Jeffry L Peterson (NPI# 1164569729, PAC ID# 8729164397) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
Nation Provider ID (NPI) | 1164569729 |
PAC ID by PECOS | 8729164397 |
Professional Enrollment ID | I20120927000800 |
Full Name | Jeffry L Peterson |
Organization Legal Name | MEMORIAL HOSPITAL |
Address |
1900 State St Chester IL 62233-1116 |
Phone Number | 6188264581 |
Gender | M |
Graduation Year | 1997 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Group Practice PAC ID | 5294649372 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
141338 | MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1900 State St, Chester, IL 62233-1116 | 6188264581 | MEMORIAL HOSPITAL |
Organization Legal Name | MEMORIAL HOSPITAL |
Physicians | 200 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lynn M Larson | Internal Medicine | Memorial Hospital | 826 W King St, Memorial Medical Associates, Owosso, MI 48867-2120 |
Jan T Liu | Family Medicine | Memorial Hospital | 3337 Britton Rd, Perry, MI 48872-9706 |
Amanda Brooke Ariss | Nurse Practitioner | Memorial Hospital | 9099 E Lansing Rd B, Durand Urgent Care, Durand, MI 48429-1083 |
Kimberly S Macdermott | Nurse Practitioner | Memorial Hospital | 3073 White Mountain Hwy, No Conway, NH 03860-7101 |
Malena I Forgach | Physician Assistant | Memorial Hospital | 9099 E Lansing Rd A, Durand, MI 48429-1083 |
Ali Saeed | Neurology | Memorial Hospital | 9000 Peet Rd, Chesaning, MI 48616-1752 |
Tarek R Pacha | Urology | Memorial Hospital | 503 E Main St, Memorial Healthcare Urology Owosso, Owosso, MI 48867-3140 |
Narender R Thatikonda | Internal Medicine | Memorial Hospital | 9900 W M 21, 101 Ovid Elsie Primary Care, Ovid, MI 48866-9798 |
Ira Stanley Frye | Obstetrics/gynecology | Memorial Hospital | 1457 N M 52, 2 Memorial Healthcare Ob/gyn Owosso, Owosso, MI 48867-1519 |
Vivek S Sahgal | Internal Medicine | Memorial Hospital | 1201 Michigan Ave, Suite 170, Logansport, IN 46947-1585 |
Street Address |
1900 STATE ST |
City | CHESTER |
State | IL |
Zip | 62233-1116 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stuart K Lankford | Physician Assistant | Kidney Disease and Medicine Specialty Consultants LLC | 1900 State St, Chester, IL 62233-1116 |
Matthew Jones | Nurse Practitioner | Red Bud Regional Clinic Company LLC | 1900 State St, Chester, IL 62233-1116 |
James R Kirkpatrick | Family Medicine | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Douglas R Berson | Allergy/immunology | Allergy and Asthma Care of St. Louis | 1900 State St, Chester, IL 62233-1116 |
Joseph P Molnar | Family Medicine | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Lisa Lowry-rohlfing | Family Medicine | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
John Raymond Groll | Cardiovascular Disease (cardiology) | St Louis Medical Clinic, P.C. | 1900 State St, Chester, IL 62233-1116 |
Valerie Blechle | Nurse Practitioner | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Sam Stokes Iii | Urology | Southern Illinois Medical Services, Nfp | 1900 State St, Chester, IL 62233-1116 |
Justin Floyd | Hematology/oncology | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Keith Norman Tyhurst | Optometry | Marion Eye Centers Ltd | 203 Van Zant St, Chester, IL 62233-1020 |
Doyle T Witt | Emergency Medicine | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Stephen Platt | Family Medicine | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Sandra J Evans | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Randy Cowart | Nephrology | Kidney Disease and Medicine Specialty Consultants LLC | 1900 State St, Chester, IL 62233-1116 |
James R Krieg | Family Medicine | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Muhammad Kamran | Nephrology | Kidney Disease and Medicine Specialty Consultants LLC | 1900 State St, Chester, IL 62233-1116 |
Robert C Lander | Orthopedic Surgery | 1900 State St, Chester, IL 62233-1116 | |
Allan Liefer | General Surgery | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Jodi Beth Buskohl | Chiropractic | 2447 State St, Chester, IL 62233-1147 | |
Find all physicians in zip 62233 |
City | CHESTER |
Zip Code | 62233 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | CHESTER + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.