Glenn A Petersen (NPI# 1851328645, PAC ID# 8921086646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1851328645 |
PAC ID by PECOS | 8921086646 |
Professional Enrollment ID | I20040709000694 |
Full Name | Glenn A Petersen |
Organization Legal Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
Address |
3600 Nw Samaritan Dr Corvallis OR 97330-3737 |
Phone Number | 5417685111 |
Gender | M |
Credential | MD |
Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1980 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 1557270725 |
Number of Group Practice Members | 278 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380022 | SAMARITAN ALBANY GENERAL HOSPITAL |
380014 | GOOD SAMARITAN REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1700 Geary St Se, Albany, OR 97322-6842 | ALBANY GENERAL HOSPITAL | |
400 Hickory St Nw, Albany, OR 97321-1700 | ALBANY GENERAL HOSPITAL | |
534 Pleasant View Way Nw, Albany, OR 97321-1700 | ALBANY GENERAL HOSPITAL | |
705 Elm St Sw, Suite 200, Albany, OR 97321-1957 | 5418124850 | ALBANY GENERAL HOSPITAL |
3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 5417685111 | GOOD SAMARITAN HOSPITAL CORVALLIS |
Organization Legal Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
Physicians | 303 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard Rosevelt Jones | Psychiatry | Good Samaritan Hospital Corvallis | 1052 29th Ave Sw, Albany, OR 97321-3416 |
Moacyr Ribeiro De Oliveira | Hematology/oncology | Good Samaritan Hospital Corvallis | 501 Nw Elks Dr, Suite 100, Corvallis, OR 97330-3757 |
Samantha Domingo | Psychologist, Clinical | Good Samaritan Hospital Corvallis | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 |
Jonathan D Jones | Rheumatology | Good Samaritan Hospital Corvallis | 3620 Nw Samaritan Dr, Suite 203a, Corvallis, OR 97330-4714 |
Michaela Jae Williams | Physician Assistant | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
Erin Marin Kettler | Physical Therapy | Good Samaritan Hospital Corvallis | 815 Nw 9th St, Suite 180, Corvallis, OR 97330-6173 |
Christopher P Kargel | Osteopathic Manipulative Medicine | Good Samaritan Hospital Corvallis | 3517 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-3769 |
Travis Michael Obermire | Physical Therapy | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
Nancy L Nelson | Pediatric Medicine | Good Samaritan Hospital Corvallis | 1112 Nw Circle Blvd, Corvallis, OR 97330-1462 |
Kevin Chiappone | Physician Assistant | Good Samaritan Hospital Corvallis | 990 Nw Circle Blvd, Corvallis, OR 97330-1967 |
Street Address |
3600 NW SAMARITAN DR |
City | CORVALLIS |
State | OR |
Zip | 97330-3737 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth B Mcquitty | Pathology | Valley Pathology Services PC | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
Tomer Pelleg | Internal Medicine | Good Samaritan Hospital Corvallis | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
Stanley J Nudelman | Internal Medicine | Good Samaritan Hospital Corvallis | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
Benjamin D Kevan | Physician Assistant | Good Samaritan Hospital Corvallis | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
David Shankowski | Internal Medicine | Good Samaritan Hospital Corvallis | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
Timothy C Atha | Interventional Cardiology | Good Samaritan Hospital Corvallis | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
Wei Bai | Hematology/oncology | Good Samaritan Hospital Corvallis | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
Kris William Helphinstine | Physician Assistant | Good Samaritan Hospital Corvallis | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
Robert Edward Schweiss | Emergency Medicine | Mary's Peak Emergency Physicians | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
Michele Sigur Boatwright | Anesthesiology | Oregon Anesthesiology Group PC | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
George R House Iii | Chiropractic | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | |
John Winckler | Chiropractic | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | |
Michael W Sorah | Chiropractic | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | |
Todd D Bilby | Chiropractic | 970 Nw Circle Blvd, Corvallis, OR 97330-1410 | |
Nancy L Nelson | Pediatric Medicine | Good Samaritan Hospital Corvallis | 1112 Nw Circle Blvd, Corvallis, OR 97330-1462 |
Michaela Jae Williams | Physician Assistant | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
Richard C Havard | Plastic and Reconstructive Surgery | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
Kindra Talia Newhart | Physician Assistant | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
Kathleen A Lynch | Physical Therapy | 2323 Nw 9th St, Corvallis, OR 97330-1573 | |
Erica D Prince | Psychologist, Clinical | 2945 Nw Mulkey Ave, Corvallis, OR 97330-1836 | |
Find all physicians in zip 97330 |
City | CORVALLIS |
Zip Code | 97330 |
Specialty | FAMILY MEDICINE |
City + Specialty | CORVALLIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Glenn A Petersen.
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.