| Knox Community Hospital | |
|
1330 Coshocton Ave Mount Vernon OH 43050-1440 | |
| (740) 393-6583 | |
| (740) 392-0167 |
| Full Name | Knox Community Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 1330 Coshocton Ave, Mount Vernon, Ohio |
| Authorized Official Name and Position | Michael V Ambrosiani (CFO) |
| Authorized Official Contact | 7403939000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knox Community Hospital 1330 Coshocton Ave Mount Vernon OH 43050-1440 Ph: (740) 393-9658 | Knox Community Hospital 1330 Coshocton Ave Mount Vernon OH 43050-1440 Ph: (740) 393-6583 |
| NPI Number | 1154483022 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 12/07/2020 |
| Medicare PECOS PAC ID | 1153301833 |
|---|---|
| Medicare Enrollment ID | O20040722001173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154483022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.077162 (Ohio) | Primary |
| Provider Name | Lori A Shuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386632818 PECOS PAC ID: 1557275369 Enrollment ID: I20031117000331 |
| Provider Name | David J Mccann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447302443 PECOS PAC ID: 7517871882 Enrollment ID: I20031119000651 |
| Provider Name | Kimber L Cullers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821140831 PECOS PAC ID: 7214831163 Enrollment ID: I20031121000546 |
| Provider Name | Timothy Obarski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962463927 PECOS PAC ID: 9537073275 Enrollment ID: I20031211000163 |
| Provider Name | Barry S George |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386605319 PECOS PAC ID: 7517863384 Enrollment ID: I20031211000459 |
| Provider Name | Sarah G Harmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699706093 PECOS PAC ID: 0941109664 Enrollment ID: I20040102000000 |
| Provider Name | Jennifer J Aikey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548359268 PECOS PAC ID: 7517860414 Enrollment ID: I20040128001176 |
| Provider Name | Frederick Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962431957 PECOS PAC ID: 8820986086 Enrollment ID: I20040309000474 |
| Provider Name | Mohamud Si Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700869377 PECOS PAC ID: 4981697935 Enrollment ID: I20040406000208 |
| Provider Name | David H Brown |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578536181 PECOS PAC ID: 6204828056 Enrollment ID: I20040409000018 |
| Provider Name | Amy Murnen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750376687 PECOS PAC ID: 9931193893 Enrollment ID: I20040414000067 |
| Provider Name | Michele Elaine Yarman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245225184 PECOS PAC ID: 1254325053 Enrollment ID: I20040414000117 |
| Provider Name | Irineo P Pantangco |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215009709 PECOS PAC ID: 6204824923 Enrollment ID: I20040504000026 |
| Provider Name | Husain Azib Rasheed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437144029 PECOS PAC ID: 9032107347 Enrollment ID: I20040505000355 |
| Provider Name | Jawahar Palaniappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083726400 PECOS PAC ID: 1153305909 Enrollment ID: I20040621001762 |
| Provider Name | Nancy Ellen Andreano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750320024 PECOS PAC ID: 1557347481 Enrollment ID: I20040629001345 |
| Provider Name | Oshana V Alahakoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285793745 PECOS PAC ID: 9436135316 Enrollment ID: I20040629001737 |
| Provider Name | Gangaram Rasa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982716379 PECOS PAC ID: 7113902404 Enrollment ID: I20040702000654 |
| Provider Name | Matthew Bradley Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821032152 PECOS PAC ID: 7810976594 Enrollment ID: I20040715001449 |
| Provider Name | Gilford S Vincent |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043251218 PECOS PAC ID: 3274504956 Enrollment ID: I20040804001977 |
| Provider Name | Susan M Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437196185 PECOS PAC ID: 1557335254 Enrollment ID: I20040819001121 |
| Provider Name | Eric A Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205942406 PECOS PAC ID: 3375517337 Enrollment ID: I20040824001475 |
| Provider Name | Peter Bainbridge |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1427029347 PECOS PAC ID: 1850368275 Enrollment ID: I20040915000365 |
| Provider Name | Laurie A Mooney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386623999 PECOS PAC ID: 6709840903 Enrollment ID: I20041117000616 |
| Provider Name | Thomas Mckinley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639250830 PECOS PAC ID: 8325948029 Enrollment ID: I20041123000022 |
| Provider Name | David Akwainja Kittoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730149154 PECOS PAC ID: 9931164555 Enrollment ID: I20041123000606 |
| Provider Name | Nancy Virginia Rodway |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1265451256 PECOS PAC ID: 4789649328 Enrollment ID: I20041123000721 |
