Timothy N Peterson (NPI# 1568564243, PAC ID# 8921131145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1568564243 |
| PAC ID by PECOS | 8921131145 |
| Professional Enrollment ID | I20100809000358 |
| Full Name | Timothy N Peterson |
| Organization Legal Name | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Address |
7945 S Suncoast Blvd Suite B Homosassa FL 34446-5005 |
| Phone Number | 3523826111 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2264595941 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100023 | CITRUS MEMORIAL HOSPITAL |
| 100249 | SEVEN RIVERS REGIONAL MEDICAL CENTER |
| 100264 | OAK HILL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7648 S Florida Ave, Floral City, FL 34436-2738 | 3527263700 | CITRUS PRIMARY CARE INC |
| 7945 S Suncoast Blvd, Suite B, Homosassa, FL 34446-5005 | 3523826111 | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| 7945 S Suncoast Blvd A, Homosassa, FL 34446-5005 | 3523825000 | CITRUS PRIMARY CARE INC |
| 7945 S Suncoast Boulevard, Suite B, Homosassa, FL 34446-5005 | 3523826111 | CITRUS PRIMARY CARE INC |
| 11375 Cortez Blvd, Spring Hill, FL 34613-5409 | 3525966632 | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Organization Legal Name | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie D Coombs | Physician Assistant | Community Hospital Family Practice LLC | 201 14th St Sw, Largo, FL 33770-3133 |
| Anthony J Dedea | Family Medicine | Community Hospital Family Practice LLC | 11097 Hearth Rd, Spring Hill, FL 34608-3704 |
| Andrea Wislotsky | Nurse Practitioner | Community Hospital Family Practice LLC | 13540 Walshingham Rd, Largo, FL 33774-3546 |
| Morrissa L Soto | Certified Nurse Midwife (cnm) | Community Hospital Family Practice LLC | 4015 Mariner Blvd, Spring Hill, FL 34609-2466 |
| Brent Rentfro | Physician Assistant | Community Hospital Family Practice LLC | 44 Veterans Ave, Brooksville, FL 34601-3215 |
| Jerry R Jacobs | Family Medicine | Community Hospital Family Practice LLC | 16332 Cortez Blvd, Unit F, Brooksville, FL 34601-8980 |
| Niloufer S Kero | Obstetrics/gynecology | Community Hospital Family Practice LLC | 11373 Cortez Blvd, Suite 207, Brooksville, FL 34613-5405 |
| Richard O Chlouber | Obstetrics/gynecology | Community Hospital Family Practice LLC | 4003 Mariner Blvd, Spring Hill, FL 34609-2466 |
| John Mitchell Clarke | General Surgery | Community Hospital Family Practice LLC | 1615 Pasadena Ave S, Suite 330, South Pasadena, FL 33707-4567 |
| Frederick D Cason | General Surgery | Community Hospital Family Practice LLC | 11373 Cortez Blvd, Suite 208, Brooksville, FL 34613-5405 |
| Street Address |
7945 S SUNCOAST BLVD SUITE B |
| City | HOMOSASSA |
| State | FL |
| Zip | 34446-5005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annemarie D Newcomer | Optometry | Newcomer Eye Care I P A | 4564 S Suncoast Blvd, Homosassa, FL 34446-1103 |
| Anu Tatambhotla | Internal Medicine | 4049 S Ohio Ave, Homosassa, FL 34446-1138 | |
| Francisco J Carreras-miranda | Internal Medicine | Pediatric and Internal Medicine Specialists LLC | 8468 W Periwinkle Ln, Homosassa, FL 34446-1147 |
| Jose A D Callueng | Internal Medicine | Jose A.d. Callueng Md Pa | 8468 W Periwinkle Ln, Homosassa, FL 34446-1147 |
| Elaine C Ward | Family Medicine | 4930 S Suncoast Blvd, Homosassa, FL 34446-1757 | |
| Jennifer Lea Christain | Chiropractic | 5354 S Suncoast Blvd, Homosassa, FL 34446-2067 | |
| Alex A Tambrini Jr. | Family Medicine | Access Health Care Physicians LLC | 92 Cypress W Blvd, Homosassa, FL 34446-4562 |
| Mark A Barnhurst | Physician Assistant | Access Health Care Physicians LLC | 92 Cypress W Blvd, Homosassa, FL 34446-4562 |
| Lou Ann Heckman | Nurse Practitioner | Bay Dermatology and Cosmetic Surgery Pa | 7739 S Suncoast Blvd, Homosassa, FL 34446-5004 |
| Ravi Sharma | Vascular Surgery | 7767 S Suncoast Blvd, Homosassa, FL 34446-5004 | |
| Find all physicians in zip 34446 | |||
| City | HOMOSASSA |
| Zip Code | 34446 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HOMOSASSA + FAMILY MEDICINE |
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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.