Tyler J Peterson (NPI# 1639328784, PAC ID# 7517081870) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1639328784 |
| PAC ID by PECOS | 7517081870 |
| Professional Enrollment ID | I20100824000773 |
| Full Name | Tyler J Peterson |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM-LAKE CITY |
| Address |
500 W Grant St Lake City MN 55041-1143 |
| Phone Number | 6513453321 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2007 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1951213487 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240018 | MAYO CLINIC HEALTH SYSTEM IN RED WING |
| 240010 | MAYO CLINIC HOSPITAL ROCHESTER |
| 241338 | MAYO CLINIC HEALTH SYSTEM - LAKE CITY |
| 241346 | MAYO CLINIC HEALTH SYSTEM - CANNON FALLS |
| 161347 | FLOYD COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 404 W Fountain St, Albert Lea, MN 56007-2437 | 5073732384 | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
| 500 W Grant St, Lake City, MN 55041-1143 | 6513453321 | MAYO CLINIC HEALTH SYSTEM-LAKE CITY |
| 200 1st St Sw, Rochester, MN 55905-0001 | 5072842511 | MAYO CLINIC |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM-LAKE CITY |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah A Winters | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Chad Hanson | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Darlene R Bannon | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jill C Jensen | Physician Assistant | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| James Michael Bisanti | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Randy M Foss | Family Medicine | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jacob R Ricks | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Katherine L Lofberg | Nurse Practitioner | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jason W Steinle | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Lawrence R Keenan | Cardiovascular Disease (cardiology) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Street Address |
500 W GRANT ST |
| City | LAKE CITY |
| State | MN |
| Zip | 55041-1143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah A Winters | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Chad Hanson | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Darlene R Bannon | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jill C Jensen | Physician Assistant | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| James Michael Bisanti | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Randy M Foss | Family Medicine | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jacob R Ricks | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Katherine L Lofberg | Nurse Practitioner | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jason W Steinle | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Lawrence R Keenan | Cardiovascular Disease (cardiology) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessin L Skoug | Chiropractic | Eagle Valley Chiropractic, LLC | 106 S Washington St, Lake City, MN 55041-1034 |
| Elizabeth A Olson | Chiropractic | Eagle Valley Chiropractic, LLC | 106 S Washington St, Lake City, MN 55041-1034 |
| Lyndsay D Viers | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Don B Stott | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Adam Sharp Cole | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Joerg Herrmann | Cardiovascular Disease (cardiology) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jeremy J Thaden | Cardiovascular Disease (cardiology) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Anne E Liwonjo | Family Medicine | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Amy L Mcalister | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 500 W Grant St, Lake City, MN 55041-1143 |
| Darrell B Newman | Cardiovascular Disease (cardiology) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Find all physicians in zip 55041 | |||
| City | LAKE CITY |
| Zip Code | 55041 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LAKE CITY + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Tyler J Peterson.
| 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.