Peter Roland Jungblut (NPI# 1104104686, PAC ID# 7113198631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104104686 |
| PAC ID by PECOS | 7113198631 |
| Professional Enrollment ID | I20130709000788 |
| Full Name | Peter Roland Jungblut |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
3747 Roswell Rd Marietta GA 30062-6227 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 | 7704248222 | WELLSTAR MEDICAL GROUP, LLC |
| 3747 Roswell Rd, Marietta, GA 30062-6227 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
3747 ROSWELL RD |
| City | MARIETTA |
| State | GA |
| Zip | 30062-6227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lloyd D Weddington | Internal Medicine | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Nitasha Burney | Family Medicine | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Karla L Booker | Family Medicine | Wellstar Medical Group, LLC | 3747 Roswell Rd, Suite 107, Marietta, GA 30062-6227 |
| Mitzi B Rubin | Family Medicine | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Whitney S Denton | Family Medicine | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Shivam G Patel | Endocrinology | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Reshma P Shah | Endocrinology | Wellstar Medical Group, LLC | 3747 Roswell Rd, Suite 202, Marietta, GA 30062-6227 |
| Lauren Ashley Taylor | Nurse Practitioner | Wellstar Medical Group, LLC | 3747 Roswell Rd, Suite 215, Marietta, GA 30062-6228 |
| Chloe Lan Russo | Pediatric Medicine | Wellstar Medical Group, LLC | 3747 Roswell Rd, Suite 205, Marietta, GA 30062-6227 |
| Victoria J.d Marks | Nurse Practitioner | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilene L Cooper | Clinical Social Worker | 2790 Sandy Plains Rd, Marietta, GA 30062 | |
| Joseph Ronald Gross | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 2100 Roswell Rd, Suite 2124, Marietta, GA 30062-0874 |
| Maria J Rzeznik | Registered Dietitian Or Nutrition Professional | Nutrikiss Inc | 2155 Camberley Pl, Marietta, GA 30062-1894 |
| David J Williams | Chiropractic | Wood Family Chiropractic, P.C. | 929 Cobb N Pkwy, Suite 101, Marietta, GA 30062-2411 |
| Colleen N Wood | Chiropractic | Wood Family Chiropractic, P.C. | 929 Cobb N Pkwy, Suite 101, Marietta, GA 30062-2411 |
| Leslie K Wood | Chiropractic | Wood Family Chiropractic, P.C. | 929 Cobb N Pkwy, Suite 101, Marietta, GA 30062-2411 |
| Lawrence Jackson Ludtke | Chiropractic | Chiropractic Total Health Center, LLC | 1459 Cobb N Pkwy, Marietta, GA 30062-2425 |
| Linda L Crawford | Chiropractic | Chiropractic Total Health Center, LLC | 1459 Cobb N Pkwy, Marietta, GA 30062-2425 |
| Paul I Suji | Optometry | 2230 Roswell Rd, Suite 100, Marietta, GA 30062-2945 | |
| Jeffrey L Culpepper | Emergency Medicine | American Current Care Pa | 220 N Cobb Pkwy, Suite 400, Marietta, GA 30062-3579 |
| Find all physicians in zip 30062 | |||
| City | MARIETTA |
| Zip Code | 30062 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MARIETTA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Peter Roland Jungblut.
| 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.