| Provider Name | Ronald J Salkovick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881770246 PECOS PAC ID: 6406812296 Enrollment ID: I20041203000234 |
| Provider Name | Gregory Cush |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376579243 PECOS PAC ID: 7810937950 Enrollment ID: I20050509000001 |
| Provider Name | Steven Emerson Clutter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992845895 PECOS PAC ID: 4587693130 Enrollment ID: I20050804000582 |
| Provider Name | Shailesh C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760499594 PECOS PAC ID: 2466481734 Enrollment ID: I20050808000075 |
| Provider Name | Kingsley Asamoah Lartey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376510289 PECOS PAC ID: 4880623966 Enrollment ID: I20050809000629 |
| Provider Name | Rebecca Armstr Stilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174522627 PECOS PAC ID: 9537192802 Enrollment ID: I20050916000270 |
| Provider Name | Ron T Martinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144261652 PECOS PAC ID: 3173554250 Enrollment ID: I20051110000508 |
| Provider Name | Robert Theodore Woodruff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831131879 PECOS PAC ID: 7719901032 Enrollment ID: I20060125000307 |
| Provider Name | Chandravadan P Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598883068 PECOS PAC ID: 1153337274 Enrollment ID: I20060228000128 |
| Provider Name | Kombian Gbaruk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235171802 PECOS PAC ID: 3577569342 Enrollment ID: I20061018000584 |
| Provider Name | Sandra K Thrasher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427100197 PECOS PAC ID: 0941104509 Enrollment ID: I20070220000023 |
| Provider Name | Ryan D Christofferson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427277037 PECOS PAC ID: 5395843197 Enrollment ID: I20070601000202 |
| Provider Name | Reagan S Norgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487877999 PECOS PAC ID: 8325149503 Enrollment ID: I20070719000038 |
| Provider Name | Veera Veerla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053524868 PECOS PAC ID: 1355433707 Enrollment ID: I20070815000629 |
| Provider Name | Gregory S Mangen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386856581 PECOS PAC ID: 9931293321 Enrollment ID: I20070917000036 |
| Provider Name | Michael P Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548269038 PECOS PAC ID: 4082708359 Enrollment ID: I20070917000670 |
| Provider Name | Steven C Reitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417116880 PECOS PAC ID: 6901977065 Enrollment ID: I20080617000305 |
| Provider Name | Yoram Moyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194730580 PECOS PAC ID: 6800881889 Enrollment ID: I20080716000123 |
| Provider Name | Kanwardeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669634473 PECOS PAC ID: 3971669078 Enrollment ID: I20090225000292 |
| Provider Name | Amy Monitello |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073752267 PECOS PAC ID: 7719044106 Enrollment ID: I20090331000029 |
| Provider Name | A Reignier Nohay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568620862 PECOS PAC ID: 8628127669 Enrollment ID: I20090521000095 |
| Provider Name | Magdalena Gasiorova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134389000 PECOS PAC ID: 2961551791 Enrollment ID: I20090527000171 |
| Provider Name | Roland Schmidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942443395 PECOS PAC ID: 2567511355 Enrollment ID: I20090528000004 |
| Provider Name | Kristen Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093951204 PECOS PAC ID: 4880745090 Enrollment ID: I20090630000162 |
| Provider Name | Jed W Henry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851506661 PECOS PAC ID: 7517019953 Enrollment ID: I20090716000345 |
| Provider Name | Christopher Hetrick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558579839 PECOS PAC ID: 0042365900 Enrollment ID: I20090831000020 |
| Provider Name | Ajay Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023258381 PECOS PAC ID: 4688712482 Enrollment ID: I20091116000625 |
| Provider Name | Deborah J Reeder |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881662708 PECOS PAC ID: 1557496460 Enrollment ID: I20100317000743 |
| Provider Name | Robert Lance Drake |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194726224 PECOS PAC ID: 4789712209 Enrollment ID: I20100504000572 |
| Provider Name | Jay M Wallin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528090768 PECOS PAC ID: 3577543404 Enrollment ID: I20100602000450 |
| Provider Name | Jodi Dome Linger |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376750604 PECOS PAC ID: 4385774843 Enrollment ID: I20100609000550 |
| Provider Name | Brent Charles Nimeth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912935545 PECOS PAC ID: 8628108321 Enrollment ID: I20100716000404 |
| Provider Name | Margaret Somple |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235348822 PECOS PAC ID: 6709900947 Enrollment ID: I20100825000588 |
