Russell A Peters
COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA INC


Address: 138 S Main St, Afton, OK 74331-1822
Phone: 918257802921

Russell A Peters (NPI# 1093252439, PAC ID# 2769767789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1093252439
PAC ID by PECOS 2769767789
Professional Enrollment ID I20170314000607
Full Name Russell A Peters
Organization Legal Name COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA INC
Address 138 S Main St
Afton
OK 74331-1822
Phone Number 918257802921
Gender M
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9133352081
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370113 INTEGRIS GROVE HOSPITAL

Other Locations

Address Phone Organization
138 S Main St, Afton, OK 74331-1822 918257802921 COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA INC

Organization Information

Organization Legal Name COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA INC
Physicians 5

Physicians with the same organization

Name Specialty Organization Address
Dori L Deffit Nurse Practitioner Community Health Center of Northeast Oklahoma Inc 244 S Scraper St D, Allensworth Community Health Center, Vinita, OK 74301-3740
Billy R Evans Physician Assistant Community Health Center of Northeast Oklahoma Inc 21965 Bison Dr, Afton, OK 74331-0705
William Joseph Durick Internal Medicine Community Health Center of Northeast Oklahoma Inc 10405 Us Hwy 59 N, Grove Community Health Center, Grove, OK 74344-4502
Melinda K Bailey Nurse Practitioner Community Health Center of Northeast Oklahoma Inc 21965 Bison Dr, Afton, OK 74331-0705

Office Location

Street Address 138 S MAIN ST
City AFTON
State OK
Zip 74331-1822

Physicians in the same location

Name Specialty Organization Address
Margaret H Hager Family Medicine Meridian Medical Group Primary Care PC 138 S Main St, Forked River, NJ 08731-3625
Kristin R Lewis Chiropractic 138 S Main St, Suite 14, Milford, MA 01757-3272
Misty Dawn Gardner Physical Therapy Beartooth Physical Therapy 138 S Main St, Sheridan, WY 82801-4224

Physicians in the same zip code

Name Specialty Organization Address
Billy R Evans Physician Assistant Community Health Center of Northeast Oklahoma Inc 21965 Bison Dr, Afton, OK 74331-0705
Melinda K Bailey Nurse Practitioner Community Health Center of Northeast Oklahoma Inc 21965 Bison Dr, Afton, OK 74331-0705
Kimberly M Wirths Family Practice Community Health Center of Northeast Oklahoma 138 Sn Main St, Afton, OK 74331-1822
Amy Dawn Humphrey Clinical Social Worker Grand Lake Mental Health Center, Inc. 138 S Main, Afton, OK 74331-1822
Natalie Brooke Sydebotham Speech Language Pathologist Saint Francis Hospital Vinita, Inc. 26300 S Hwy 125, Afton, OK 74331-6282

Competitor

Search similar physicians

City AFTON
Zip Code 74331
Specialty NURSE PRACTITIONER
City + Specialty AFTON + NURSE PRACTITIONER

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Dataset Information

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.

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