Thomas M Peterson (NPI# 1639131014, PAC ID# 7911809843) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1639131014 |
| PAC ID by PECOS | 7911809843 |
| Professional Enrollment ID | I20110122000068 |
| Full Name | Thomas M Peterson |
| Organization Legal Name | PETERSON MEDICAL CLINICS LLC |
| Address |
1451 44th Ave S Suite A Grand Forks ND 58201-3434 |
| Phone Number | 7017322516 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9335412220 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241304 | SANFORD WHEATON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 519 Anne St Nw, Suite A, Bemidji, MN 56601-4277 | 2184447013 | PETERSON MEDICAL CLINICS LLC |
| 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 | 7017322516 | PETERSON MEDICAL CLINICS LLC |
| 1000 Greg Kruschek Ave, Nome, AK 99762-0966 | 9074433311 | NORTON SOUND HEALTH CORPORATION |
| 103 Fram St, Petersburg, AK 99833 | 7017322509 | PETERSON MEDICAL CLINICS LLC |
| Organization Legal Name | PETERSON MEDICAL CLINICS LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Riki Hehe-amai Gifford-ferguson | Physician Assistant | Peterson Medical Clinics LLC | 316 Park Ave Se, Renville, MN 56284-2470 |
| David B Eberly | Physician Assistant | Peterson Medical Clinics LLC | 519 Anne St Nw, Suite A, Bemidji, MN 56601-4277 |
| Timothy A Peterson | Family Medicine | Peterson Medical Clinics LLC | 1202 23rd St S, Suite 3, Fargo, ND 58103-2951 |
| Jessica R Wichmann | Physician Assistant | Peterson Medical Clinics LLC | 519 Anne St Nw, Suite A, Bemidji, MN 56601-4277 |
| Megan Marie Weddingfeld | Nurse Practitioner | Peterson Medical Clinics LLC | 1202 23rd St S, Suite 3, Fargo, ND 58103-2951 |
| Natasha Marie Krebs | Nurse Practitioner | Peterson Medical Clinics LLC | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Katie M Allen | Clinical Social Worker | Peterson Medical Clinics LLC | 1202 23rd St S, Suite 3, Fargo, ND 58103-2951 |
| Mio Watanabe | Physician Assistant | Peterson Medical Clinics LLC | 515 Bridge St, Park Rapids, MN 56470-1210 |
| Faith Murray-taylor | Nurse Practitioner | Peterson Medical Clinics LLC | 103 Fram St, Petersburg, AK 99833 |
| Kimber-lee Osowski | Clinical Social Worker | Peterson Medical Clinics LLC | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Street Address |
1451 44TH AVE S SUITE A |
| City | GRAND FORKS |
| State | ND |
| Zip | 58201-3434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark G Peterson | Family Medicine | Northland Family Physicians LLC | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Rachel Sauter | Nurse Practitioner | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Jill M Mcmullen | Nurse Practitioner | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Kelly Pratt | Nurse Practitioner | Kidney and Hypertension Plc | 1451 44th Ave S, Suite 112d, Grand Forks, ND 58201-3434 |
| Kirsten D Peterson | Internal Medicine | Kidney and Hypertension Plc | 1451 44th Ave S, Suite 112d, Grand Forks, ND 58201-3434 |
| Kelly J Stauss Carlson | Nurse Practitioner | Kidney and Hypertension Plc | 1451 44th Ave S, Suite 112d, Grand Forks, ND 58201-3434 |
| Anil Potti | Hematology/oncology | William Noyes, Md PC | 1451 44th Ave S, Suite E, Grand Forks, ND 58201-3434 |
| Terry S Dobmeier | Certified Clinical Nurse Specialist (cns) | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Annette Marie Larson | Physician Assistant | William Noyes, Md PC | 1451 44th Ave S, Suite E, Grand Forks, ND 58201-3434 |
| Ronald William Rosenberg | Psychiatry | Red River Behavioral Health System | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristina L Aikens | Optometry | North Dakota Eye Clinic Ltd | 1820 42nd St S, Grand Forks, ND 58201 |
| Aminata Kamara | Nurse Practitioner | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Constance F Soper | Physician Assistant | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Randy Swingen | Nurse Practitioner | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Emmet M Kenney Jr. | Psychiatry | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Byron A Velander | Internal Medicine | Kidney and Hypertension Plc | 1451 44th Ave S, Suite 112d, Grand Forks, ND 58201-3434 |
| Khaled Mazen Rabadi | Nephrology | Kidney and Hypertension Plc | 1451 44th Ave S, Suite 112d, Grand Forks, ND 58201-3434 |
| William Noyes | Radiation Oncology | William Noyes, Md PC | 1451 44th Ave S, Suite E, Grand Forks, ND 58201-3434 |
| Natasha Marie Krebs | Nurse Practitioner | Peterson Medical Clinics LLC | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Gebrehana Woldesenbet Zebro | Psychiatry | Red River Behavioral Health System | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Find all physicians in zip 58201 | |||
| City | GRAND FORKS |
| Zip Code | 58201 |
| Specialty | PSYCHIATRY |
| City + Specialty | GRAND FORKS + PSYCHIATRY |
Please comment or provide details below to improve the information on Thomas M 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.