| Atlantic Eel Inpatient Services Pllc | |
|
1411 W Baddour Pkwy Lebanon TN 37087-2513 | |
| (973) 251-1132 | |
| Not Available |
| Full Name | Atlantic Eel Inpatient Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1411 W Baddour Pkwy, Lebanon, Tennessee |
| Authorized Official Name and Position | Gregory Byrne (PRESIDENT) |
| Authorized Official Contact | 9732511132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Eel Inpatient Services Pllc 13737 Noel Rd Ste 1600 Dallas TX 75240-1331 Ph: (973) 251-1132 | Atlantic Eel Inpatient Services Pllc 1411 W Baddour Pkwy Lebanon TN 37087-2513 Ph: (973) 251-1132 |
| NPI Number | 1629475124 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 12/05/2019 |
| Medicare PECOS PAC ID | 4486972734 |
|---|---|
| Medicare Enrollment ID | O20150416001116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629475124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ronald C Rentuza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275520827 PECOS PAC ID: 3678553930 Enrollment ID: I20040726000800 |
| Provider Name | Lisa M Jack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740210152 PECOS PAC ID: 2062464894 Enrollment ID: I20050221000043 |
| Provider Name | Benjamin L Glover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932158201 PECOS PAC ID: 8224075833 Enrollment ID: I20050414001138 |
| Provider Name | Kehinde A Carew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447296959 PECOS PAC ID: 8921011966 Enrollment ID: I20060717000266 |
| Provider Name | Tadron L Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073537072 PECOS PAC ID: 3274539374 Enrollment ID: I20061012000586 |
| Provider Name | Priscilla Beatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477738052 PECOS PAC ID: 6507937661 Enrollment ID: I20080617000345 |
| Provider Name | Kelly W Ryder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083866651 PECOS PAC ID: 7719038512 Enrollment ID: I20090707000296 |
| Provider Name | Gena K Kluwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578639951 PECOS PAC ID: 6002879632 Enrollment ID: I20090721000808 |
| Provider Name | Michael D Brunson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679500102 PECOS PAC ID: 2961580006 Enrollment ID: I20100223000173 |
| Provider Name | Lori B Gravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215223094 PECOS PAC ID: 9931377736 Enrollment ID: I20110721000777 |
| Provider Name | Al-muntaser Abu Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891978235 PECOS PAC ID: 0840465399 Enrollment ID: I20111212000254 |
| Provider Name | Asim Mushtaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043449036 PECOS PAC ID: 1355591405 Enrollment ID: I20121025000436 |
| Provider Name | Matthew J Nunnelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356504856 PECOS PAC ID: 5890919260 Enrollment ID: I20140605001418 |
| Provider Name | Heather N Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619385952 PECOS PAC ID: 3971724089 Enrollment ID: I20141014001702 |
| Provider Name | Hawkins Uweh Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629362132 PECOS PAC ID: 3779703707 Enrollment ID: I20150217000869 |
| Provider Name | Kimberly R Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033343728 PECOS PAC ID: 8224215694 Enrollment ID: I20150318000691 |
| Provider Name | Adu Manu Boachie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255691978 PECOS PAC ID: 7719293513 Enrollment ID: I20150824001925 |
| Provider Name | Tunde O Omitogun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386903037 PECOS PAC ID: 0648586842 Enrollment ID: I20150902002947 |
| Provider Name | Robert Knizley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952501983 PECOS PAC ID: 8820142763 Enrollment ID: I20151216000691 |
| Provider Name | Deanna R Seng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548704547 PECOS PAC ID: 9830468057 Enrollment ID: I20170703000737 |
| Provider Name | Claude We Zeifman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962423004 PECOS PAC ID: 5698738441 Enrollment ID: I20171117000695 |
| Provider Name | Ofelio Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952339855 PECOS PAC ID: 9234299876 Enrollment ID: I20171201001130 |
| Provider Name | Laurel Carrion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821299892 PECOS PAC ID: 7517227796 Enrollment ID: I20180208000347 |
| Provider Name | Yehualashet B Hailemariam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174910491 PECOS PAC ID: 6608126412 Enrollment ID: I20180828004353 |
| Provider Name | Alexander Lyford Newman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588050637 PECOS PAC ID: 9234480864 Enrollment ID: I20180920002970 |
| Provider Name | Valentyn V Tyulmenkov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548269178 PECOS PAC ID: 4880665470 Enrollment ID: I20181010003315 |
Employment & Assessment Solutions, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1037 W Main St, Suite A, Lebanon, TN 37087 Phone: 615-453-3567 Fax: 615-453-4031 | |
Middle Tennessee And Adolescent Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Physicians Way, Suite 200, Lebanon, TN 37090 Phone: 615-449-5611 Fax: 615-443-0571 | |
Badru, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 W Main St, Lebanon, TN 37087 Phone: 615-547-6200 Fax: 615-547-6202 | |
Concord Infectious Disease Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1419 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-420-5390 Fax: 615-549-1532 | |
Lebanon Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-443-2500 | |
Robert J Jantz Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 Cadet Ct, Lebanon, TN 37087 Phone: 615-449-2472 Fax: 615-449-4709 | |
Cumberland Pediatric Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1029 W Main St, Suite M, Lebanon, TN 37087 Phone: 615-453-1252 Fax: 615-453-1286 |