Phillip A Peterson (NPI# 1104882596, PAC ID# 8628075942) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104882596 |
| PAC ID by PECOS | 8628075942 |
| Professional Enrollment ID | I20061031000016 |
| Full Name | Phillip A Peterson |
| Organization Legal Name | MEDEXPRESS URGENT CARE INC WEST VIRGINIA |
| Address |
277 Greasy Ridge Rd Princeton WV 24740-6900 |
| Phone Number | 3044257615 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 1254487101 |
| Number of Group Practice Members | 175 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510046 | PRINCETON COMMUNITY HOSPITAL |
| 490111 | WYTHE COUNTY COMMUNITY HOSPITAL |
| 490002 | RUSSELL COUNTY MEDICAL CENTER |
| 510071 | BLUEFIELD REGIONAL MEDICAL CENTER |
| 490117 | CARILION TAZEWELL COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20 Westwood Medical Park, Bluefield, VA 24605-2003 | 8558441492 | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| 4003 College Ave, Suite B, Bluefield, VA 24605-2043 | 2763222085 | MEDEXPRESS URGENT CARE, PC - VIRGINIA |
| 277 Greasy Ridge Rd, Princeton, WV 24740-6900 | 3044257615 | MEDEXPRESS URGENT CARE INC WEST VIRGINIA |
| 5610 Williamson Rd, Roanoke, VA 24012-1442 | 5402658924 | MEDEXPRESS URGENT CARE, PC - VIRGINIA |
| 1336 W Main St, Salem, Salem, VA 24153-4708 | 5403890374 | MEDEXPRESS URGENT CARE, PC - VIRGINIA |
| 990 Holston Rd, Wytheville, VA 24382-4105 | 2762285595 | VIRGINIA PAC SERVICES PC |
| Organization Legal Name | MEDEXPRESS URGENT CARE INC WEST VIRGINIA |
| Physicians | 162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jana L Ebbert | Family Medicine | Medexpress Urgent Care Inc West Virginia | 620 National Rd, Suite 300, Wheeling, WV 26003-6560 |
| Cody Eccard | Physician Assistant | Medexpress Urgent Care Inc West Virginia | 83 Retail Commons Pkwy, Martinsburg, WV 25403-6172 |
| Mary E Stonebraker | Nurse Practitioner | Medexpress Urgent Care Inc West Virginia | 1355 Edwin Miller Boulevard, Suite A, Martinsburg, WV 25404 |
| Meagan Micjelle Cobb | Family Medicine | Medexpress Urgent Care Inc West Virginia | 520 Beckley Crossing Shopping Ctr, Beckley, WV 25801-7110 |
| Lisa Danielle Gilbert | Nurse Practitioner | Medexpress Urgent Care Inc West Virginia | 10 Elm Grove Crossing Mall, Wheeling, WV 26003-5300 |
| James A Harris | Nurse Practitioner | Medexpress Urgent Care Inc West Virginia | 3120 Us Route 60, Huntington, WV 25705-2739 |
| Charlene Jane Wilson | Nurse Practitioner | Medexpress Urgent Care Inc West Virginia | 2832 Pike St, 1 Medexpress Urgent Care South Parkersburg, Parkersburg, WV 26101-8674 |
| Heidi A Skaggs | Nurse Practitioner | Medexpress Urgent Care Inc West Virginia | 5870 Webster Rd, Suite 101, Summersville, WV 26651-9105 |
| Kara L Bowling | Nurse Practitioner | Medexpress Urgent Care Inc West Virginia | 1709 Harper Rd, Beckley, WV 25801-3311 |
| Kane A Maiers | Family Medicine | Medexpress Urgent Care Inc West Virginia | 10 Adams Ave, Huntington, WV 25701-1131 |
| Street Address |
277 GREASY RIDGE RD |
| City | PRINCETON |
| State | WV |
| Zip | 24740-6900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon L Cecil | Nurse Practitioner | Medexpress Urgent Care Inc West Virginia | 277 Greasy Ridge Rd, Princeton, WV 24740-6900 |
| Pam S Crowder | Nurse Practitioner | Medexpress Urgent Care Inc West Virginia | 277 Greasy Ridge Rd, Princeton, WV 24740-6900 |
| Jessica Aliff | Family Medicine | Medexpress Urgent Care Inc West Virginia | 277 Greasy Ridge Rd, Princeton, WV 24740-6900 |
| Chastity L Walker | Nurse Practitioner | Medexpress Urgent Care Inc West Virginia | 277 Greasy Ridge Rd, Princeton, WV 24740-6900 |
| Kelli Marie Sarver | Nurse Practitioner | Medexpress Urgent Care Inc West Virginia | 277 Greasy Ridge Rd, Princeton, WV 24740-6900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody S Ponce | Nurse Practitioner | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Dana O Olson | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Michele Evans Smith | Certified Registered Nurse Anesthetist (crna) | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Gopal M Pardasani | Pathology | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Tammie L Smith | Psychologist, Clinical | 105 Gott Rd, Princeton, WV 24740-2103 | |
| Nasreen R Dar | Psychiatry | 6 Quail Valley Medical Ctr, Princeton, WV 24740-2139 | |
| Shahnaz I Rana | Internal Medicine | 100 New Hope Rd, Suite 208, Princeton, WV 24740-2143 | |
| Find all physicians in zip 24740 | |||
| City | PRINCETON |
| Zip Code | 24740 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PRINCETON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Phillip 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.