Lars-kristofer N Peterson (NPI# 1023336112, PAC ID# 0143531590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1023336112 |
| PAC ID by PECOS | 0143531590 |
| Professional Enrollment ID | I20160823002445 |
| Full Name | Lars-kristofer N Peterson |
| Organization Legal Name | CMC DEPARTMENT OF MEDICINE GROUP PA |
| Address |
1 Cooper Plz Camden NJ 08103-1461 |
| Phone Number | 8563422633 |
| Gender | M |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 2010 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2163335878 |
| Number of Group Practice Members | 200 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310014 | COOPER UNIVERSITY HOSPITAL |
| 310081 | INSPIRA MEDICAL CENTER WOODBURY |
| 310032 | INSPIRA MEDICAL CENTER VINELAND |
| 310022 | VIRTUA WEST JERSEY HOSPITALS |
| 310086 | JEFFERSON STRATFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Cooper Plz, Camden, NJ 08103-1461 | 8563422633 | CMC DEPARTMENT OF MEDICINE GROUP PA |
| 1 Cooper Plz, Camden, NJ 08103-1461 | 8563422000 | COOPER UNIVERISTY EMERGENCY PHYSICIANS PC |
| 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 8566417790 | CMC DEPARTMENT OF MEDICINE GROUP PA |
| Organization Legal Name | CMC DEPARTMENT OF MEDICINE GROUP PA |
| Physicians | 205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Ernest Siegler | Neurology | Cmc Department of Medicine Group Pa | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 |
| Ashley Decker | Dermatology | Cmc Department of Medicine Group Pa | 1000 Sagemore Dr, Marlton, NJ 08053-4301 |
| Colleen Brown | Physician Assistant | Cmc Department of Medicine Group Pa | 900 Centennial Blvd M, Voorhees, NJ 08043-4637 |
| Alice Mulorz | Nurse Practitioner | Cmc Department of Medicine Group Pa | 1000 Rev Dr Martin Luther King Jr Dr C, Willingboro, NJ 08046-2852 |
| Jessica L Bryson | Physician Assistant | Cmc Department of Medicine Group Pa | 196 Grove Ave C, West Deptford, NJ 08086-2139 |
| Thomas R Mirsen | Neurology | Cmc Department of Medicine Group Pa | Bnkr Hl Plz, Suite 103, Sewell, NJ 08080 |
| Amy Colcher | Neurology | Cmc Department of Medicine Group Pa | 3740 W Chester Pike, Newtown Square, PA 19073-3223 |
| Stephen M Akers | Pulmonary Disease | Cmc Department of Medicine Group Pa | 218 Sunset Rd C, Willingboro, NJ 08046-1110 |
| Kevin J Callahan | Hematology/oncology | Cmc Department of Medicine Group Pa | 2 Cooper Plz, Camden, NJ 08103-1461 |
| Donna J Hogue | Pulmonary Disease | Cmc Department of Medicine Group Pa | 900 Centennial Blvd K, Voorhees, NJ 08043-4637 |
| Street Address |
1 COOPER PLZ |
| City | CAMDEN |
| State | NJ |
| Zip | 08103-1461 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank J Pino | Physician Assistant | Cooper Physician Offices Pa | 1 Cooper Plz, Camden, NJ 08103-1461 |
| Maria Dinnah Eclavia Dy | Certified Registered Nurse Anesthetist (crna) | Cooper Anesthesia Associates PC | 1 Cooper Plz, Camden, NJ 08103-1461 |
| Amanda A Valvano | Hospitalist | Cooper Physician Offices Pa | 1 Cooper Plz, Camden, NJ 08103-1461 |
| Charles Jiao | Hospitalist | Cooper Physician Offices Pa | 1 Cooper Plz, Camden, NJ 08103-1461 |
| Debbie Mary Orr | Nurse Practitioner | Cmc Department of Medicine Group Pa | 1 Cooper Plz, Camden, NJ 08103-1461 |
| Anthony J Mazzarelli | Emergency Medicine | Cooper Univeristy Emergency Physicians PC | 1 Cooper Plz, Camden, NJ 08103-1461 |
| Dawnmarie Menniti | Physician Assistant | Cooper Physician Offices Pa | 1 Cooper Plz, Camden, NJ 08103-1461 |
| Dennis J Mcfadden | Certified Registered Nurse Anesthetist (crna) | Cooper Anesthesia Associates PC | 1 Cooper Plz, Camden, NJ 08103-1461 |
| Christian Cruz Fagel | Hospitalist | Cooper Physician Offices Pa | 1 Cooper Plz, Camden, NJ 08103-1461 |
| Rachel Popick | Nurse Practitioner | Cooper Physician Offices Pa | 1 Cooper Plz, Camden, NJ 08103-1461 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Krulish | Pediatric Medicine | Cooper Pediatrics | One Cooper Plaza, Camden, NJ 08103 |
| Nicole Fox | General Surgery | Cooper University Trauma Physicians, PC | 1 Cooper Plaza, Camden, NJ 08103 |
| Jenica M Kolb | Nurse Practitioner | Cooper University Trauma Physicians, PC | 3 Cooper Plaza, Suite 411, Camden, NJ 08103 |
| Diana Rae Filipek | Nurse Practitioner | Cooper University Trauma Physicians, PC | 1 Cooper Plaza, Camden, NJ 08103 |
| John Chovanes | General Surgery | Cooper University Trauma Physicians, PC | 3 Cooper Plaza, Suite 411, Camden, NJ 08103 |
| Nadine Barth | General Surgery | Cooper University Trauma Physicians, PC | 1 Cooper Plaza, Camden, NJ 08103 |
| Jamie Eisele | Nurse Practitioner | Cooper University Trauma Physicians, PC | 1 Cooper Plaza, Camden, NJ 08103 |
| Sarah E Cunningham | Nurse Practitioner | Cooper University Trauma Physicians, PC | 1 Cooper Plaza, Camden, NJ 08103 |
| Dannett Durphy | Nurse Practitioner | Cooper University Trauma Physicians, PC | 1 Cooper Plaza, Camden, NJ 08103 |
| Tanya Sonali Egodage | Critical Care (intensivists) | Cooper University Trauma Physicians, PC | 1 Cooper Plaza, Camden, NJ 08103 |
| Find all physicians in zip 08103 | |||
| City | CAMDEN |
| Zip Code | 08103 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | CAMDEN + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Lars-kristofer N 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.