| Provider Name | Laura Murnane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578744124 PECOS PAC ID: 1456477934 Enrollment ID: I20100922000793 |
| Provider Name | Tammy A Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538475181 PECOS PAC ID: 8123144078 Enrollment ID: I20100928001199 |
| Provider Name | Sarah Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679808000 PECOS PAC ID: 2466644356 Enrollment ID: I20101011000702 |
| Provider Name | Jaime T Goodman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790949006 PECOS PAC ID: 3870787328 Enrollment ID: I20101028001560 |
| Provider Name | Fraol Adugna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134386519 PECOS PAC ID: 6709071129 Enrollment ID: I20101111000540 |
| Provider Name | Robert A Atwell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659369155 PECOS PAC ID: 2769513399 Enrollment ID: I20101112000790 |
| Provider Name | Kathleen Marie Rogers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861404709 PECOS PAC ID: 4789864844 Enrollment ID: I20110207000266 |
| Provider Name | Julie L Costello |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831144625 PECOS PAC ID: 9335321546 Enrollment ID: I20110309000742 |
| Provider Name | Kenneth Doolittle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609835354 PECOS PAC ID: 3274613773 Enrollment ID: I20110322000284 |
| Provider Name | Amber L Daugherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124273875 PECOS PAC ID: 4789852641 Enrollment ID: I20110719000844 |
| Provider Name | Zachary M Gatton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003000704 PECOS PAC ID: 2365611035 Enrollment ID: I20110815000351 |
| Provider Name | Danielle B Guffrey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518160266 PECOS PAC ID: 8729259551 Enrollment ID: I20110927000396 |
| Provider Name | Jonathan Stewart Pedrick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235375957 PECOS PAC ID: 7911161211 Enrollment ID: I20120618000710 |
| Provider Name | Suzanne C Helming |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538369756 PECOS PAC ID: 8729243944 Enrollment ID: I20120712000699 |
| Provider Name | Polly F Train |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659492916 PECOS PAC ID: 5092879866 Enrollment ID: I20120716000500 |
| Provider Name | Kori Kirkhope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033466545 PECOS PAC ID: 2668620568 Enrollment ID: I20120919000076 |
| Provider Name | Holly A Mast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407101728 PECOS PAC ID: 3870742661 Enrollment ID: I20121011000662 |
| Provider Name | Kamal Talukder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154316289 PECOS PAC ID: 2769635705 Enrollment ID: I20121226000415 |
| Provider Name | Khaled Almoselli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346497823 PECOS PAC ID: 7517135924 Enrollment ID: I20121226000437 |
| Provider Name | Brian Mesarchik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164774915 PECOS PAC ID: 4284887811 Enrollment ID: I20130110000432 |
| Provider Name | David A Delorenzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942285051 PECOS PAC ID: 9830169184 Enrollment ID: I20130311000059 |
| Provider Name | Sunil Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639391121 PECOS PAC ID: 0749381549 Enrollment ID: I20130326000287 |
| Provider Name | Alix J Tercius |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598942468 PECOS PAC ID: 9032281134 Enrollment ID: I20130708000801 |
| Provider Name | Amy N Ferenbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215360318 PECOS PAC ID: 0547496325 Enrollment ID: I20131127000384 |
| Provider Name | Jarrett Helming |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891995072 PECOS PAC ID: 3173759735 Enrollment ID: I20131204001013 |
| Provider Name | Jacqueline Neighbarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982027272 PECOS PAC ID: 1658502182 Enrollment ID: I20140327000329 |
| Provider Name | Jeffery Blubaugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891108072 PECOS PAC ID: 6406073998 Enrollment ID: I20140806001964 |
| Provider Name | Angela N Lawson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538574884 PECOS PAC ID: 7810114956 Enrollment ID: I20140813000579 |
| Provider Name | Michael L Heuman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457349680 PECOS PAC ID: 2264586296 Enrollment ID: I20140815001126 |
| Provider Name | Rachail Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689087744 PECOS PAC ID: 2860610425 Enrollment ID: I20140825000800 |
| Provider Name | Jennie M Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588812010 PECOS PAC ID: 1951522309 Enrollment ID: I20141028001615 |
| Provider Name | Jessica A Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841591682 PECOS PAC ID: 5395967988 Enrollment ID: I20141114002050 |
| Provider Name | Even Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871813691 PECOS PAC ID: 0143460600 Enrollment ID: I20150807014515 |
| Provider Name | Zachary J. Thurman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699033589 PECOS PAC ID: 4284859828 Enrollment ID: I20150825004494 |
