Alexis Joan Peterson (NPI# 1306898754, PAC ID# 5193771160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1306898754 |
| PAC ID by PECOS | 5193771160 |
| Professional Enrollment ID | I20050323000975 |
| Full Name | Alexis Joan Peterson |
| Organization Legal Name | FAIRVIEW CLINICS |
| Address |
19685 Pilot Knob Rd Farmington MN 55024-7238 |
| Phone Number | 6514635100 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7113830142 |
| Number of Group Practice Members | 335 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| Address | Phone | Organization |
|---|---|---|
| 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 9529974100 | FAIRVIEW CLINICS |
| 600 W 98th St, Bloomington, MN 55420-4773 | 9528856150 | FAIRVIEW CLINICS |
| 1440 Duckwood Dr, Eagan, MN 55122-1451 | 6514068860 | FAIRVIEW CLINICS |
| 19685 Pilot Knob Rd, Farmington, MN 55024-7238 | 6514635100 | FAIRVIEW CLINICS |
| Organization Legal Name | FAIRVIEW CLINICS |
| Physicians | 254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn Alderman | Family Medicine | Fairview Clinics | 14040 Northdale Blvd, Rogers, MN 55374-9612 |
| Scott Wavinak | Family Medicine | Fairview Clinics | 5725 Loftus Ln, Savage, MN 55378-2717 |
| Kathryn A Aune | Internal Medicine | Fairview Clinics | 830 Prairie Ctr Dr, Eden Prairie, MN 55344-7301 |
| Xiaoyu J Hou | Internal Medicine | Fairview Clinics | 6545 France Ave S, Suite 150, Edina, MN 55435-2180 |
| Kathleen F Sadak | Pediatric Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Sherri R Fuller | Nurse Practitioner | Fairview Clinics | 303 E Nicollet Blvd, Suite 160, Burnsville, MN 55337-4588 |
| Scott P Bender | Family Medicine | Fairview Clinics | 19685 Pilot Knob Rd, Farmington, MN 55024-7238 |
| Shao C Lee | Family Medicine | Fairview Clinics | 18580 Joplin Ave, Lakeville, MN 55044-4218 |
| Mohammad H Arbabi | Internal Medicine | Fairview Clinics | 3400 W 66th St, Suite 290, Edina, MN 55435-2133 |
| Lindsey K Locken | Physician Assistant | Fairview Clinics | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 |
| Street Address |
19685 PILOT KNOB RD |
| City | FARMINGTON |
| State | MN |
| Zip | 55024-7238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott P Bender | Family Medicine | Fairview Clinics | 19685 Pilot Knob Rd, Farmington, MN 55024-7238 |
| Shelley E Dotson | Family Medicine | Fairview Clinics | 19685 Pilot Knob Rd, Farmington, MN 55024-7238 |
| Cory Blanchard | Chiropractic | Imperial Family Chiropractic, Pllc | 19685 Pilot Knob Rd, Suite 260, Farmington, MN 55024-7238 |
| Melissa Agnew | Chiropractic | Imperial Family Chiropractic, Pllc | 19685 Pilot Knob Rd, Suite 260, Farmington, MN 55024-7238 |
| Kristen L Strong | Nurse Practitioner | Fairview Clinics | 19685 Pilot Knob Rd, Farmington, MN 55024-7238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian A Swedin | Chiropractic | 408 3rd St, Suite 108, Farmington, MN 55024-1355 | |
| Steven M Gliva | Chiropractic | 311 Oak St, Farmington, MN 55024-1358 | |
| Saul A Mcbroom | Family Medicine | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Megan A Hasenwinkel | Psychologist, Clinical | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Jodi Lynn Badali Winters | Physician Assistant | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Lori Utech | Family Medicine | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Sherri S Oetken | Family Medicine | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Timothy E Savageau | Optometry | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Leo P Avenido | Family Medicine | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Jessica E Gallagher | Nurse Practitioner | Allina Health System | 21260 Chippendale W Ave, Farmington, MN 55024-1427 |
| Find all physicians in zip 55024 | |||
| City | FARMINGTON |
| Zip Code | 55024 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FARMINGTON + PHYSICIAN ASSISTANT |
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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.