Whitney J Peterson (NPI# 1336669258, PAC ID# 6901166495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1336669258 |
| PAC ID by PECOS | 6901166495 |
| Professional Enrollment ID | I20180131002826 |
| Full Name | Whitney J Peterson |
| Organization Legal Name | MISSISSIPPI UROLOGY CLINIC PLLC |
| Address |
300 3rd St Se Ms Urology Clinic Pllc Magee MS 39111-3665 |
| Phone Number | 6018497318 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6406830942 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 501 Marshall St, Suite 301, Jackson, MS 39202-1687 | 6013539900 | MISSISSIPPI UROLOGY CLINIC PLLC |
| 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 | 6018497318 | MISSISSIPPI UROLOGY CLINIC PLLC |
| Organization Legal Name | MISSISSIPPI UROLOGY CLINIC PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Runnels | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| Joe Robinson Ross | Urology | Mississippi Urology Clinic Pllc | 123 Bo Bo Dr, Crystal Springs, MS 39059-2741 |
| Patrick P Daily | Urology | Mississippi Urology Clinic Pllc | 501 Marshall St, Suite 301, Jackson, MS 39202-1687 |
| John D Adams Jr. | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| Allen Mcneil Haraway | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| Harold J Blalock | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| Street Address |
300 3RD ST SE MS UROLOGY CLINIC PLLC |
| City | MAGEE |
| State | MS |
| Zip | 39111-3665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Runnels | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| John D Adams Jr. | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| Allen Mcneil Haraway | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| Harold J Blalock | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Patterson Phd | Psychologist, Clinical | 1119 1st Ave Ne, Magee, MS 39111-3111 | |
| Maurice O Hinton | Certified Registered Nurse Anesthetist (crna) | Southern Anesthesia Inc | 300 Se 3rd Ave, Magee, MS 39111-3665 |
| Rudolph S Runnels Sr. | General Practice | Magee Benevolent Association | 300 3rd Ave Se Northwing, Sleep Lab, Magee, MS 39111-3665 |
| John B Lyon | Ophthalmology | 300 3rd Ave Se, Magee, MS 39111-3665 | |
| Bailey J Ferguson | Diagnostic Radiology | Magee Benevolent Association | 300 3rd Ave Se Northwing, Sleep Lab, Magee, MS 39111-3665 |
| William J Bass | Nurse Practitioner | Magee Benevolent Association | 300 3rd Ave Se, Magee General Hosptial, Magee, MS 39111-3698 |
| George E Gillespie Iii | Emergency Medicine | Magee Benevolent Association | 300 3rd Ave Se, Magee General Hosptial, Magee, MS 39111-3698 |
| Walter S Howard | Nurse Practitioner | Magee Benevolent Association | 300 3rd Ave Se, Magee General Hosptial, Magee, MS 39111-3698 |
| Robin Sullivan Hardin | Nurse Practitioner | Magee Benevolent Association | 300 3rd Ave Se, Magee General Hosptial, Magee, MS 39111-3698 |
| David Shane Johnson | Physician Assistant | Magee Benevolent Association | 360 Simpson Hwy 149 360, Magee, MS 39111-3843 |
| Find all physicians in zip 39111 | |||
| City | MAGEE |
| Zip Code | 39111 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MAGEE + 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.