Marlisa S Peterson (NPI# 1891191409, PAC ID# 6507180809) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1891191409 |
| PAC ID by PECOS | 6507180809 |
| Professional Enrollment ID | I20150114002274 |
| Full Name | Marlisa S Peterson |
| Organization Legal Name | CEDARS MEDICAL CLINIC, PA |
| Address |
325 W Liberty St Sumter SC 29150-5139 |
| Phone Number | 8037747000 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8022070036 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420070 | TUOMEY HEALTHCARE SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 325 W Liberty St, Sumter, SC 29150-5139 | 8037747000 | CEDARS MEDICAL CLINIC, PA |
| Organization Legal Name | CEDARS MEDICAL CLINIC, PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenya Talbert | Physician Assistant | Cedars Medical Clinic, Pa | 325 W Liberty St, Sumter, SC 29150-5139 |
| Ugochukwu N Okereke | Internal Medicine | Cedars Medical Clinic, Pa | 325 W Liberty St, Sumter, SC 29150-5139 |
| Julie A West | Physician Assistant | Cedars Medical Clinic, Pa | 325 W Liberty St, Sumter, SC 29150-5139 |
| Street Address |
325 W LIBERTY ST |
| City | SUMTER |
| State | SC |
| Zip | 29150-5139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenya Talbert | Physician Assistant | Cedars Medical Clinic, Pa | 325 W Liberty St, Sumter, SC 29150-5139 |
| Ugochukwu N Okereke | Internal Medicine | Cedars Medical Clinic, Pa | 325 W Liberty St, Sumter, SC 29150-5139 |
| Julie A West | Physician Assistant | Cedars Medical Clinic, Pa | 325 W Liberty St, Sumter, SC 29150-5139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niaya Mccleave | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Stacey Kelso | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Karly M Yarnish | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Myra Cooke | Qualified Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Harry A Jordan Jr. | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| James R Mcmahon | Nurse Practitioner | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Ansel Rose Mcfaddin Iii | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Katherine A Coffey | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Emily J Miller | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Find all physicians in zip 29150 | |||
| City | SUMTER |
| Zip Code | 29150 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SUMTER + PHYSICIAN ASSISTANT |
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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.