Jennifer M Petersen (NPI# 1740705003, PAC ID# 4082976857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740705003 |
| PAC ID by PECOS | 4082976857 |
| Professional Enrollment ID | I20180315001878 |
| Full Name | Jennifer M Petersen |
| Organization Legal Name | MARYMOUNT HOSPITAL INC |
| Address |
12300 Mccracken Rd Garfield Heights OH 44125-2914 |
| Phone Number | 2165878361 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507763661 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360143 | MARYMOUNT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | 2165878361 | MARYMOUNT HOSPITAL INC |
| Organization Legal Name | MARYMOUNT HOSPITAL INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee Niro | Nurse Practitioner | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Sheila A Matosky | Nurse Practitioner | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Lauren D Taylor | Nurse Practitioner | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| John P Allison | Nurse Practitioner | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Kelly M Jackson | Physician Assistant | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Laura E Umek | Physician Assistant | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Latonya Janett Carroll | Nurse Practitioner | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Tera C Street | Nurse Practitioner | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Deanna Petsas | Certified Clinical Nurse Specialist (cns) | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Darleen Myers | Nurse Practitioner | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Street Address |
12300 MCCRACKEN RD |
| City | GARFIELD HEIGHTS |
| State | OH |
| Zip | 44125-2914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee Niro | Nurse Practitioner | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Laura L Frazier | Physician Assistant | The Cleveland Clinic Foundation | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Pamela Jean Hruby | Obstetrics/gynecology | The Cleveland Clinic Foundation | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Edward S Rosenthal | Internal Medicine | The Cleveland Clinic Foundation | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Michael Lioudis | Nephrology | The Cleveland Clinic Foundation | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Robin L Anselm | Certified Registered Nurse Anesthetist (crna) | The Cleveland Clinic Foundation | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Clarence Keith Semple | Physician Assistant | The Cleveland Clinic Foundation | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Sheila A Matosky | Nurse Practitioner | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Heather L Hunt | Nurse Practitioner | The Cleveland Clinic Foundation | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Marwan A Hilal | Internal Medicine | The Cleveland Clinic Foundation | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwynn L Jelden | Radiation Oncology | Cleveland Urology Associates, Inc | 10500 Antenucci Boulevard, Garfield Heights, OH 44125 |
| Tracy L Ringo | Family Medicine | 9565 Midwest Ave, Suite C, Garfield Hts, OH 44125-2421 | |
| Marc Friedman | Chiropractic | 5004 Turney Rd, Garfield Heights, OH 44125-2503 | |
| John Kane | Podiatry | 5025 Turney Rd, Garfield Hts, OH 44125-2530 | |
| Nirmala Nandigam | Internal Medicine | 4901 Turney Rd, Garfield Hts, OH 44125-2546 | |
| Veerendra Nandigam | General Surgery | 4901 Turney Rd, Garfield Hts, OH 44125-2546 | |
| Ruslan Z Zakharchuk | Physician Assistant | The Cleveland Clinic Foundation | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Sara E Schirripa | Nurse Practitioner | The Cleveland Clinic Foundation | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Allan Siperstein | General Surgery | The Cleveland Clinic Foundation | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Lauren D Taylor | Nurse Practitioner | Marymount Hospital Inc | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 |
| Find all physicians in zip 44125 | |||
| City | GARFIELD HEIGHTS |
| Zip Code | 44125 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GARFIELD HEIGHTS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer M Petersen.
| 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.