Barry J Peterson (NPI# 1447456272, PAC ID# 9234027343) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1447456272 |
| PAC ID by PECOS | 9234027343 |
| Professional Enrollment ID | I20090624000089 |
| Full Name | Barry J Peterson |
| Organization Legal Name | UPPER VALLEY ENT AND ALLERGY PLLC |
| Address |
256 N 2nd Rexburg ID 83440-1638 |
| Phone Number | 2086569646 |
| Gender | M |
| Credential | DO |
| Graduation Year | 2007 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 5092949594 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130025 | MADISON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 256 N 2nd, Rexburg, ID 83440-1638 | 2086569646 | UPPER VALLEY ENT AND ALLERGY PLLC |
| Organization Legal Name | UPPER VALLEY ENT AND ALLERGY PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dan L Weber | Physician Assistant | Upper Valley Ent and Allergy Pllc | 256 N 2nd, Rexburg, ID 83440-1638 |
| Jay R Mcmaster | Otolaryngology | Upper Valley Ent and Allergy Pllc | 256 N 2nd, Rexburg, ID 83440-1638 |
| Street Address |
256 N 2ND |
| City | REXBURG |
| State | ID |
| Zip | 83440-1638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis R Rigby | Qualified Audiologist | Audiology Services Company Usa LLC | 256 N 2nd, Suite 3, Rexburg, ID 83440-1638 |
| Dan L Weber | Physician Assistant | Upper Valley Ent and Allergy Pllc | 256 N 2nd, Rexburg, ID 83440-1638 |
| Jay R Mcmaster | Otolaryngology | Upper Valley Ent and Allergy Pllc | 256 N 2nd, Rexburg, ID 83440-1638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Benjamin Ashby | Chiropractic | 16 S 1st, Rexburg, ID 83440-0303 | |
| Adriann J Wilcox | Nurse Practitioner | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Corey T Rammell | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Joseph E Watson | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Matheau G Eysser | Orthopedic Surgery | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Zachery M Brunson | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Charles J Zollinger | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Rex Meredith | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Wade D Gordon | Clinical Social Worker | 310 N 2nd E, 112 South Fork Services, Rexburg, ID 83440-1606 | |
| Jody B Rawlings | Physical Therapy | 217 N 2nd, Rexburg, ID 83440-1621 | |
| Find all physicians in zip 83440 | |||
| City | REXBURG |
| Zip Code | 83440 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | REXBURG + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Barry J 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.