Carol J Peitzman (NPI# 1225120991, PAC ID# 9830148642) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED CLINICAL NURSE SPECIALIST (CNS).
| Nation Provider ID (NPI) | 1225120991 |
| PAC ID by PECOS | 9830148642 |
| Professional Enrollment ID | I20050119000754 |
| Full Name | Carol J Peitzman |
| Organization Legal Name | SOUTHERN CITIES CLINIC |
| Address |
400 4th St Nw Faribault MN 55021-5031 |
| Phone Number | 5073846830 |
| Gender | F |
| Credential | CNS |
| Graduation Year | 2002 |
| Primary Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| Group Practice PAC ID | 7517912991 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240004 | HENNEPIN COUNTY MEDICAL CENTER 1 |
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| 240043 | MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN |
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| Address | Phone | Organization |
|---|---|---|
| 400 4th St Nw, Faribault, MN 55021-5031 | 5073846830 | SOUTHERN CITIES CLINIC |
| Organization Legal Name | SOUTHERN CITIES CLINIC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter S Miller | Neuropsychiatry | Southern Cities Clinic | 400 4th St Nw, Faribault, MN 55021-5031 |
| Jean Teresa Larson | Nurse Practitioner | Southern Cities Clinic | 400 4th St Nw, Faribault, MN 55021-5031 |
| Bryan Ricardo Carleton | Nurse Practitioner | Southern Cities Clinic | 400 4th St Nw, Faribault, MN 55021-5031 |
| Street Address |
400 4TH ST NW |
| City | FARIBAULT |
| State | MN |
| Zip | 55021-5031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter S Miller | Neuropsychiatry | Southern Cities Clinic | 400 4th St Nw, Faribault, MN 55021-5031 |
| Jean Teresa Larson | Nurse Practitioner | Southern Cities Clinic | 400 4th St Nw, Faribault, MN 55021-5031 |
| Bryan Ricardo Carleton | Nurse Practitioner | Southern Cities Clinic | 400 4th St Nw, Faribault, MN 55021-5031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Murray H Hanson | Optometry | Eye Clinic of Faribault, Pa | 2500 - 14th St Ne, Faribault, MN 55021-2514 |
| Paul H Hougan | Physical Therapy | 1620 Nw 17th St, Faribault, MN 55021-2839 | |
| Steven W Potter | Chiropractic | 1620 Nw 17th St, Faribault, MN 55021-2839 | |
| Francine M Kovash | Physical Therapy | Therapy Werks Pa | 1620 Nw 17th St, Faribault, MN 55021-2839 |
| Angella Lynn Schaefer | Optometry | Eye Clinic of Faribault, Pa | 1575 Nw 20th St, Faribault, MN 55021-2930 |
| Andrea Berube | Certified Registered Nurse Anesthetist (crna) | 1575 20th St Nw, 205a, Faribault, MN 55021-2930 | |
| Michael G Richie | Ophthalmology | Eye Clinic of Faribault, Pa | 1575 Nw 20th St, Faribault, MN 55021-2930 |
| Misty J Piller | Optometry | Eye Clinic of Faribault, Pa | 1575 - 20th St Nw, Suite 101, Faribault, MN 55021-2931 |
| Sandra K Paddock | Nurse Practitioner | Eye Clinic of Faribault, Pa | 1575 - 20th St Nw, Suite 101, Faribault, MN 55021-2931 |
| Bruce V Gustafson | Optometry | Eye Clinic of Faribault, Pa | 1575 - 20th St Nw, Suite 101, Faribault, MN 55021-2931 |
| Find all physicians in zip 55021 | |||
| City | FARIBAULT |
| Zip Code | 55021 |
| Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| City + Specialty | FARIBAULT + CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
Please comment or provide details below to improve the information on Carol J Peitzman.
| 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.