Glenn A Pederson (NPI# 1811171408, PAC ID# 2163584939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811171408 |
| PAC ID by PECOS | 2163584939 |
| Professional Enrollment ID | I20090311000319 |
| Full Name | Glenn A Pederson |
| Organization Legal Name | PARAGON EMERGENCY SERVICES LLC |
| Address |
42 Doctors Village Dr Saint Johns FL 32259-2245 |
| Phone Number | 9042305000 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628153087 |
| Number of Group Practice Members | 222 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 42 Doctors Village Dr, Saint Johns, FL 32259-2245 | 9042305000 | PARAGON EMERGENCY SERVICES LLC |
| Organization Legal Name | PARAGON EMERGENCY SERVICES LLC |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Richard Fraley | Emergency Medicine | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| Forrest J King | General Practice | Paragon Emergency Services LLC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Alex Mathai | Emergency Medicine | Paragon Emergency Services LLC | 6477 103rd St, Jacksonville, FL 32210-7129 |
| Otilia Capellan | Emergency Medicine | Paragon Emergency Services LLC | 5773 Normandy Blvd, Jacksonville, FL 32205-6250 |
| Franz J Plum | Emergency Medicine | Paragon Emergency Services LLC | 23186 Blue Star Hwy, Quincy, FL 32351-5173 |
| Brandon H Anderson | Emergency Medicine | Paragon Emergency Services LLC | 11850 Atlantic Blvd, Jacksonville, FL 32225-2918 |
| Elsye S Schrandt | Pediatric Medicine | Paragon Emergency Services LLC | 8383 N Davis Hwy, W Florida Hospital, Pensacola, FL 32514-6088 |
| Elana A Grier | Emergency Medicine | Paragon Emergency Services LLC | 600 E Dixie Ave, Leesburg, FL 34748-5925 |
| Holly E Klopfenstein | Family Medicine | Paragon Emergency Services LLC | 2626 Capital Medical Blvd, Tallahassee, FL 32308-4402 |
| Karin Elizabeth Zeaton | Emergency Medicine | Paragon Emergency Services LLC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
| Street Address |
42 DOCTORS VILLAGE DR |
| City | SAINT JOHNS |
| State | FL |
| Zip | 32259-2245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Richard Fraley | Emergency Medicine | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| Ronald John Brace | Emergency Medicine | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| James E Callan | Emergency Medicine | Paragon Emergency Services LLC | 42 Doctors Village Dr, Saint Johns, FL 32259-2245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vassil I Valov | Chiropractic | 254 Everest Lane, Suite 2, St. Johns, FL 32259 | |
| Austin J Chaput | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Allison H Mabus | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Leslie A Lynn | Chiropractic | 445 State Rd, 13 Suite 9, Jacksonville, FL 32259-2822 | |
| Gerald Fisher | Optometry | Gerald H Fisher and Erika L Fisher, Pa | 651 State Rd 13, St. Johns, FL 32259-2830 |
| Erika Fisher | Optometry | Gerald H Fisher and Erika L Fisher, Pa | 651 State Rd 13, St. Johns, FL 32259-2830 |
| Jennifer Hoff | Nurse Practitioner | First Coast Ltc Inc | 25 State Rd, 13 Att Clinic, Saint Johns, FL 32259-2842 |
| Thomas F Lahmann | Chiropractic | 485 State Rd, 13 Suite 3, Jacksonville, FL 32259-2993 | |
| Gerardo A Montanez | Nurse Practitioner | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Kimberly M Wieringa | Physician Assistant | Avecina Medical Pa | 1633 Race Track Rd, Suite 101, Saint Johns, FL 32259-3237 |
| Find all physicians in zip 32259 | |||
| City | SAINT JOHNS |
| Zip Code | 32259 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT JOHNS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Glenn A Pederson.
| 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.