Michael Peterson (NPI# 1184037020, PAC ID# 9537467329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184037020 |
| PAC ID by PECOS | 9537467329 |
| Professional Enrollment ID | I20160412000272 |
| Full Name | Michael Peterson |
| Organization Legal Name | ST VINCENTS MEDICAL CENTER INC |
| Address |
2627 Riverside Ave Jacksonville FL 32204-4712 |
| Phone Number | 9043087372 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0244144558 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 1570 Island Ln, Fleming Island, FL 32003-7453 | 9042641204 | ST VINCENT'S AMBULATORY CARE INC |
| 1801 Barrs St, Suite 120, Jacksonville, FL 32204-4738 | 9043082006 | ST VINCENT'S AMBULATORY CARE INC |
| 2627 Riverside Ave, Jacksonville, FL 32204-4712 | 9043087372 | ST VINCENTS MEDICAL CENTER INC |
| Organization Legal Name | ST VINCENTS MEDICAL CENTER INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonya J Dominguez | Family Medicine | St Vincents Medical Center Inc | 2627 Riverside Ave, Jacksonville, FL 32204-4712 |
| Donna Robin Potts | Family Medicine | St Vincents Medical Center Inc | 2627 Riverside Ave, Jacksonville, FL 32204-4712 |
| David A Mcinnes | Family Medicine | St Vincents Medical Center Inc | 2627 Riverside Ave, Jacksonville, FL 32204-4712 |
| Maria Mahmoodi | Family Medicine | St Vincents Medical Center Inc | 2627 Riverside Ave, Jacksonville, FL 32204-4712 |
| Helena Jane Karnani | Family Medicine | St Vincents Medical Center Inc | 2627 Riverside Ave, Jacksonville, FL 32204-4712 |
| Duaine D Murphree | Family Medicine | St Vincents Medical Center Inc | 2627 Riverside Ave, Jacksonville, FL 32204-4712 |
| Sandra J Schellhorn | Nurse Practitioner | St Vincents Medical Center Inc | 2627 Riverside Ave, Jacksonville, FL 32204-4712 |
| Danielle M Carter | Family Medicine | St Vincents Medical Center Inc | 2627 Riverside Ave, Jacksonville, FL 32204-4712 |
| William L Cody | Obstetrics/gynecology | St Vincents Medical Center Inc | 2627 Riverside Ave, Jacksonville, FL 32204-4712 |
| Fernando Moreno Jr. | Obstetrics/gynecology | St Vincents Medical Center Inc | 2627 Riverside Ave, Jacksonville, FL 32204-4712 |
| Street Address |
2627 RIVERSIDE AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-4712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nedzad Cavka | Physical Therapy | Southeast Orthopedic Specialists Inc | 2627 Riverside Ave, Fl 3, Jacksonville, FL 32204-4712 |
| Shaun Janse Van Rensburg | Chiropractic | Southeast Orthopedic Specialists Inc | 2627 Riverside Ave, Fl 3, Jacksonville, FL 32204-4712 |
| Daniel B Teahan | Physical Therapy | Southeast Orthopedic Specialists Inc | 2627 Riverside Ave, Fl 3, Jacksonville, FL 32204-4712 |
| Aftan N Delaney | Physical Therapy | Southeast Orthopedic Specialists Inc | 2627 Riverside Ave, Fl 3, Jacksonville, FL 32204-4712 |
| Sonya J Dominguez | Family Medicine | St Vincents Medical Center Inc | 2627 Riverside Ave, Jacksonville, FL 32204-4712 |
| Daniel P Mcmahon | Physician Assistant | Southeast Orthopedic Specialists Inc | 2627 Riverside Ave, Fl 3, Jacksonville, FL 32204-4712 |
| Kristen M. Curtis | Physical Therapy | Southeast Orthopedic Specialists Inc | 2627 Riverside Ave, Fl 3, Jacksonville, FL 32204-4712 |
| Patrick D. Weaver | Physical Therapy | Southeast Orthopedic Specialists Inc | 2627 Riverside Ave, Fl 3, Jacksonville, FL 32204-4712 |
| Rahul Vinod Deshmukh | Orthopedic Surgery | Southeast Orthopedic Specialists Inc | 2627 Riverside Ave, Fl 3, Jacksonville, FL 32204-4712 |
| Kendra M Hentkowski | Physician Assistant | Southeast Orthopedic Specialists Inc | 2627 Riverside Ave, Fl 3, Jacksonville, FL 32204-4712 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kayela Faye Moore | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSONVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Peterson.
| 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.