Peter Michael Nelson (NPI# 1457610784, PAC ID# 2365750239) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1457610784 |
| PAC ID by PECOS | 2365750239 |
| Professional Enrollment ID | I20170622001397 |
| Full Name | Peter Michael Nelson |
| Organization Legal Name | ALLIANCE PHYSICIANS INC |
| Address |
500 Lincoln Park Blvd Suite 110 Kettering OH 45429-6410 |
| Phone Number | 9372987414 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0840104360 |
| Number of Group Practice Members | 727 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360079 | KETTERING MEDICAL CENTER |
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| 360026 | GREENE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Lincoln Park Blvd, Suite 110, Kettering, OH 45429-6410 | 9372987414 | ALLIANCE PHYSICIANS INC |
| Organization Legal Name | ALLIANCE PHYSICIANS INC |
| Physicians | 760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katresha Janiece Williams-ellington | Nurse Practitioner | Alliance Physicians Inc | 3300 Philadelphia Dr, Dayton, OH 45405-1919 |
| Rebecca Anne Reynolds | Nurse Practitioner | Alliance Physicians Inc | 2141 N Fairfield Rd B, Beavercreek, OH 45431-2579 |
| Whitney Nicole Clark | Certified Nurse Midwife (cnm) | Alliance Physicians Inc | 50 N Progress Dr, Xenia, OH 45385-2666 |
| Akil P. Patel | Neurosurgery | Alliance Physicians Inc | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1263 |
| Charles William Oberer | Gastroenterology | Alliance Physicians Inc | 3359 Kemp Rd, Suite 100, Beavercreek, OH 45431-4204 |
| Rebecca Yeager | Family Medicine | Alliance Physicians Inc | 2145 N Fairfield Rd, Suite 100, Beavercreek, OH 45431-2580 |
| Jennifer Martin | Family Medicine | Alliance Physicians Inc | 825 N Main St, Suite 140, Springboro, OH 45066-1503 |
| Stefanie Kristine Lewis | Family Medicine | Alliance Physicians Inc | 1045 Channingway Dr, Fairborn, OH 45324-9252 |
| Angela A Adams-harrison | Family Medicine | Alliance Physicians Inc | 415 Byers Rd, Suite 300, Miamisburg, OH 45342-3684 |
| Michelle Bizzarro | Nurse Practitioner | Alliance Physicians Inc | 3371 Kemp Rd, Beavercreek, OH 45431-2514 |
| Street Address |
500 LINCOLN PARK BLVD SUITE 110 |
| City | KETTERING |
| State | OH |
| Zip | 45429-6410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Dudash | Family Medicine | Alliance Physicians Inc | 500 Lincoln Park Blvd, Suite 220, Kettering, OH 45429-6404 |
| Pam Brokaw-myers | Nurse Practitioner | Alliance Physicians Inc | 500 Lincoln Park Blvd, Suite 110, Kettering, OH 45429-6410 |
| Gillian M Diederich | Nurse Practitioner | Renal Physicians Inc | 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429-6410 |
| Malak S Adib | Internal Medicine | Alliance Physicians Inc | 500 Lincoln Park Blvd, Suite 110, Kettering, OH 45429-6410 |
| Vernesha Montgomery | Family Medicine | Alliance Physicians Inc | 500 Lincoln Park Blvd, Suite 220, Kettering, OH 45429-3479 |
| Tenielle Rhae Holste | Physician Assistant | Alliance Physicians Inc | 500 Lincoln Park Blvd, Suite 220, Kettering, OH 45429-6404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia Polenakovik | Internal Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Swathi Datla | Family Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Timberly De Ann Harvey | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Julia Anne Balandiat | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Nicole K Hammock | Nurse Practitioner | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| David B Jackson | Emergency Medicine | Emergency Medicine Specialists Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Kelley | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Daniel Lucian Butnariu | Critical Care (intensivists) | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Michael David Johnson | General Surgery | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Benjamin Gentry | Pathology | Kettering Pathology Associates Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Find all physicians in zip 45429 | |||
| City | KETTERING |
| Zip Code | 45429 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KETTERING + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Peter Michael Nelson.
| 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.