Cameron G Peterson (NPI# 1164604765, PAC ID# 5991855207) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1164604765 |
| PAC ID by PECOS | 5991855207 |
| Professional Enrollment ID | I20090609000004 |
| Full Name | Cameron G Peterson |
| Organization Legal Name | BRIDGE UTAH MEDICAL GROUP |
| Address |
1015 E 100 Logan UT 84321-4873 |
| Phone Number | 8888538973 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 1759645666 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460017 | BRIGHAM CITY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1015 E 100, Logan, UT 84321-4873 | 8888538973 | BRIDGE UTAH MEDICAL GROUP |
| 527 Memorial Dr, Pocatello, ID 83201-4063 | 8888538973 | BRIDGE UTAH MEDICAL GROUP |
| Organization Legal Name | BRIDGE UTAH MEDICAL GROUP |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Eldon Ostler | Physical Medicine and Rehabilitation | Bridge Utah Medical Group | 1015 E 100, Logan, UT 84321-4873 |
| Michelle Pepper | Physical Medicine and Rehabilitation | Bridge Utah Medical Group | 1015 E 100, Logan, UT 84321-4873 |
| Joseph C Fyans | Physical Medicine and Rehabilitation | Bridge Utah Medical Group | 1015 E 100, Logan, UT 84321-4873 |
| Ronald Firth | Family Medicine | Bridge Utah Medical Group | 1015 E 100, Logan, UT 84321-4873 |
| Cynthia Lynn Duke | Nurse Practitioner | Bridge Utah Medical Group | 1015 E 100, Logan, UT 84321-4873 |
| Lilia P Buchmuller | Nurse Practitioner | Bridge Utah Medical Group | 1015 E 100, Logan, UT 84321-4873 |
| Street Address |
1015 E 100 |
| City | LOGAN |
| State | UT |
| Zip | 84321-4873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Eldon Ostler | Physical Medicine and Rehabilitation | Bridge Utah Medical Group | 1015 E 100, Logan, UT 84321-4873 |
| Michelle Pepper | Physical Medicine and Rehabilitation | Bridge Utah Medical Group | 1015 E 100, Logan, UT 84321-4873 |
| Joseph C Fyans | Physical Medicine and Rehabilitation | Bridge Utah Medical Group | 1015 E 100, Logan, UT 84321-4873 |
| Ronald Firth | Family Medicine | Bridge Utah Medical Group | 1015 E 100, Logan, UT 84321-4873 |
| Cynthia Lynn Duke | Nurse Practitioner | Bridge Utah Medical Group | 1015 E 100, Logan, UT 84321-4873 |
| Lilia P Buchmuller | Nurse Practitioner | Bridge Utah Medical Group | 1015 E 100, Logan, UT 84321-4873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan R Bertoldo | Obstetrics/gynecology | Mountainstar Medical Group-cache Valley LLC | 2380 N 400, North Logan, UT 84321 |
| Jeffrey J Pulley | Physician Assistant | Alpine Management and Consulting LLC | 55 E Golf Course Rd, Unit B, Logan, UT 84321-0001 |
| Sheridan L Peck | Occupational Therapy | Teamworks Therapy LLC | 642 N 1000, Suite 107, Logan, UT 84321-3140 |
| Todd P Campbell | Physical Therapy | Teamworks Therapy LLC | 642 N 1000, Suite 107, Logan, UT 84321-3140 |
| Michael C Mumford | Physical Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Andrew R Christensen | Physical Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Stephen K Severe | Physical Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Angela K Smith | Physical Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Jordan C Benson | Occupational Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Eric D Dutson | Speech Language Pathologist | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Find all physicians in zip 84321 | |||
| City | LOGAN |
| Zip Code | 84321 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | LOGAN + PHYSICAL MEDICINE AND REHABILITATION |
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| 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.