Clingman Medical Center | |
3369 Clingman Rd Ronda NC 28670-8708 | |
(336) 984-3003 | |
(336) 835-6521 |
Full Name | Clingman Medical Center |
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Speciality | Family Medicine |
Location | 3369 Clingman Rd, Ronda, North Carolina |
Authorized Official Name and Position | Don Trippel (CFO) |
Authorized Official Contact | 3365277216 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clingman Medical Center 3369 Clingman Rd Ronda NC 28670-8708 Ph: (336) 984-3003 | Clingman Medical Center 3369 Clingman Rd Ronda NC 28670-8708 Ph: (336) 984-3003 |
NPI Number | 1447373063 |
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Provider Enumeration Date | 04/09/2007 |
Last Update Date | 07/11/2007 |
Medicare PECOS PAC ID | 2062311442 |
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Medicare Enrollment ID | O20040717000340 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447373063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Darryl Bruce Rhyne |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275522492 PECOS PAC ID: 8325022536 Enrollment ID: I20040628000433 |
Provider Name | Fernando Ariza |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699750638 PECOS PAC ID: 5799764056 Enrollment ID: I20040719001423 |
Provider Name | Kesi T Kindle-suersin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528035268 PECOS PAC ID: 9931170164 Enrollment ID: I20040803000183 |
Provider Name | John Theophilus Venus |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1245204130 PECOS PAC ID: 0648245779 Enrollment ID: I20040902001130 |
Provider Name | Murugananthan Pudunagar Subbiah |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1740252469 PECOS PAC ID: 5395705230 Enrollment ID: I20041014000613 |
Provider Name | Stephen E Erlandson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043290331 PECOS PAC ID: 8527025600 Enrollment ID: I20041210000521 |
Provider Name | Michael W Beres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275504185 PECOS PAC ID: 0749229326 Enrollment ID: I20050503000655 |
Provider Name | Courtenay S Whitman |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1023013893 PECOS PAC ID: 8426942665 Enrollment ID: I20050519000199 |
Provider Name | Sarba Kundu |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1407838014 PECOS PAC ID: 4082642590 Enrollment ID: I20050727000109 |
Provider Name | Robert Everett Qualheim |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1528032687 PECOS PAC ID: 0749212934 Enrollment ID: I20051201000820 |
Provider Name | Timothy Daniel Barron |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1447317813 PECOS PAC ID: 3476538356 Enrollment ID: I20060216000051 |
Provider Name | Robert Goodloe Peterson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1891852638 PECOS PAC ID: 5193730984 Enrollment ID: I20060216000074 |
Provider Name | Paul H Gulley |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144272840 PECOS PAC ID: 6204846827 Enrollment ID: I20060427000019 |
Provider Name | Frederick U Vorwald |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992784847 PECOS PAC ID: 0244241487 Enrollment ID: I20060601000032 |
Provider Name | Dominick J Carbone |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1790767382 PECOS PAC ID: 9335146778 Enrollment ID: I20061027000389 |
Provider Name | David M Stauffer |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1447201587 PECOS PAC ID: 3971505124 Enrollment ID: I20070313000471 |
Provider Name | Jeray J Johnson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629181706 PECOS PAC ID: 8022113208 Enrollment ID: I20070417000355 |
Provider Name | Amanda L Kreger |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073649349 PECOS PAC ID: 8123125010 Enrollment ID: I20070530000303 |
Provider Name | Mark M Mayes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427056571 PECOS PAC ID: 7113026469 Enrollment ID: I20070627000272 |
Provider Name | Peter M Belford |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1205877990 PECOS PAC ID: 5698875458 Enrollment ID: I20070709000266 |
Provider Name | Alexander B Snyder |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275502320 PECOS PAC ID: 8527169945 Enrollment ID: I20070728000118 |
Provider Name | Marc Sheldon Stevens |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1861487605 PECOS PAC ID: 8921039033 Enrollment ID: I20070928000373 |
Provider Name | Candace Haymore Burcham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861528820 PECOS PAC ID: 0648366492 Enrollment ID: I20071010000204 |
Provider Name | Jennifer C Marion |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801051032 PECOS PAC ID: 6103993571 Enrollment ID: I20080926000321 |
Provider Name | Joseph Francis Zastrow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831184282 PECOS PAC ID: 1254499379 Enrollment ID: I20081018000115 |
Provider Name | Mohammad L Garba |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235177809 PECOS PAC ID: 7517998644 Enrollment ID: I20081031000466 |
Provider Name | Christopher Groner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306843123 PECOS PAC ID: 6608775010 Enrollment ID: I20081222000285 |
