Anne Katherine Petersen (NPI# 1043398613, PAC ID# 9234264656) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1043398613 |
| PAC ID by PECOS | 9234264656 |
| Professional Enrollment ID | I20140703000945 |
| Full Name | Anne Katherine Petersen |
| Organization Legal Name | WAKE SPECIALTY PHYSICIANS LLC |
| Address |
2406 Blue Ridge Rd Raleigh NC 27607-6678 |
| Phone Number | 9197894332 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7416006085 |
| Number of Group Practice Members | 484 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340069 | WAKEMED, RALEIGH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 212 Ashville Ave, Cary, NC 27518-6669 | 9198591136 | WAKE SPECIALTY PHYSICIANS LLC |
| 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 | 9197894332 | WAKE SPECIALTY PHYSICIANS LLC |
| Organization Legal Name | WAKE SPECIALTY PHYSICIANS LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Randolph Tibbels | Family Medicine | Wake Specialty Physicians LLC | 2930 Forestville Rd, Raleigh, NC 27616-8774 |
| Sheree D. Givre | Internal Medicine | Wake Specialty Physicians LLC | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 |
| Kelechi C Uwakwe | Nurse Practitioner | Wake Specialty Physicians LLC | 150 E Davie St, Raleigh, NC 27601-1806 |
| Jewell Elizabeth Whitmer | Certified Nurse Midwife (cnm) | Wake Specialty Physicians LLC | 204 Ashville Ave, Cary, NC 27518-6670 |
| Shahla Naz | Family Medicine | Wake Specialty Physicians LLC | 101 Cotten Ln, Holly Springs, NC 27540-8415 |
| Pamela L Borden | Certified Nurse Midwife | Wake Specialty Physicians LLC | 208 Ashville Ave, Cary, NC 27518-6678 |
| Swapna V Chenna | Family Medicine | Wake Specialty Physicians LLC | 231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 |
| Dustin Pierson | Family Medicine | Wake Specialty Physicians LLC | 7124 Knightdale Blvd, Knightdale, NC 27545-9265 |
| Adija D Bailey | Physician Assistant | Wake Specialty Physicians LLC | 901 Old Knight Rd, Knightdale, NC 27545-9065 |
| Michael F Soboeiro | Internal Medicine | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
| Street Address |
2406 BLUE RIDGE RD |
| City | RALEIGH |
| State | NC |
| Zip | 27607-6678 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheree D. Givre | Internal Medicine | Wake Specialty Physicians LLC | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 |
| Sameer M Baig | Hospitalist | Wakemed Specialists Group, LLC | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 |
| Tais Baig | Internal Medicine | Wakemed Specialists Group, LLC | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 |
| Dominick Paul Trapani | Family Medicine | Wake Specialty Physicians LLC | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 |
| Michael W Klinkner | Family Medicine | Wakemed Specialists Group, LLC | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 |
| Anthony Tonos | Internal Medicine | International Clinic of The Carolinas Pllc | 2406 Blue Ridge Rd, Suite 170, Raleigh, NC 27607-6680 |
| Robin Jean Mcalister Mangione | Family Medicine | Wakemed Specialists Group, LLC | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 |
| Marta Llibre | Infectious Disease | International Clinic of The Carolinas Pllc | 2406 Blue Ridge Rd, Suite 170, Raleigh, NC 27607-6680 |
| Chelsea G Lefebvre | Ophthalmology | Triangle Eye Physicians Pa | 2406 Blue Ridge Rd, Suite 280, Raleigh, NC 27607-6680 |
| Anjali Solanki | Family Medicine | Wake Specialty Physicians LLC | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol J Goodson | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Linda Brooke Thompson | Anesthesiology Assistant | American Anesthesiology of North Carolina Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Karen A Rassette | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Laura L Wrenn | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Jennifer L St.jean | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Misti L Berrong | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Mary S Kennedy | Certified Registered Nurse Anesthetist | American Anesthesiology of North Carolina, Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Nisha Thannikkary Manickam | Infectious Disease | Raleigh Infectious Diseases Associates Pa | 2304 Wesvill Court, Suite 240, Raleigh, NC 27607-2973 |
| Lorena Benavides | Obstetrics/gynecology | Uwh of North Carolina LLP | 2304 Wesvill Ct, Suite 210, Raleigh, NC 27607-2973 |
| John A Bullington | Nurse Practitioner | Raleigh Infectious Diseases Associates Pa | 2304 Wesvill Court, Suite 240, Raleigh, NC 27607-2973 |
| Find all physicians in zip 27607 | |||
| City | RALEIGH |
| Zip Code | 27607 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | RALEIGH + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Anne Katherine 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.