Nicholas B Petersen (NPI# 1831619907, PAC ID# 3375816812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1831619907 |
| PAC ID by PECOS | 3375816812 |
| Professional Enrollment ID | I20170906001296 |
| Full Name | Nicholas B Petersen |
| Organization Legal Name | SUMMIT MEDICAL GROUP, PLLC |
| Address |
9333 Park W Blvd Suite 102 Knoxville TN 37923-4305 |
| Phone Number | 8654702696 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2860396330 |
| Number of Group Practice Members | 346 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9333 Park W Blvd, Suite 102, Knoxville, TN 37923-4305 | 8654702696 | SUMMIT MEDICAL GROUP, PLLC |
| Organization Legal Name | SUMMIT MEDICAL GROUP, PLLC |
| Physicians | 391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri Gray | Nurse Practitioner | Summit Medical Group, Pllc | 8635 Middlebrook Pike, Knoxville, TN 37923-1612 |
| Jonathan Smith Dale | Family Medicine | Summit Medical Group, Pllc | 1208 Merchant Dr, Knoxville, TN 37912-4707 |
| Katherine Marie Stone | Family Medicine | Summit Medical Group, Pllc | 111 Station Dr, Maryville, TN 37804-4190 |
| Ashley N Smith | Nurse Practitioner | Summit Medical Group, Pllc | 4117 E Emory Rd, Knoxville, TN 37938-4229 |
| Jessica R Atchley | Nurse Practitioner | Summit Medical Group, Pllc | 641 Middle Creek Rd, Sevierville, TN 37862-5014 |
| Sara R Rowe | Nurse Practitioner | Summit Medical Group, Pllc | 6537 Kingston Pike, Knoxville, TN 37919-4826 |
| Allison L Suits | Physical Therapy | Summit Medical Group, Pllc | 103 Midlake Dr, Knoxville, TN 37918-3039 |
| Jacqueline Dotson | Nurse Practitioner | Summit Medical Group, Pllc | 103 Midlake Dr Level, Knoxville, TN 37918-3039 |
| Rachel W. Richards | Physical Therapy | Summit Medical Group, Pllc | 9333 Park W Blvd, Suite 102, Knoxville, TN 37923-4305 |
| Marissa N Turner | Physician Assistant | Summit Medical Group, Pllc | 603 Smithview Dr, Maryville, TN 37803-6100 |
| Street Address |
9333 PARK W BLVD SUITE 102 |
| City | KNOXVILLE |
| State | TN |
| Zip | 37923-4305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel W. Richards | Physical Therapy | Summit Medical Group, Pllc | 9333 Park W Blvd, Suite 102, Knoxville, TN 37923-4305 |
| Ketan S Hira | Internal Medicine | Summit Medical Group, Pllc | 9333 Park W Blvd, Knoxville, TN 37923-4341 |
| Emily D Balof | Physical Therapy | Summit Medical Group, Pllc | 9333 Park W Blvd, Suite 102, Knoxville, TN 37923-4305 |
| Samantha Purnell | Nurse Practitioner | Summit Medical Group, Pllc | 9333 Park W Blvd, Suite 102, Knoxville, TN 37923-4305 |
| Kristen B Reilly | Physical Therapy | Summit Medical Group, Pllc | 9333 Park W Blvd, Suite 102, Knoxville, TN 37923-4305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Allen | Psychologist, Clinical | 9217 Park W Blvd, Suite D 1, Knoxville, TN 37923 | |
| Renee J Repka | Psychologist, Clinical | 9217 Park W Blvd, Suite D 1, Knoxville, TN 37923 | |
| Terry L Hallwachs | Physician Assistant | Southeastern Emergency Services P C | 9352 Park W Blvd, Knoxville, TN 37923 |
| Krystal C Killom | Nurse Practitioner | Gregory Brewer, M.d.,pllc | 314 Prosperity Dr, Knoxville, TN 37923 |
| Catherine D Custer | Nurse Practitioner | Minuteclinic Diagnostic of Tennessee PC | 9137 Middlebrook Pike, Knoxville, TN 37923-1425 |
| Sharon L Cathers | Nurse Practitioner | The Little Clinic of Tennessee LLC | 9161 Middlebrook Pike, Knoxville, TN 37923-1438 |
| Lisa Fincher Mccune | Registered Dietitian Or Nutrition Professional | The Little Clinic of Tennessee LLC | 9161 Middlebrook Pike, Knoxville, TN 37923-1438 |
| Sherri Gray | Nurse Practitioner | Summit Medical Group, Pllc | 8635 Middlebrook Pike, Knoxville, TN 37923-1612 |
| Sandra Daniels | Physical Therapy | Kramer Physical Therapy LLC | 8663 Middlebrook Pike, Knoxville, TN 37923-1612 |
| Patricia S. Green | Physical Therapy | Kramer Physical Therapy LLC | 8663 Middlebrook Pike, Knoxville, TN 37923-1612 |
| Find all physicians in zip 37923 | |||
| City | KNOXVILLE |
| Zip Code | 37923 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | KNOXVILLE + PHYSICAL THERAPY |
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| 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.