Provider Name | Veronica J Brady |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740434554 PECOS PAC ID: 9133282684 Enrollment ID: I20090110000040 |
Provider Name | Todd Harold St John |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457506909 PECOS PAC ID: 8426111378 Enrollment ID: I20090120000532 |
Provider Name | Andras Neumark |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790757482 PECOS PAC ID: 1658460035 Enrollment ID: I20090622000318 |
Provider Name | Jonathan R Snyder |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1225205818 PECOS PAC ID: 7911050869 Enrollment ID: I20090724000697 |
Provider Name | Sunil J Nadakav |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487804613 PECOS PAC ID: 9830235068 Enrollment ID: I20091001000430 |
Provider Name | Sherrill Braswell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891774303 PECOS PAC ID: 3870631922 Enrollment ID: I20091110000245 |
Provider Name | Prag Gupta |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1801879911 PECOS PAC ID: 1456311380 Enrollment ID: I20091117000554 |
Provider Name | Kenneth R Gallup |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1306828538 PECOS PAC ID: 2769385806 Enrollment ID: I20100123000222 |
Provider Name | Charity P Cranford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821324377 PECOS PAC ID: 8527103472 Enrollment ID: I20100303000986 |
Provider Name | Vijay Kumar Agarwal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972736023 PECOS PAC ID: 0143352120 Enrollment ID: I20100712000215 |
Provider Name | Andrew D Lee |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1518154889 PECOS PAC ID: 7113041716 Enrollment ID: I20100903000316 |
Provider Name | Paul Leslie Garrison |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275585960 PECOS PAC ID: 1456476324 Enrollment ID: I20100915000726 |
Provider Name | Laura M Hubbard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457450249 PECOS PAC ID: 8527182575 Enrollment ID: I20110211000514 |
Provider Name | Robert Steven Meadows |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1386667343 PECOS PAC ID: 8820028871 Enrollment ID: I20111031000570 |
Provider Name | Susan Todd Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275818817 PECOS PAC ID: 7214100395 Enrollment ID: I20111107000012 |
Provider Name | Jennifer B King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386925337 PECOS PAC ID: 3072771278 Enrollment ID: I20120220000432 |
Provider Name | Mary-emma H Beres |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295715704 PECOS PAC ID: 4880625243 Enrollment ID: I20120315000791 |
Provider Name | Jamie Elizabeth Castle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447525845 PECOS PAC ID: 1951562446 Enrollment ID: I20120410000325 |
Provider Name | Vijaykumar Ramniklal Jarsania |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1225265176 PECOS PAC ID: 1052561875 Enrollment ID: I20121101000023 |
Provider Name | Sheri Jean Komdeur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700121738 PECOS PAC ID: 2769635226 Enrollment ID: I20130111000187 |
Provider Name | Heather Anderson Grant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215289590 PECOS PAC ID: 5799930558 Enrollment ID: I20130227000403 |
Provider Name | Sarah Ann Vences |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285069955 PECOS PAC ID: 4981839248 Enrollment ID: I20131023001027 |
Provider Name | Shannon Huff |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1750500245 PECOS PAC ID: 7214034651 Enrollment ID: I20141027002044 |
Provider Name | Sybilla R Howell |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1821426610 PECOS PAC ID: 8820210966 Enrollment ID: I20141105001661 |
Provider Name | Lee M Bourgeois |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760707848 PECOS PAC ID: 8022330356 Enrollment ID: I20141123000010 |
Provider Name | Leslie A Arledge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669874137 PECOS PAC ID: 1658693536 Enrollment ID: I20141203001821 |
Provider Name | Kristi M Massey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639585102 PECOS PAC ID: 7517289945 Enrollment ID: I20141213000195 |
Provider Name | Johnathan J Whitaker |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1376863456 PECOS PAC ID: 4082927181 Enrollment ID: I20150718000127 |
Provider Name | Kelly C Key |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932580248 PECOS PAC ID: 4284948068 Enrollment ID: I20150807013063 |
Provider Name | Nicolas Dalton Joyner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790167542 PECOS PAC ID: 5597073924 Enrollment ID: I20151002002731 |
Provider Name | Kasey L Gentry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245614700 PECOS PAC ID: 8820398993 Enrollment ID: I20151120001321 |
Provider Name | Elizabeth Lowrance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316315039 PECOS PAC ID: 8426359969 Enrollment ID: I20151229000555 |
Provider Name | Natasha L Spencer |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1477846004 PECOS PAC ID: 8022310846 Enrollment ID: I20160111000734 |
