James E Petre (NPI# 1619973989, PAC ID# 2668477290) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619973989 |
| PAC ID by PECOS | 2668477290 |
| Professional Enrollment ID | I20061003000456 |
| Full Name | James E Petre |
| Organization Legal Name | STONE RIDGE MEDICAL GROUP SC |
| Address |
306 46th Ave East Moline IL 61244-4281 |
| Phone Number | 3097962329 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729142534 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140275 | GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI |
| 140280 | TRINITY - ROCK ISLAND |
| 141319 | HAMMOND HENRY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 306 46th Ave, East Moline, IL 61244-4281 | 3097962329 | STONE RIDGE MEDICAL GROUP SC |
| Organization Legal Name | STONE RIDGE MEDICAL GROUP SC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Renee Moritz | Nurse Practitioner | Stone Ridge Medical Group Sc | 306 46th Ave, East Moline, IL 61244-4281 |
| Brandi Cassaday | Physician Assistant | Stone Ridge Medical Group Sc | 306 46th Ave, East Moline, IL 61244-4281 |
| Street Address |
306 46TH AVE |
| City | EAST MOLINE |
| State | IL |
| Zip | 61244-4281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Cottone | Family Medicine | Genesis Health System | 306 46th Ave, East Moline, IL 61244-4281 |
| William E Rankin | Family Medicine | Genesis Health System | 306 46th Ave, East Moline, IL 61244-4281 |
| Jessica L Logan | Nurse Practitioner | Genesis Health System | 306 46th Ave, East Moline, IL 61244-4281 |
| Kristen R Olin | Nurse Practitioner | Genesis Health System | 306 46th Ave, East Moline, IL 61244-4281 |
| Mohsin A Khan | Hospitalist | Genesis Health System | 306 46th Ave, East Moline, IL 61244-4281 |
| Brian T Cady | Internal Medicine | Genesis Health System | 306 46th Ave, East Moline, IL 61244-4281 |
| Andrew F Philip | General Surgery | Genesis Health System | 306 46th Ave, East Moline, IL 61244-4281 |
| Brian M Strumpf | Anesthesiology | Genesis Health System | 306 46th Ave, East Moline, IL 61244-4281 |
| Enrique Martinez Bringas | Family Medicine | Genesis Health System | 306 46th Ave, East Moline, IL 61244-4281 |
| Brian D Anderson | Family Medicine | Genesis Health System | 306 46th Ave, East Moline, IL 61244-4281 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tobijas F Wells | Chiropractic | 1608 10th St, East Moline, IL 61244-1405 | |
| Kevin L Freebern | Chiropractic | 918 16th Ave, Freebern Chiropractic, East Moline, IL 61244-2126 | |
| Anthony Jacob Moreno | Chiropractic | 723 15th Ave, East Moline, IL 61244-2133 | |
| Joshua Peter Roorda | Nurse Practitioner | Community Health Care Inc | 708 15th Ave, East Moline, IL 61244-2134 |
| Anuradha Ranganath | Family Medicine | Community Health Care Inc | 708 15th Ave, East Moline, IL 61244-2134 |
| Melissa L Bradley | Nurse Practitioner | Community Health Care Inc | 708 15th Ave, East Moline, IL 61244-2134 |
| Yunchin Tang-huston | Chiropractic | 918 15th Ave, East Moline, IL 61244-2138 | |
| Jerry P Ruplinger | Chiropractic | 2500 Kennedy Dr, East Moline, IL 61244-2619 | |
| Robert G Smith | Chiropractic | 379 Ave of The Cities, East Moline, IL 61244-4023 | |
| J Richard Burns | Chiropractic | 379 Ave of The Cities, East Moline, IL 61244-4023 | |
| Find all physicians in zip 61244 | |||
| City | EAST MOLINE |
| Zip Code | 61244 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EAST MOLINE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on James E Petre.
| 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.