Riki Hehe-amai Gifford-ferguson (NPI# 1073067823, PAC ID# 3274820519) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073067823 |
| PAC ID by PECOS | 3274820519 |
| Professional Enrollment ID | I20190801000358 |
| Full Name | Riki Hehe-amai Gifford-ferguson |
| Organization Legal Name | PETERSON MEDICAL CLINICS LLC |
| Address |
316 Park Ave Se Renville MN 56284-2470 |
| Phone Number | 7017322509 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9335412220 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 021308 | NORTON SOUND REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 519 Anne St Nw, Suite A, Bemidji, MN 56601-4277 | 2184447013 | PETERSON MEDICAL CLINICS LLC |
| 316 Park Ave Se, Renville, MN 56284-2470 | 7017322509 | PETERSON MEDICAL CLINICS LLC |
| Organization Legal Name | PETERSON MEDICAL CLINICS LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Eberly | Physician Assistant | Peterson Medical Clinics LLC | 519 Anne St Nw, Suite A, Bemidji, MN 56601-4277 |
| Timothy A Peterson | Family Medicine | Peterson Medical Clinics LLC | 1202 23rd St S, Suite 3, Fargo, ND 58103-2951 |
| Jessica R Wichmann | Physician Assistant | Peterson Medical Clinics LLC | 519 Anne St Nw, Suite A, Bemidji, MN 56601-4277 |
| Megan Marie Weddingfeld | Nurse Practitioner | Peterson Medical Clinics LLC | 1202 23rd St S, Suite 3, Fargo, ND 58103-2951 |
| Thomas M Peterson | Psychiatry | Peterson Medical Clinics LLC | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Natasha Marie Krebs | Nurse Practitioner | Peterson Medical Clinics LLC | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Katie M Allen | Clinical Social Worker | Peterson Medical Clinics LLC | 1202 23rd St S, Suite 3, Fargo, ND 58103-2951 |
| Mio Watanabe | Physician Assistant | Peterson Medical Clinics LLC | 515 Bridge St, Park Rapids, MN 56470-1210 |
| Faith Murray-taylor | Nurse Practitioner | Peterson Medical Clinics LLC | 103 Fram St, Petersburg, AK 99833 |
| Kimber-lee Osowski | Clinical Social Worker | Peterson Medical Clinics LLC | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Street Address |
316 PARK AVE SE |
| City | RENVILLE |
| State | MN |
| Zip | 56284-2470 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katy L Lundell | Chiropractic | Hinderks Chiropractic Pa | 317 N Main St, Renville, MN 56284 |
| Jeremy S Hinderks | Chiropractic | Hinderks Chiropractic Pa | 317 N Main St, Renville, MN 56284 |
| Ann E Eggebraaten | Chiropractic | Hinderks Chiropractic Pa | 317 N Main St, Renville, MN 56284 |
| Emily A Flannigan | Chiropractic | Hinderks Chiropractic Pa | 317 N Main St, Renville, MN 56284 |
| City | RENVILLE |
| Zip Code | 56284 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RENVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Riki Hehe-amai Gifford-ferguson.
| 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.