Katherine A Petersen (NPI# 1508170457, PAC ID# 2062729437) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1508170457 |
| PAC ID by PECOS | 2062729437 |
| Professional Enrollment ID | I20190724003323 |
| Full Name | Katherine A Petersen |
| Organization Legal Name | METRO SURGICAL PC |
| Address |
311 Peachtree St Jesup GA 31545-0245 |
| Phone Number | 9124273111 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2961490669 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110024 | CANDLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 311 Peachtree St, Jesup, GA 31545-0245 | 9124273111 | METRO SURGICAL PC |
| Organization Legal Name | METRO SURGICAL PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priscilla G Thomas | General Surgery | Metro Surgical PC | 209 Mims Rd C, Sylvania, GA 30467-1994 |
| Eirik R Svennevik | General Surgery | Metro Surgical PC | 60 Exchange St, Suite B 5, Richmond Hill, GA 31324-7601 |
| Anthony M Foley | General Surgery | Metro Surgical PC | 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 |
| Syl A Lord | Colorectal Surgery (proctology) | Metro Surgical PC | 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 |
| T Ellis Barnes | General Surgery | Metro Surgical PC | 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 |
| John W Odom | General Surgery | Metro Surgical PC | 209 Mims Rd C, Sylvania, GA 30467-1994 |
| Ravindra K George | General Surgery | Metro Surgical PC | 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 |
| Jessica Salem Adams | General Surgery | Metro Surgical PC | 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 |
| Joey L Christmas | General Surgery | Metro Surgical PC | 311 Peachtree St, Jesup, GA 31545-0245 |
| Mark E Blankenship | General Surgery | Metro Surgical PC | 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 |
| Street Address |
311 PEACHTREE ST |
| City | JESUP |
| State | GA |
| Zip | 31545-0245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joey L Christmas | General Surgery | Metro Surgical PC | 311 Peachtree St, Jesup, GA 31545-0245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Rowell | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| John M Valosen | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Kyle S Deuter | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Thomas Patrick Loumeau | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| John L Kenerly Iii | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Jay Cook | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Gavin Heath Denmark | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Monica Carrion | Physical Medicine and Rehabilitation | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Amber B Aragon | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Mark D Byron | Urology | 162 Memorial Dr, Jesup, GA 31545-0101 | |
| Find all physicians in zip 31545 | |||
| City | JESUP |
| Zip Code | 31545 |
| Specialty | GENERAL SURGERY |
| City + Specialty | JESUP + GENERAL SURGERY |
Please comment or provide details below to improve the information on Katherine A Petersen.
| 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.