Terry A Peterson (NPI# 1093733693, PAC ID# 7012962434) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093733693 |
| PAC ID by PECOS | 7012962434 |
| Professional Enrollment ID | I20090713000531 |
| Full Name | Terry A Peterson |
| Organization Legal Name | SANFORD MEDICAL CENTER FARGO |
| Address |
2601 Broadway N Fargo ND 58102-1406 |
| Phone Number | 7012342900 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8426967803 |
| Number of Group Practice Members | 714 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350011 | SANFORD MEDICAL CENTER FARGO |
| Address | Phone | Organization |
|---|---|---|
| 2400 32nd Ave S, Fargo, ND 58103-5800 | 7012348800 | SANFORD MEDICAL CENTER FARGO |
| 2601 Broadway N, Fargo, ND 58102-1406 | 7012342900 | SANFORD MEDICAL CENTER FARGO |
| Organization Legal Name | SANFORD MEDICAL CENTER FARGO |
| Physicians | 563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Smolen | Nurse Practitioner | Sanford Medical Center Fargo | 4000 28th Ave S, Moorhead, MN 56560-7460 |
| Ahmed M Kassem | Ophthalmology | Sanford Medical Center Fargo | 1717 University Dr S, Fargo, ND 58103-4939 |
| Sugong Chen | General Surgery | Sanford Medical Center Fargo | 621 Demers Ave, East Grand Forks, MN 56721-1812 |
| Ashley Heule | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center Fargo | 5225 23rd Ave S, Fargo, ND 58104-7927 |
| Amy Iva Stevahn | Nurse Practitioner | Sanford Medical Center Fargo | 2801 University Dr S, Fargo, ND 58103-6029 |
| Cynthia Vingelen | Nurse Practitioner | Sanford Medical Center Fargo | 1220 Sheyenne St, West Fargo, ND 58078-2637 |
| Scott B Phillips | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Amanda Helmer | Nurse Practitioner | Sanford Medical Center Fargo | 1111 Harwood Dr S, Fargo, ND 58104-4603 |
| Lakshmi K Pathak | Internal Medicine | Sanford Medical Center Fargo | 520 Chautauqua Blvd, Valley City, ND 58072-3145 |
| Sonja A Lien | Family Practice | Sanford Medical Center Fargo | 2400 32nd S Ave, Sanford Southpointe Clinic, Fargo, ND 58103-5800 |
| Street Address |
2601 BROADWAY N |
| City | FARGO |
| State | ND |
| Zip | 58102-1406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Kringlie | Nurse Practitioner | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Kathy M Smith | Clinical Social Worker | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Tracy L Kirchner | Physician Assistant | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Jessie S Lindemann | Family Medicine | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Kristina Jean Gresh | Nurse Practitioner | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Kayla M Weigel | Nurse Practitioner | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Douglas Marlin Griffin | Family Medicine | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Michael Helmers | Chiropractic | Carpell PC | 2802 Broadway N, Fargo, ND 58102-1420 |
| Courtney R Carpenter | Chiropractic | Carpell PC | 2802 Broadway N, Fargo, ND 58102-1420 |
| Mindy A Farrell | Chiropractic | Carpell PC | 2802 Broadway N, Fargo, ND 58102-1420 |
| Steven M Agnes | Optometry | 3105 N Broadway, Fargo, ND 58102-1454 | |
| Christopher A Danduran | Chiropractic | Neurolife Chiropractic and Functional Medicine Center PC | 1383 21st Ave N, Suite A, Fargo, ND 58102-1841 |
| Myles J Brooks | Chiropractic | Neurolife Chiropractic and Functional Medicine Center PC | 1383 21st Ave N, Suite A, Fargo, ND 58102-1841 |
| Kevin Bjorlie | Chiropractic | 1383 21st Ave N, Suite A, Fargo, ND 58102-1841 | |
| Paula Koltes | Chiropractic | Neurolife Chiropractic and Functional Medicine Center PC | 1383 21st Ave N, Suite A, Fargo, ND 58102-1841 |
| Aaron M Renelt | Chiropractic | 1383 21st Ave N, Suite A, Fargo, ND 58102-1841 | |
| Kirk J Hayes | Physical Therapy | Rehabauthority LLC | 1100 19th Ave N, Suite K, Fargo, ND 58102-2269 |
| Find all physicians in zip 58102 | |||
| City | FARGO |
| Zip Code | 58102 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FARGO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Terry A Peterson.
| 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.