Jonathon R Peterson (NPI# 1003008525, PAC ID# 3476615691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1003008525 |
| PAC ID by PECOS | 3476615691 |
| Professional Enrollment ID | I20081223000307 |
| Full Name | Jonathon R Peterson |
| Organization Legal Name | ST MARYS REGIONAL HEALTH CENTER |
| Address |
212 Aspen Ave Ne Menahga MN 56464-3289 |
| Phone Number | 2185644131 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2062326820 |
| Number of Group Practice Members | 142 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 212 Aspen Ave Ne, Menahga, MN 56464-3289 | 2185644131 | ST MARYS REGIONAL HEALTH CENTER |
| 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2187322800 | ST MARYS REGIONAL HEALTH CENTER |
| Organization Legal Name | ST MARYS REGIONAL HEALTH CENTER |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayse J Aho | Qualified Speech Language Pathologist | St Marys Regional Health Center | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 |
| Kathy Nevins | Nurse Practitioner | St Marys Regional Health Center | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Robert A Koshnick | Family Practice | St Marys Regional Health Center | 300 E Main Ave, Frazee, MN 56544-4504 |
| Rose A Haroldson | Physician Assistant | St Marys Regional Health Center | 110 Michigan Ave W, Walker, MN 56484-2274 |
| John J Ragan | Cardiovascular Disease (cardiology) | St Marys Regional Health Center | 114 Frazee St E, Detroit Lakes, MN 56501-3502 |
| Katie C Busker | Certified Registered Nurse Anesthetist (crna) | St Marys Regional Health Center | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Michelle T Thieman | Family Medicine | St Marys Regional Health Center | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Gaurav Suresh Mehta | Family Medicine | St Marys Regional Health Center | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Alexander E Moses | Optometry | St Marys Regional Health Center | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Binaya Khanal | Nephrology | St Marys Regional Health Center | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Street Address |
212 ASPEN AVE NE |
| City | MENAHGA |
| State | MN |
| Zip | 56464-3289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Hirt | Physician Assistant | St Marys Regional Health Center | 212 Aspen Ave Ne, Menahga, MN 56464-3289 |
| Sheryl Jo Rudolf | Nurse Practitioner | St Marys Regional Health Center | 212 Aspen Ave Ne, Menahga, MN 56464-3289 |
| Julia G Vasquez Lopez | Obstetrics/gynecology | St Marys Regional Health Center | 212 Aspen Ave Ne, Menahga, MN 56464-3289 |
| City | MENAHGA |
| Zip Code | 56464 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MENAHGA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jonathon R 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.