Peterson Medical Associates

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

550119 Issued in TX

Legal business name

PETERSON MEDICAL ASSOCIATES

Practice address

575 Hill Country Dr
Ste 202
Kerrville, TX 78028-6024

Phone

(830) 258-6237

Fax

(830) 315-1366

NPI assigned

May 3, 2010

Last updated

Mar 11, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Medovich

Title

Cfo

Phone

(830) 258-7632

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sid Peterson Memorial Hospital

  dba Peterson Hospice

  • Community Based Hospice Care Agency
  • Kerrville, TX
  • NPI 1063584803

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Peterson Urgent Care LLC

  • Urgent Care Clinic/Center
  • Kerrville, TX
  • NPI 1346788544
  NPPES parent name

Practitioners 249

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis Jose Acosta, M.D.

  • Gastroenterology Physician
  • Kerrville, TX
  • NPI 1720106966

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Sindhura Alapati, M.D

  • Diagnostic Radiology Physician
  • Kerrville, TX
  • NPI 1528370319
  Medicare reassignment Care Compare group NPD
• Mir Zulfiquar Alikhan, MD

  • Diagnostic Radiology Physician
  • Bryan, TX
  • NPI 1790747921
  Medicare reassignment Care Compare group NPD
• Adriana Arguello, MD

  • Internal Medicine Physician
  • Kerrville, TX
  • NPI 1407030067
  Medicare reassignment Care Compare group NPD
• Jodie Lyn Baker, APN

  • Advanced Practice Midwife
  • Kerrville, TX
  • NPI 1174956460
  Medicare reassignment Care Compare group NPD
• Michael John Barker, M.D.

  • Diagnostic Radiology Physician
  • Kerrville, TX
  • NPI 1417147687
  Medicare reassignment Care Compare group NPD
• Jammie K Barnes, M.D.

  • Rheumatology Physician
  • Kerrville, TX
  • NPI 1952551988
  Medicare reassignment Care Compare group NPD
• Dennis Allen Benfield Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1356319719
  Medicare reassignment Care Compare group NPD
• Timothy Berg, MD

  • Surgery Physician
  • Kerrville, TX
  • NPI 1568494490
  Medicare reassignment Care Compare group NPD
• Derrick Joseph Borecky, MD

  • Internal Medicine Physician
  • Fredericksburg, TX
  • NPI 1861446585
  Medicare reassignment Care Compare group NPD
• Thomas C. Brown, M.D.

  • Surgery Physician
  • Kerrville, TX
  • NPI 1851399398
  Medicare reassignment Care Compare group NPD
• Clinton Ray Brunson, M.D.

  • Diagnostic Radiology Physician
  • Palestine, TX
  • NPI 1942252267
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678492800000",
    "number": "1770800575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26499",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152015",
            "telephone_number": "830-258-7343",
            "fax_number": "830-258-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HILL COUNTRY DR",
            "address_2": "STE 202",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286024",
            "telephone_number": "830-258-6237",
            "fax_number": "830-315-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "MEDOVICH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "830-258-7632"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "550119",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "550119",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "550119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pena Optical Solutions LLC (Texas State Optical Kerrville)
• Benito Pena, O.D
• Pepper Pediatrics Therapy & Consulting, LLC
• Pamela Morris Peter, LPC, LCDC
• David W Peters, MD
• Peterson Urgent Care LLC
• Phillip Balfanz, MD PLLC (Live Oak Psychiatric Services)
• Hailey Crowe Phillips, SLP
• Rebecca Phillips, LCSW
• Phoenix Medical Associates

• Obstetrics & Gynecology Physician in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.