| Provider Name | Kelly R Anschutz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689056327 PECOS PAC ID: 2769792290 Enrollment ID: I20151112000877 |
| Provider Name | Svetlana G Titishina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770847295 PECOS PAC ID: 8527360221 Enrollment ID: I20160113000176 |
| Provider Name | Britney Mccollough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396110979 PECOS PAC ID: 4880998392 Enrollment ID: I20160203001942 |
| Provider Name | Laura A Eichenlaub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063870715 PECOS PAC ID: 4284930629 Enrollment ID: I20160310000597 |
| Provider Name | George R Butler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447593769 PECOS PAC ID: 7911295712 Enrollment ID: I20161011001891 |
| Provider Name | Kristen N Witham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720353428 PECOS PAC ID: 4688952229 Enrollment ID: I20161101002795 |
| Provider Name | Amanda Marie Filler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861949083 PECOS PAC ID: 7719265271 Enrollment ID: I20161103001525 |
| Provider Name | Amanda Poorman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306299243 PECOS PAC ID: 6002195419 Enrollment ID: I20161107002297 |
| Provider Name | Abigail L Elliott |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053686725 PECOS PAC ID: 2860618063 Enrollment ID: I20170202001069 |
| Provider Name | Jill Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083150403 PECOS PAC ID: 2163709270 Enrollment ID: I20170427000827 |
| Provider Name | Akshay Bhonsle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659783892 PECOS PAC ID: 2769787258 Enrollment ID: I20170518002653 |
| Provider Name | Amy E Flammer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457796302 PECOS PAC ID: 7618245143 Enrollment ID: I20170623002349 |
| Provider Name | Amy Haibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194254946 PECOS PAC ID: 2769754985 Enrollment ID: I20170922003115 |
| Provider Name | Elizabeth Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063934081 PECOS PAC ID: 3870869092 Enrollment ID: I20171016002359 |
| Provider Name | Larry Weckesser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124542006 PECOS PAC ID: 3779859038 Enrollment ID: I20171101000885 |
| Provider Name | Jessica Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215448626 PECOS PAC ID: 0749547867 Enrollment ID: I20171128002263 |
| Provider Name | Lindsey Gilkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699293340 PECOS PAC ID: 5193087906 Enrollment ID: I20180314001682 |
| Provider Name | Joseph B Agyepong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164817003 PECOS PAC ID: 7315247681 Enrollment ID: I20180515002057 |
| Provider Name | Matthew Koehler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164652178 PECOS PAC ID: 4385887587 Enrollment ID: I20180824001431 |
| Provider Name | Aevan B Mclaughlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528328580 PECOS PAC ID: 0941420756 Enrollment ID: I20180914001772 |
| Provider Name | Kyle Pelc |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285115899 PECOS PAC ID: 4486907078 Enrollment ID: I20181029002278 |
| Provider Name | Andrea K Mantell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407330541 PECOS PAC ID: 7618220039 Enrollment ID: I20181031001967 |
| Provider Name | Brandi L Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528534955 PECOS PAC ID: 5698019107 Enrollment ID: I20181210001595 |
| Provider Name | Allison R Doup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235606328 PECOS PAC ID: 0345585790 Enrollment ID: I20181213001079 |
| Provider Name | Maninder Singh Kaler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114334398 PECOS PAC ID: 9830499235 Enrollment ID: I20190116000493 |
| Provider Name | Shawn L Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104894401 PECOS PAC ID: 0244329183 Enrollment ID: I20190426001766 |
| Provider Name | Tamara L Holzer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952518144 PECOS PAC ID: 4486823481 Enrollment ID: I20190815003599 |
| Provider Name | Julie M Powell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023670858 PECOS PAC ID: 2163750316 Enrollment ID: I20190826002054 |
| Provider Name | Philip Holzer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447239264 PECOS PAC ID: 0244321065 Enrollment ID: I20190905001949 |
| Provider Name | Rebekah Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740636000 PECOS PAC ID: 7315239886 Enrollment ID: I20191105002758 |
| Provider Name | Abdulmagid Sherif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902333867 PECOS PAC ID: 7810231412 Enrollment ID: I20200608001047 |
| Provider Name | Dawn Sparr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194333690 PECOS PAC ID: 3678991312 Enrollment ID: I20200914000511 |
| Provider Name | Danielle Smalley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457840951 PECOS PAC ID: 1759791361 Enrollment ID: I20201111001014 |