Provider Name | Shonda H Smitherman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447312095 PECOS PAC ID: 8820397144 Enrollment ID: I20160509000023 |
Provider Name | Amy M Ester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407214836 PECOS PAC ID: 2567751803 Enrollment ID: I20160510001337 |
Provider Name | Tucker Gisler Jennings |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1740210251 PECOS PAC ID: 0941263107 Enrollment ID: I20160603001156 |
Provider Name | Teresa S Tharpe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609198209 PECOS PAC ID: 3274824941 Enrollment ID: I20160628000958 |
Provider Name | Jamette Renee Garrett |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1255342226 PECOS PAC ID: 9739123647 Enrollment ID: I20160914001329 |
Provider Name | Tasha O Hutcherson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548694284 PECOS PAC ID: 0345522447 Enrollment ID: I20170125002565 |
Provider Name | April D Croston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902351950 PECOS PAC ID: 0345524203 Enrollment ID: I20170222000126 |
Provider Name | Teresa Murrell |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275516429 PECOS PAC ID: 9830335058 Enrollment ID: I20170602000249 |
Provider Name | Nelius Nyambura Macharia |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1962815308 PECOS PAC ID: 7517247828 Enrollment ID: I20171106000042 |
Provider Name | Karen D Parsons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891216214 PECOS PAC ID: 7315203338 Enrollment ID: I20171108000630 |
Provider Name | Patricia Coe Hoosier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417469867 PECOS PAC ID: 6608134135 Enrollment ID: I20171211001506 |
Provider Name | Beverly A Byrd |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1033167945 PECOS PAC ID: 9638071905 Enrollment ID: I20171212001813 |
Provider Name | Bree Fleck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356854657 PECOS PAC ID: 8426317876 Enrollment ID: I20180111000139 |
Provider Name | Brett D Prevette |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114435005 PECOS PAC ID: 6901167188 Enrollment ID: I20180305000346 |
Provider Name | David Jonathan Friedman |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1427054683 PECOS PAC ID: 6800795865 Enrollment ID: I20180402002037 |
Provider Name | Pamela L Clay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982100376 PECOS PAC ID: 9739435074 Enrollment ID: I20180628003357 |
Provider Name | Christopher T Cook |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306264668 PECOS PAC ID: 1355618828 Enrollment ID: I20180919003861 |
Provider Name | Kendra Pearl Watts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114428034 PECOS PAC ID: 4183977796 Enrollment ID: I20181030000088 |
Provider Name | Julie Ann Taylor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316999196 PECOS PAC ID: 3971638339 Enrollment ID: I20181120002715 |
Provider Name | Jennifer Childress |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184166068 PECOS PAC ID: 4486998424 Enrollment ID: I20181203002202 |
Provider Name | Judson Daniell Rackley |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1578583829 PECOS PAC ID: 4880791433 Enrollment ID: I20181213001411 |
Provider Name | Dawn Antoinette Malone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508332727 PECOS PAC ID: 2466797592 Enrollment ID: I20181218003359 |
Provider Name | Marion Stolzfus Braden Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235609629 PECOS PAC ID: 1456699610 Enrollment ID: I20190213001140 |
Provider Name | Sarah Day |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720562143 PECOS PAC ID: 2668706813 Enrollment ID: I20190622000256 |
Provider Name | Stephen Daniel Sasser |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841581600 PECOS PAC ID: 1951544766 Enrollment ID: I20190625003599 |
Provider Name | Jade Mccormick Kiger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861913600 PECOS PAC ID: 2860729548 Enrollment ID: I20190805001442 |
Provider Name | Tonya B Geddes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851859037 PECOS PAC ID: 3870820038 Enrollment ID: I20190809002156 |
Provider Name | Anthony Curtis Gaither |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780239079 PECOS PAC ID: 1355774548 Enrollment ID: I20191202000719 |
Provider Name | Zachary Robert Detsch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710403522 PECOS PAC ID: 5597039743 Enrollment ID: I20191202001585 |
Provider Name | Raydesha Laveia Banks |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114429321 PECOS PAC ID: 7719313006 Enrollment ID: I20200205000495 |
Provider Name | Emily B Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821638842 PECOS PAC ID: 9537596309 Enrollment ID: I20200601000622 |
Provider Name | Kristy Whitesides |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1649807439 PECOS PAC ID: 2961824982 Enrollment ID: I20200622000512 |
Provider Name | Jona Lamphier |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619268471 PECOS PAC ID: 0840433660 Enrollment ID: I20200911000607 |
Provider Name | Abel Helebo Gimisso |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1700318714 PECOS PAC ID: 2961727623 Enrollment ID: I20201022004051 |
