Joseph R Peterson (NPI# 1679561070, PAC ID# 9032282371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1679561070 |
PAC ID by PECOS | 9032282371 |
Professional Enrollment ID | I20080721000408 |
Full Name | Joseph R Peterson |
Organization Legal Name | JOSEPH R PETERSON MD PA |
Address |
1414 E Blanco Rd Suite 9 Boerne TX 78006-1834 |
Phone Number | 8302496321 |
Gender | M |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
Graduation Year | 1999 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 0244303584 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1414 E Blanco Rd, Suite 9, Boerne, TX 78006-1834 | 8302496321 | JOSEPH R PETERSON MD PA |
1414 E Blanco Rd, Boerne, TX 78006-1834 | 8302496321 | JOSEPH R PETERSON MD PA |
Organization Legal Name | JOSEPH R PETERSON MD PA |
Physicians | 1 |
Street Address |
1414 E BLANCO RD SUITE 9 |
City | BOERNE |
State | TX |
Zip | 78006-1834 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erika Nicole Kelso | Nurse Practitioner | Thushan N Desilva Md Pllc | 34910 W, 10 Suite 501, Boerne, TX 78006 |
Debra A Cuellar | Physical Therapy | Boerne Physical Therapy Institute | 1411 S Main, Boerne, TX 78006 |
Brent Wells | Physical Therapy | 34910 I-10, Suite 401, Boerne, TX 78006 | |
Mika Cole | Allergy/immunology | 1421 S Main, Suite 107, Boerne, TX 78006 | |
James F Kennell | Chiropractic | 115 Hwy 46 W, Boerne, TX 78006 | |
Vidya Vaddempudi | Family Medicine | Apexmed Pllc | 625 N Main St, Town and Country, Boerne, TX 78006-1621 |
Mark A Jung | Family Medicine | Sports and Family Medicine of Boerne Pa | 905 N Main St, Suite 105, Boerne, TX 78006-1659 |
Wendy P Mccurley | Family Medicine | Sports and Family Medicine of Boerne Pa | 905 N Main St, Suite 105, Boerne, TX 78006-1659 |
Charles W Mccurley Iv | Family Medicine | Sports and Family Medicine of Boerne Pa | 905 N Main St, Suite 105, Boerne, TX 78006-1659 |
Catherine Wilson Parten | Clinical Social Worker | 129 Oak Grove Dr, Boerne, TX 78006-1734 | |
Find all physicians in zip 78006 |
City | BOERNE |
Zip Code | 78006 |
Specialty | DERMATOLOGY |
City + Specialty | BOERNE + DERMATOLOGY |
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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.