Craig Peterson (NPI# 1891877445, PAC ID# 6709875438) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1891877445 |
| PAC ID by PECOS | 6709875438 |
| Professional Enrollment ID | I20120202000533 |
| Full Name | Craig Peterson |
| Organization Legal Name | PETERSON AND NELLIS PHYSICAL THERAPY PC |
| Address |
113 Schuyler St Suite 7 Fulton NY 13069-1600 |
| Phone Number | 3155931740 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8022007756 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 113 Schuyler St, Suite 7, Fulton, NY 13069-1600 | 3155931740 | PETERSON AND NELLIS PHYSICAL THERAPY PC |
| 207 Pine St, Syracuse, NY 13210-1137 | 3154763176 | PETERSON AND NELLIS PHYSICAL THERAPY PC |
| Organization Legal Name | PETERSON AND NELLIS PHYSICAL THERAPY PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna E Albert | Physical Therapy | Peterson and Nellis Physical Therapy PC | 207 Pine St, Syracuse, NY 13210-1137 |
| Michael J Hlywa | Physical Therapy | Peterson and Nellis Physical Therapy PC | 3070 Belgium Rd, Baldwinsville, NY 13027-9239 |
| Stephen Nellis | Physical Therapy | Peterson and Nellis Physical Therapy PC | 3070 Belgium Rd, Baldwinsville, NY 13027-9239 |
| Kevin Nellis | Physical Therapy | Peterson and Nellis Physical Therapy PC | 3070 Belgium Rd, Baldwinsville, NY 13027-9239 |
| Street Address |
113 SCHUYLER ST SUITE 7 |
| City | FULTON |
| State | NY |
| Zip | 13069-1600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrin Ann Scheurer | Clinical Social Worker | Arise Child and Family Service Inc | 113 Schuyler St, Fulton, NY 13069-1652 |
| Deborah Mccarthy Boland | Nurse Practitioner | Arise Child and Family Service Inc | 113 Schuyler St, Fulton, NY 13069-1652 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua H Blodgett | Nurse Practitioner | Liberty Resources Inc. | 1850 Cnty Rte, Suite 57, Fulton, NY 13069 |
| Angelique Chambers | Clinical Social Worker | Liberty Resources Inc. | 1850 Cnty Rte, Suite 57, Fulton, NY 13069 |
| Christian L Holcomb | Family Medicine | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Rajeev Saini | Internal Medicine | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Katherine Mcphee | Nurse Practitioner | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Suryakant Z Patel | Family Medicine | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Brittany J Todd | Physician Assistant | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Sushma Sapkota Pandey | Internal Medicine | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Douglas J Dickson | Podiatry | 98 N 2nd St, Suite 101, Fulton, NY 13069-1254 | |
| Karl F Hafner | Family Practice | 98 N 2nd St, Fulton, NY 13069-1254 | |
| Find all physicians in zip 13069 | |||
| City | FULTON |
| Zip Code | 13069 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FULTON + PHYSICAL THERAPY |
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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.