| Provider Name | Selena Richert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801431648 PECOS PAC ID: 4486064821 Enrollment ID: I20201113000669 |
| Provider Name | Ashlee Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568079036 PECOS PAC ID: 9638589005 Enrollment ID: I20201113002254 |
| Provider Name | Terri Leigh Swan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124616024 PECOS PAC ID: 1254747561 Enrollment ID: I20210311002059 |
| Provider Name | Sierra Presley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194399790 PECOS PAC ID: 4385043744 Enrollment ID: I20210604001639 |
| Provider Name | Emily Woods |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962936294 PECOS PAC ID: 6901206317 Enrollment ID: I20210607001025 |
| Provider Name | Amber Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992378830 PECOS PAC ID: 8820492739 Enrollment ID: I20210813001102 |
| Provider Name | Erika Basil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780189399 PECOS PAC ID: 5294082061 Enrollment ID: I20211018002810 |
| Provider Name | Kelsey Durbin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699216820 PECOS PAC ID: 8729358395 Enrollment ID: I20211026003239 |
| Provider Name | Misty Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376121079 PECOS PAC ID: 1052700127 Enrollment ID: I20211110002313 |
| Provider Name | Bethany Heffelfinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376122531 PECOS PAC ID: 1355731043 Enrollment ID: I20211213001742 |
| Provider Name | Elvana Muka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952073561 PECOS PAC ID: 1254725294 Enrollment ID: I20220308001645 |
| Provider Name | Andrew Mcnicol |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1649701590 PECOS PAC ID: 2567731904 Enrollment ID: I20220426000933 |
| Provider Name | Kody Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366193310 PECOS PAC ID: 0244606796 Enrollment ID: I20221025000934 |
| Provider Name | Amanda Jo Hathaway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487220299 PECOS PAC ID: 3173927852 Enrollment ID: I20221025001906 |
| Provider Name | Ryan G. Ridenour |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437490638 PECOS PAC ID: 0941448583 Enrollment ID: I20221101000530 |
| Provider Name | Abubaker Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568846822 PECOS PAC ID: 7214229483 Enrollment ID: I20221101002730 |
| Provider Name | Justin Momeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679229629 PECOS PAC ID: 7012376361 Enrollment ID: I20230705000236 |
| Provider Name | Andrew Mahtani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659579613 PECOS PAC ID: 4880882687 Enrollment ID: I20231005000875 |
| Provider Name | John Fikry Mityas Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134675218 PECOS PAC ID: 2264761055 Enrollment ID: I20231007000505 |
| Provider Name | Ami Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154009900 PECOS PAC ID: 6406201391 Enrollment ID: I20231012002488 |
| Provider Name | Julian Bayati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538629266 PECOS PAC ID: 6406181239 Enrollment ID: I20231127000135 |
| Provider Name | Karim Al Sabek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609258458 PECOS PAC ID: 3870841307 Enrollment ID: I20231130000809 |
| Provider Name | Corey Pifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427832088 PECOS PAC ID: 7911358726 Enrollment ID: I20240105001981 |
| Provider Name | Kwang Jun Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922573831 PECOS PAC ID: 4880937077 Enrollment ID: I20240201001687 |
| Provider Name | Ella Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821691 PECOS PAC ID: 1951330935 Enrollment ID: I20240215002836 |
| Provider Name | Moaaz Baghal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679032445 PECOS PAC ID: 5698152874 Enrollment ID: I20240216003169 |
| Provider Name | Subeer Kanwar Wadia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578900999 PECOS PAC ID: 1850686262 Enrollment ID: I20240405003182 |
| Provider Name | Michael Lawrence Casteel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023496643 PECOS PAC ID: 7315245149 Enrollment ID: I20240430004255 |
Physician Practices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-5537 Fax: 740-393-5577 | |
Knox County General Health District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 W High St, Mount Vernon, OH 43050 Phone: 740-392-1181 Fax: 740-392-1180 | |
Knox Medical Specialists, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1451 Yauger Rd, Mount Vernon, OH 43050 Phone: 740-397-8500 Fax: 740-397-8527 | |
Richard B. Ogle Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 S Mulberry St, Mount Vernon, OH 43050 Phone: 740-397-3553 Fax: 740-392-4158 | |
Ogle Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 S Mulberry St, Suite B, Mount Vernon, OH 43050 Phone: 740-397-3553 Fax: 740-392-4158 | |
Knox County General Health District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 W Vine St, Mount Vernon, OH 43050 Phone: 740-399-8008 Fax: 740-392-9613 |