 1759344948) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1114967858 |
PAC ID by PECOS | 1759344948 |
Professional Enrollment ID | I20051006000143 |
Full Name | Peter J Anderson |
Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
Address |
989 Medical Park Dr Maysville KY 41056-8750 |
Phone Number | 6067593114 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
Graduation Year | 1986 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 0042307852 |
Number of Group Practice Members | 242 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
160153 | MERCY MEDICAL CENTER-SIOUX CITY |
180019 | MEADOWVIEW REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
989 Medical Park Dr, Maysville, KY 41056-8750 | 6067593114 | SOUTHEASTERN PHYSICIAN SERVICES PC |
801 5th St, Sioux City, IA 51101-1326 | 7122792010 | WOODBURY PHYSICIAN SERVICES, PC |
Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
Physicians | 263 |
Name | Specialty | Organization | Address |
---|---|---|---|
Faisal A Soliman | Internal Medicine | Southeastern Physician Services PC | 1995 Hwy 51 S, Covington, TN 38019-3635 |
Tia Camille Joyce | Nurse Practitioner | Southeastern Physician Services PC | 157 Ross Carter Blvd, Duffield, VA 24244-5116 |
Patrick C Finney | Internal Medicine | Southeastern Physician Services PC | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
Carol Ann Berger | Nurse Practitioner | Southeastern Physician Services PC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
William T Rawlinson | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
Mark D Nowell | Emergency Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
Lavada Smith | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
Kevin L Flowers | Family Medicine | Southeastern Physician Services PC | 1100 Brookhaven Rd, Franklin, KY 42134-2746 |
Hunter Stidham | Physician Assistant | Southeastern Physician Services PC | 310 S Limestone, Lexington, KY 40508-3008 |
Khai Chieu Truong | Family Medicine | Southeastern Physician Services PC | 310 S Limestone, Lexington, KY 40508-3008 |
Street Address |
989 MEDICAL PARK DR |
City | MAYSVILLE |
State | KY |
Zip | 41056-8750 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rebecca N Rapp | Certified Registered Nurse Anesthetist (crna) | Commonwealth Anesthesia, Psc | 989 Medical Park Dr, Maysville, KY 41056-8750 |
Emily M Ginn | Nurse Practitioner | Southeastern Physician Services PC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
Kevin M Ziegler | Emergency Medicine | Southeastern Emergency Physicians LLC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
Jeffrey W Dickerson | Internal Medicine | Southeastern Physician Services PC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
Jennifer A Mcroberts | Nurse Practitioner | Southeastern Physician Services PC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
James P Bodnar | Pathology | 989 Medical Park Dr, Maysville, KY 41056-8750 | |
Jennifer K Hagenschneider | Diagnostic Radiology | Maysville Radiology Associates Psc | 989 Medical Park Dr, Maysville, KY 41056-8750 |
Tyler J Mason | Nurse Practitioner | Southeastern Emergency Services P C | 989 Medical Park Dr, Maysville, KY 41056-8750 |
Richard S Hartman | Diagnostic Radiology | Maysville Radiology Associates Psc | 989 Medical Park Dr, Maysville, KY 41056-8750 |
Christopher W Spruell | Emergency Medicine | Southeastern Emergency Physicians LLC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark O Day | Chiropractic | 151 E 3rd St, Maysville, KY 41056-1271 | |
Kathryn J Egan | Nurse Practitioner | Comprehend Inc Regional Mental Health- Mental Retardation Board Inc | 611 Forest Ave, Maysville, KY 41056-1411 |
Jeffrey A Drury | Psychologist, Clinical | Comprehend Inc Regional Mental Health- Mental Retardation Board Inc | 611 Forest Ave, Maysville, KY 41056-1411 |
Daniel Cardona | Psychiatry | Comprehend Inc Regional Mental Health- Mental Retardation Board Inc | 611 Forest Ave, Maysville, KY 41056-1411 |
Phyllis R Biddle | Psychologist, Clinical | Comprehend Inc Regional Mental Health- Mental Retardation Board Inc | 611 Forest Ave, Maysville, KY 41056-1411 |
Norman I Hirsch | Psychiatry | Comprehend Inc Regional Mental Health- Mental Retardation Board Inc | 611 Forest Ave, Maysville, KY 41056-1411 |
Jeri Kristin Richardson | Clinical Nurse Specialist | Comprehend Inc Regional Mental Health- Mental Retardation Board Inc | 611 Forest Ave, Maysville, KY 41056-1411 |
John Patterson | Family Practice | Kentucky Medical Services Foundation, Inc | 910 Kentucky St, Maysville, KY 41056-1632 |
Victoria Lawrence-gilbert | Nurse Practitioner | Advanced Pain and Spine Institute LLC | 906 Us Hwy 68, Suite C, Maysville, KY 41056-7100 |
Mazhar Rasul | Interventional Pain Management | Advanced Pain and Spine Institute LLC | 906 Us Hwy 68, Suite C, Maysville, KY 41056-7100 |
Find all physicians in zip 41056 |
City | MAYSVILLE |
Zip Code | 41056 |
Specialty | INTERNAL MEDICINE |
City + Specialty | MAYSVILLE + INTERNAL MEDICINE |
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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.