Jack A Peterson (NPI# 1790717163, PAC ID# 2163682113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790717163 |
| PAC ID by PECOS | 2163682113 |
| Professional Enrollment ID | I20120328000644 |
| Full Name | Jack A Peterson |
| Organization Legal Name | MEADVILLE PHYSICIAN SERVICES |
| Address |
180 N Franklin St B Cochranton Family Practice Cochranton PA 16314-9706 |
| Phone Number | 8143337020 |
| Gender | M |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9638078504 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390113 | MEADVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 180 N Franklin St B, Cochranton Family Practice, Cochranton, PA 16314-9706 | 8143337020 | MEADVILLE PHYSICIAN SERVICES |
| 765 Liberty St, Suite 303, Meadville, PA 16335-2569 | 8143337020 | MEADVILLE PHYSICIAN SERVICES |
| Organization Legal Name | MEADVILLE PHYSICIAN SERVICES |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey M Snyder | Physician Assistant | Meadville Physician Services | 764 Kennedy St, Suite 101, Meadville, PA 16335-2209 |
| Diane E Emes | Family Medicine | Meadville Physician Services | 180 N Franklin St B, Cochranton Family Practice, Cochranton, PA 16314-9706 |
| Mark E Lewis | Family Medicine | Meadville Physician Services | 764 Kennedy St, Suite 101, Meadville, PA 16335-2209 |
| Carol F Encarnacion | Infectious Disease | Meadville Physician Services | 764 Kennedy St, Suite 101, Meadville, PA 16335-2209 |
| Victor J Pilewski | General Surgery | Meadville Physician Services | 765 Liberty St, Suite 105, Meadville, PA 16335-2567 |
| Miles L Weaver | General Surgery | Meadville Physician Services | 764 Kennedy St, Suite 101, Meadville, PA 16335-2209 |
| Cassidi Udy | Physician Assistant | Meadville Physician Services | 764 Kennedy St, Suite 101, Meadville, PA 16335-2209 |
| John Steven Wilson | Cardiovascular Disease (cardiology) | Meadville Physician Services | 765 Liberty St, Suite 105, Meadville, PA 16335-2567 |
| Christopher J Weibel | General Surgery | Meadville Physician Services | 764 Kennedy St, Suite 101, Meadville, PA 16335-2209 |
| Jeffrey M Friedel | Cardiovascular Disease (cardiology) | Meadville Physician Services | 764 Kennedy St, Suite 101, Meadville, PA 16335-2209 |
| Street Address |
180 N FRANKLIN ST B COCHRANTON FAMILY PRACTICE |
| City | COCHRANTON |
| State | PA |
| Zip | 16314-9706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane E Emes | Family Medicine | Meadville Physician Services | 180 N Franklin St B, Cochranton Family Practice, Cochranton, PA 16314-9706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Patrick Cole | Internal Medicine | Northwest Physicians Associates, P.C. | 104 E Adams St, Cochranton, PA 16314-8604 |
| Maryann Yusko Lukowich | Nurse Practitioner | Northwest Physicians Associates, P.C. | 104 E Adams St, Cochranton, PA 16314-8604 |
| Jason M Schweichler | Family Medicine | Northwest Physicians Associates, P.C. | 104 E Adams St, Cochranton, PA 16314-8604 |
| Diana Jo Kahley | Optometry | 146 W Adams St, Cochranton, PA 16314-8640 | |
| Jennifer Ann Huselton | Physical Therapy | Anderson Physical Therapy Etc PC | 142 W Adams St, Cochranton, PA 16314-8640 |
| City | COCHRANTON |
| Zip Code | 16314 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COCHRANTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jack A 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.