Provider Name | Rebecca K. Mitchell |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1245518216 PECOS PAC ID: 2668883497 Enrollment ID: I20201130000410 |
Provider Name | Jessica Stevens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578186110 PECOS PAC ID: 5991125684 Enrollment ID: I20210203000559 |
Provider Name | Candace N Branch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831791425 PECOS PAC ID: 6901212737 Enrollment ID: I20210303000243 |
Provider Name | Michael Mcgowan |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1477087112 PECOS PAC ID: 9931479888 Enrollment ID: I20210317001842 |
Provider Name | Shannon Joyner Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245815752 PECOS PAC ID: 8022417161 Enrollment ID: I20210524000318 |
Provider Name | Salena E Linberg |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1043704737 PECOS PAC ID: 3870994973 Enrollment ID: I20210628000804 |
Provider Name | Thomas Patton |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1205813854 PECOS PAC ID: 9830157429 Enrollment ID: I20210719001053 |
Provider Name | Kristen M Stille |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1801078100 PECOS PAC ID: 2769644467 Enrollment ID: I20210729000264 |
Provider Name | Krystal Inman Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104441997 PECOS PAC ID: 7517377955 Enrollment ID: I20210831003620 |
Provider Name | Jacqueline Darcey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376515593 PECOS PAC ID: 2163432329 Enrollment ID: I20211206001728 |
Provider Name | Melvin Theodore Vidal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538267679 PECOS PAC ID: 7810881182 Enrollment ID: I20211217001080 |
Provider Name | Matthew Fernandez |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1194259341 PECOS PAC ID: 2466878152 Enrollment ID: I20220114002100 |
Provider Name | Joshua Ballard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780292516 PECOS PAC ID: 9133548795 Enrollment ID: I20220125000329 |
Provider Name | Julie Marie Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801562335 PECOS PAC ID: 1951793967 Enrollment ID: I20220125003110 |
Provider Name | Crystal Blevins Luffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578524070 PECOS PAC ID: 9830586999 Enrollment ID: I20220420002189 |
Provider Name | Stephanie E Allen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114558236 PECOS PAC ID: 7719365881 Enrollment ID: I20220601001419 |
Provider Name | Patrick Stevens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609300920 PECOS PAC ID: 9739450180 Enrollment ID: I20220601002513 |
Provider Name | Samantha Renee Garris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235884339 PECOS PAC ID: 9234517251 Enrollment ID: I20220603000957 |
Provider Name | Emily Pearl-gaddy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487304119 PECOS PAC ID: 5799164125 Enrollment ID: I20220615001823 |
Provider Name | Brianna Marie Hitchner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689036030 PECOS PAC ID: 9638460587 Enrollment ID: I20220711003320 |
Provider Name | Monica L Keener |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154049005 PECOS PAC ID: 2668848334 Enrollment ID: I20221020001788 |
Provider Name | Jessica Lynn Mabe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750016523 PECOS PAC ID: 5991171662 Enrollment ID: I20221020001920 |
Provider Name | Marcela Hinojosa-clapp |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164082269 PECOS PAC ID: 1052646874 Enrollment ID: I20221109003248 |
Provider Name | Megan Jaynes |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1447967419 PECOS PAC ID: 8820466055 Enrollment ID: I20221121000026 |
Provider Name | Megan Abigail Arboleda |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225484553 PECOS PAC ID: 0446519292 Enrollment ID: I20230126002762 |
Provider Name | Andrew S Bostick |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1861928962 PECOS PAC ID: 3274804364 Enrollment ID: I20230328000523 |
Provider Name | Alan Casciola |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710304282 PECOS PAC ID: 0345540837 Enrollment ID: I20230720004179 |
Provider Name | James Denis O'hare |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1932526878 PECOS PAC ID: 6305067505 Enrollment ID: I20230829003613 |
Provider Name | Stephen Paul Tobin |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1588284434 PECOS PAC ID: 5698198281 Enrollment ID: I20231017002393 |
Provider Name | Rachel Eidson Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710759352 PECOS PAC ID: 1052761954 Enrollment ID: I20231219000118 |
Provider Name | Mary Mcevilly Hedrick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104688753 PECOS PAC ID: 0840635256 Enrollment ID: I20240226001180 |
Provider Name | Kelly Henry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245724723 PECOS PAC ID: 9931547999 Enrollment ID: I20240410000112 |
Provider Name | Adrian Nicole Ramey |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1346092871 PECOS PAC ID: 1759722879 Enrollment ID: I20240507003163 |