Jan Petri (NPI# 1033175682, PAC ID# 4981764305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
Nation Provider ID (NPI) | 1033175682 |
PAC ID by PECOS | 4981764305 |
Professional Enrollment ID | I20081114000656 |
Full Name | Jan Petri |
Address |
2028 W Poplar Ave Suite 112 Collierville TN 38017-0618 |
Gender | F |
Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
Graduation Year | 1985 |
Primary Specialty | OTOLARYNGOLOGY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
Address | Phone | Organization |
---|---|---|
2028 W Poplar Ave, Suite 112, Collierville, TN 38017-0618 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
Street Address |
2028 W POPLAR AVE SUITE 112 |
City | COLLIERVILLE |
State | TN |
Zip | 38017-0618 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey T Carr | Chiropractic | 2028 W Poplar Ave, Suite 105, Collierville, TN 38017-0618 | |
Kathryn L King | Nurse Practitioner | 2028 W Poplar Ave, Suite 112, Collierville, TN 38017-0618 | |
Chad Allen Jones | Nurse Practitioner | Collierville Family Health Pllc | 2028 W Poplar Ave, Suite 115, Collierville, TN 38017-0618 |
Vinod Govindaraj Maller | Interventional Radiology | Vascular Access Center of Memphis LLC | 2028 W Poplar Ave, Suite 115, Collierville, TN 38017-0618 |
Saraswathy B Naren | Family Practice | Collierville Family Health Pllc | 2028 W Poplar Ave, Collierville, TN 38017-0618 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joe R Krisle Jr. | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 1500 W Poplar, Collierville, TN 38017-0601 |
Aleksandar Jankov | Hematology/oncology | Baptist Memorial Medical Group, Inc. | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Monam B Awan | Family Medicine | Southeastern Emergency Physicians LLC | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Jesse N Lee | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Jennifer A Childers | Physician Assistant | Delta Orthopaedics and Sports Medicine, Pllc | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Anurag Mehrotra | Pulmonary Disease | Memphis Lung Physicians Foundation, Inc. | 1500 W Poplar Ave, Suite 309, Collierville, TN 38017-0601 |
Charles H Gairhan | Anesthesiology | American Anesthesiology of Tennessee PC | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Sunni D Hurst | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Christopher Dautrive Duperier | Anesthesiology | American Anesthesiology of Tennessee PC | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Salil Goorha | Hematology/oncology | Baptist Memorial Medical Group, Inc. | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Find all physicians in zip 38017 |
City | COLLIERVILLE |
Zip Code | 38017 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | COLLIERVILLE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Jan Petri.
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.