Peter Rock (NPI# 1053303735, PAC ID# 5698679702) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053303735 |
| PAC ID by PECOS | 5698679702 |
| Professional Enrollment ID | I20081121000015 |
| Full Name | Peter Rock |
| Organization Legal Name | BLUEGRASS CLINIC STANFORD, PLLC |
| Address |
107 Metker Trl Suite A Stanford KY 40484-1049 |
| Phone Number | 6063658338 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3274563358 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181315 | EPHRAIM MCDOWELL FORT LOGAN HOSPITAL |
| 180048 | EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 107 Metker Trl, Suite A, Stanford, KY 40484-1049 | 6063658338 | BLUEGRASS CLINIC STANFORD, PLLC |
| Organization Legal Name | BLUEGRASS CLINIC STANFORD, PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal Brown | Nurse Practitioner | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Rebecca Rankin | Physician Assistant | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Ashley Price | Physician Assistant | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Anita D Coffey | Clinical Social Worker | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Jeanne A Chase | Nurse Practitioner | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Jody Coomer | Nurse Practitioner | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Street Address |
107 METKER TRL SUITE A |
| City | STANFORD |
| State | KY |
| Zip | 40484-1049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal Brown | Nurse Practitioner | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Rebecca Rankin | Physician Assistant | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Ashley Price | Physician Assistant | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Anita D Coffey | Clinical Social Worker | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Jeanne A Chase | Nurse Practitioner | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Jody Coomer | Nurse Practitioner | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher D Sims | Family Medicine | 102 Agricultural Way, Po Box 330, Stanford, KY 40484-0330 | |
| Eric N King | Optometry | 101 Us Hwy 150 Byp, Suite 117, Stanford, KY 40484-1000 | |
| Anne M Davis | Nurse Practitioner | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Jonathan R Clark | Family Medicine | Ephraim Mcdowell Health Resource Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Jennifer Lynn Merrick | Nurse Practitioner | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| John E Merryman Iii | General Surgery | Ephraim Mcdowell Health Resource Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Cynthia J Simpson | Nurse Practitioner | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Jesslyn Brianne Kelsey | Nurse Practitioner | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Judith A Anderson Sherman | Family Medicine | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Tamara J Muse | Nurse Practitioner | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Find all physicians in zip 40484 | |||
| City | STANFORD |
| Zip Code | 40484 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | STANFORD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Peter Rock.
| 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.