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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370113 | INTEGRIS GROVE HOSPITAL |
Address | Phone | Organization |
---|---|---|
138 S Main St, Afton, OK 74331-1822 | 918257802921 | COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA INC |
Organization Legal Name | COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA INC |
Physicians | 5 |
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 |
Street Address |
138 S MAIN ST |
City | AFTON |
State | OK |
Zip | 74331-1822 |
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 |
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 |
City | AFTON |
Zip Code | 74331 |
Specialty | NURSE PRACTITIONER |
City + Specialty | AFTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Russell A Peters.
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.