David R Peterson (NPI# 1194742718, PAC ID# 1052204773) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1194742718 |
| PAC ID by PECOS | 1052204773 |
| Professional Enrollment ID | I20040205001208 |
| Full Name | David R Peterson |
| Organization Legal Name | ILLINOIS EMERGENCY PHYSICIANS LLP |
| Address |
400 N Caldwell St Staunton IL 62088-1173 |
| Phone Number | 6186352200 |
| Gender | M |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2365341567 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141306 | COMMUNITY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 N Caldwell St, Staunton, IL 62088-1173 | 6186352200 | ILLINOIS EMERGENCY PHYSICIANS LLP |
| Organization Legal Name | ILLINOIS EMERGENCY PHYSICIANS LLP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Leslie Kramer | Nurse Practitioner | Illinois Emergency Physicians LLP | 400 N Caldwell St, Staunton, IL 62088-1173 |
| Street Address |
400 N CALDWELL ST |
| City | STAUNTON |
| State | IL |
| Zip | 62088-1173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua D Poos | Family Medicine | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
| Mark Alan Savage | Family Medicine | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
| Anne Leslie Kramer | Nurse Practitioner | Illinois Emergency Physicians LLP | 400 N Caldwell St, Staunton, IL 62088-1173 |
| Michael Jeffrey Barkoviak | Pulmonary Disease | 400 N Caldwell St, Staunton, IL 62088-1499 | |
| Richard C Bell | Dermatology | Associates In Dermatology and Cutaneous Surgery Ltd | 400 N Caldwell St, Staunton, IL 62088-1173 |
| Sherry A Tindall | Nurse Practitioner | St Louis Heart and Vascular PC | 400 N Caldwell St, Staunton, IL 62088-1173 |
| Amanda N Ventimiglia | Nurse Practitioner | St Louis Heart and Vascular PC | 400 N Caldwell St, Staunton, IL 62088-1173 |
| Richard F Schock Ii | Family Practice | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
| Danilo M Ofreneo | Emergency Medicine | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
| Emerito F Ureta | General Practice | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey David Roller | Chiropractic | 426 W Pearl St, Staunton, IL 62088-1313 | |
| Bryan Charles Siegfried | Pediatric Medicine | Staunton Clinic LLC | 444 N Edwardsville St, Staunton, IL 62088-1334 |
| Manish Mathur | Internal Medicine | Staunton Clinic LLC | 444 N Edwardsville St, Staunton, IL 62088-1334 |
| Rajneesh S Jain | Internal Medicine | Staunton Clinic LLC | 444 N Edwardsville St, Staunton, IL 62088-1334 |
| Julie Hendricks | Optometry | Clarkson Optometry Illinois PC | 208 W Main St, Staunton, IL 62088-1470 |
| Justin P Darr | Chiropractic | 704 S Hackman St, Staunton, IL 62088-1630 | |
| Robert J Brown | Chiropractic | Macoupin County Chiro Partnership | 704 S Hackman St, Staunton, IL 62088-1630 |
| City | STAUNTON |
| Zip Code | 62088 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | STAUNTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on David R 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.