Carly E Peterson (NPI# 1518303189, PAC ID# 7214170612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1518303189 |
| PAC ID by PECOS | 7214170612 |
| Professional Enrollment ID | I20130904000772 |
| Full Name | Carly E Peterson |
| Organization Legal Name | OLATHE COMMUNITY CLINIC INC |
| Address |
5 Hillcrest Plaza Way River Valley Family Hlth Ctr Montrose CO 81401-5876 |
| Phone Number | 9704973333 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5395998744 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231339 | |
| 060006 | MONTROSE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1009 W Green St, Hastings, MI 49058-1710 | 2699453451 | HASTINGS EMERGENCY PHYSICIANS PLC |
| 1108 W State St, Hastings, MI 49058-9711 | 2699483360 | HASTINGS EMERGENCY PHYSICIANS PLC |
| 5 Hillcrest Plaza Way, River Valley Family Hlth Ctr, Montrose, CO 81401-5876 | 9704973333 | OLATHE COMMUNITY CLINIC INC |
| 5 Hillcrest Plaza Way, Montrose, CO 81401-5876 | 9704973333 | OLATHE COMMUNITY CLINIC INC |
| Organization Legal Name | OLATHE COMMUNITY CLINIC INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liam J Lunstrum | Family Medicine | Olathe Community Clinic Inc | 308 Main St, Olathe, CO 81425-5066 |
| Daniel Romney Swain | Physician Assistant | Olathe Community Clinic Inc | 107 W 11th St, River Valley Family Health Center, Delta, CO 81416-1811 |
| Jeannie J Mueller | Physician Assistant | Olathe Community Clinic Inc | 5 Hillcrest Plaza Way, River Valley Family Hlth Ctr, Montrose, CO 81401-5876 |
| Rachel J Stranathan | Physician Assistant | Olathe Community Clinic Inc | 5 Hillcrest Plaza Way, River Valley Family Hlth Ctr, Montrose, CO 81401-5876 |
| Karie S Long | Physician Assistant | Olathe Community Clinic Inc | 5 Hillcrest Plaza Way, River Valley Family Hlth Ctr, Montrose, CO 81401-5876 |
| Ana C Calderon | Nurse Practitioner | Olathe Community Clinic Inc | 308 Main St, Olathe, CO 81425-5066 |
| Shawna J Mcelroy | Physician Assistant | Olathe Community Clinic Inc | 5 Hillcrest Plaza Way, River Valley Family Hlth Ctr, Montrose, CO 81401-5876 |
| Rosalind R Rafanelli | Family Medicine | Olathe Community Clinic Inc | 308 Main St, Olathe, CO 81425-5066 |
| Melanie S Hanley | Physician Assistant | Olathe Community Clinic Inc | 107 W 11th St, River Valley Family Health Center, Delta, CO 81416-1811 |
| Richard E Reinmund | Obstetrics/gynecology | Olathe Community Clinic Inc | 308 Main St, Olathe, CO 81425-5066 |
| Street Address |
5 HILLCREST PLAZA WAY RIVER VALLEY FAMILY HLTH CTR |
| City | MONTROSE |
| State | CO |
| Zip | 81401-5876 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeannie J Mueller | Physician Assistant | Olathe Community Clinic Inc | 5 Hillcrest Plaza Way, River Valley Family Hlth Ctr, Montrose, CO 81401-5876 |
| Rachel J Stranathan | Physician Assistant | Olathe Community Clinic Inc | 5 Hillcrest Plaza Way, River Valley Family Hlth Ctr, Montrose, CO 81401-5876 |
| Karie S Long | Physician Assistant | Olathe Community Clinic Inc | 5 Hillcrest Plaza Way, River Valley Family Hlth Ctr, Montrose, CO 81401-5876 |
| Shawna J Mcelroy | Physician Assistant | Olathe Community Clinic Inc | 5 Hillcrest Plaza Way, River Valley Family Hlth Ctr, Montrose, CO 81401-5876 |
| Jeffrey Krebs | Family Practice | 5 Hillcrest Plaza Way, Montrose, CO 81401-5876 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacey R Estes | Physician Assistant | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Tiffany E Russell | Family Medicine | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Theresa C Frick | Certified Nurse Midwife (cnm) | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Mary V Mebane | Family Medicine | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Deborah Ls Westervelt | Clinical Social Worker | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Eric G Boschen | Optometry | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| John T Unger | Chiropractic | 201 S 3rd St, Montrose, CO 81401-3617 | |
| Keith A Lundberg | Chiropractic | 140 S 5th St, Montrose, CO 81401-3663 | |
| Sean Isaac May | Chiropractic | 164 Colorado Ave, Suite A, Montrose, CO 81401-3672 | |
| Nichole L Moorman | Clinical Social Worker | 419 N 1st St, Unit E, Montrose, CO 81401-3703 | |
| Find all physicians in zip 81401 | |||
| City | MONTROSE |
| Zip Code | 81401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MONTROSE + 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.