Peter J Anderson (NPI# 1548245848, PAC ID# 8123095247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1548245848 |
| PAC ID by PECOS | 8123095247 |
| Professional Enrollment ID | I20041108000385 |
| Full Name | Peter J Anderson |
| Organization Legal Name | GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY, LLC |
| Address |
4802 S State Rt Suite 159 Glen Carbon IL 62034-1904 |
| Phone Number | 61828843883309 |
| Gender | M |
| Credential | MD |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0143268201 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140125 | GATEWAY REGIONAL MEDICAL CENTER |
| 140289 | ANDERSON HOSPITAL |
| 260176 | DES PERES HOSPITAL |
| 141336 | ST JOSEPH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 | 61828843883309 | GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY, LLC |
| 333 S Kirkwood Rd, Suite 200, Saint Louis, MO 63122-6161 |
| Organization Legal Name | GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Joseph Penn | Orthopedic Surgery | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Michelle L Vermaux | Physical Therapy | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| James B Sola | Orthopedic Surgery | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Scott D Knox | Physician Assistant | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Thomas J Zaiz | Physician Assistant | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Paul Jerome Scherer | Orthopedic Surgery | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Jonathan Workman | Orthopedic Surgery | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Donna C Blood | Occupational Therapy | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Street Address |
4802 S STATE RT SUITE 159 |
| City | GLEN CARBON |
| State | IL |
| Zip | 62034-1904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Joseph Penn | Orthopedic Surgery | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Michelle L Vermaux | Physical Therapy | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| James B Sola | Orthopedic Surgery | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Scott D Knox | Physician Assistant | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Thomas J Zaiz | Physician Assistant | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Paul Jerome Scherer | Orthopedic Surgery | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Jonathan Workman | Orthopedic Surgery | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Donna C Blood | Occupational Therapy | Granite City Orthopedic Physicians Company, LLC | 4802 S State Rt, Suite 159, Glen Carbon, IL 62034-1904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Cottrell | Nurse Practitioner | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Michael J Walter | Critical Care (intensivists) | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Richard C Coy | Chiropractic | Optimum Wellness and Rehabilitation PC | 3407s State Route 157 1, Glen Carbon, IL 62034-1042 |
| Jim Jiantao Hong | Family Medicine | 104 Magnolia Dr, Suite A, Glen Carbon, IL 62034-1595 | |
| Emily A Brueggeman | Chiropractic | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 | |
| Nikole L Hunter | Chiropractic | Brueggeman Chiropractic Center LLC | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 |
| Haresh K Motwani | Family Medicine | 27 Auerbach Place, Glen Carbon, IL 62034-1596 | |
| Barton Lynn Blackorby | Ophthalmology | Retina Consultants Ltd | 5 Country Club Executive Park, Glen Carbon, IL 62034-1702 |
| Alisha A White | Internal Medicine | 4 Country Club Executive Park, Glen Carbon, IL 62034-1702 | |
| Ryan J Cleland | Chiropractic | Infinite Wellness Chiropractic Ltd | 220 Evergreen Ln, Unit B, Glen Carbon, IL 62034-1714 |
| Find all physicians in zip 62034 | |||
| City | GLEN CARBON |
| Zip Code | 62034 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | GLEN CARBON + ORTHOPEDIC SURGERY |
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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.