Ronald Peterson Jr. (NPI# 1891064226, PAC ID# 9234398660) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1891064226 |
| PAC ID by PECOS | 9234398660 |
| Professional Enrollment ID | I20120305000468 |
| Full Name | Ronald Peterson Jr. |
| Address |
815 Lincoln Hwy Suite 109 Fairview Heights IL 62208-2230 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2010 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 815 Lincoln Hwy, Suite 109, Fairview Heights, IL 62208-2230 |
| Street Address |
815 LINCOLN HWY SUITE 109 |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip | 62208-2230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Derby | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Lowell G Sensintaffar | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Anthony Truong | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Tara Helfrich | Nurse Practitioner | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Bassim Assioun | Nephrology | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Erica P Criss | Nurse Practitioner | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Marc D Mccleary | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Kostantinos E Psihramis | Urology | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Nell Ann Schmits Hennon | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Mounir Mikhail Shenouda | Internal Medicine | Fairview Medical Group LLC | 331 Salem Pl, Suite 100, Fairview Heights, IL 62208-1340 |
| Find all physicians in zip 62208 | |||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
| Specialty | CHIROPRACTIC |
| City + Specialty | FAIRVIEW HEIGHTS + CHIROPRACTIC |
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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.