| Mckenzie Physician Services Llc | |
|
1573 Mallory Ln Ste 100 Brentwood TN 37027-2895 | |
| (152) 221-1400 | |
| Not Available |
| Full Name | Mckenzie Physician Services Llc |
|---|---|
| Speciality | General Practice |
| Location | 1573 Mallory Ln Ste 100, Brentwood, Tennessee |
| Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzie Physician Services Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7000 | Mckenzie Physician Services Llc 1573 Mallory Ln Ste 100 Brentwood TN 37027-2895 Ph: (152) 221-1400 |
| NPI Number | 1316909054 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 1254307994 |
|---|---|
| Medicare Enrollment ID | O20040903000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316909054 | NPI | - | NPPES |
| 269509 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | (* (Not Available)) | Secondary |
| Provider Name | Jay H Chappell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659379824 PECOS PAC ID: 6709799026 Enrollment ID: I20031111000797 |
| Provider Name | Bruce A Mclellan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043290398 PECOS PAC ID: 4981517976 Enrollment ID: I20031111000825 |
| Provider Name | Hassan A Ghandour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598744658 PECOS PAC ID: 9436062791 Enrollment ID: I20031112000078 |
| Provider Name | Carol E Whitsel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346229549 PECOS PAC ID: 1951214212 Enrollment ID: I20031112000102 |
| Provider Name | Samuel S M Lau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811995087 PECOS PAC ID: 9931012226 Enrollment ID: I20031112000210 |
| Provider Name | Jaswinder K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053390252 PECOS PAC ID: 6507779709 Enrollment ID: I20031112000288 |
| Provider Name | Patrick J Bergin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225309685 PECOS PAC ID: 6204824428 Enrollment ID: I20040505000518 |
| Provider Name | Peter W Ganter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093792673 PECOS PAC ID: 0648260323 Enrollment ID: I20040514000532 |
| Provider Name | Frances C Munkenbeck |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982675146 PECOS PAC ID: 3870586530 Enrollment ID: I20040610001481 |
| Provider Name | John M Terhes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114906443 PECOS PAC ID: 9436135159 Enrollment ID: I20040624001413 |
| Provider Name | Shadi Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346228830 PECOS PAC ID: 8820074727 Enrollment ID: I20040629001185 |
| Provider Name | Michael D Stephens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457312258 PECOS PAC ID: 2567458052 Enrollment ID: I20040709000632 |
| Provider Name | Leo Cytrynbaum |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1659341386 PECOS PAC ID: 1951381888 Enrollment ID: I20040722000020 |
| Provider Name | Charles Robert Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518064385 PECOS PAC ID: 1254306368 Enrollment ID: I20040901000407 |
| Provider Name | Steven L Wilhite |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619134491 PECOS PAC ID: 8921075755 Enrollment ID: I20040913000328 |
| Provider Name | Katherine Jean Robins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831127117 PECOS PAC ID: 4082682547 Enrollment ID: I20040922000481 |
| Provider Name | Christoph T Woerlein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255370771 PECOS PAC ID: 0042276420 Enrollment ID: I20041207001064 |
| Provider Name | Kimya-anhcina Lan Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073596243 PECOS PAC ID: 0749265478 Enrollment ID: I20041215000633 |
| Provider Name | Emily S Downing Moore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801865738 PECOS PAC ID: 7810981081 Enrollment ID: I20050608000042 |
| Provider Name | Neil A Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619977089 PECOS PAC ID: 2466497375 Enrollment ID: I20050622000133 |
| Provider Name | Yvonne Marie Lyles |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396859203 PECOS PAC ID: 1254318702 Enrollment ID: I20050705000931 |
| Provider Name | Judith Csanky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598843039 PECOS PAC ID: 5597798264 Enrollment ID: I20050913001225 |
| Provider Name | Andrea O Blattler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912013707 PECOS PAC ID: 7315972494 Enrollment ID: I20050927001481 |
| Provider Name | Laine J Murphey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710957469 PECOS PAC ID: 1254357882 Enrollment ID: I20051021000700 |
| Provider Name | Stephen Christensen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043271869 PECOS PAC ID: 9537187414 Enrollment ID: I20051109000563 |
| Provider Name | Lisa M Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447223987 PECOS PAC ID: 9234126897 Enrollment ID: I20051130000228 |
| Provider Name | Mhd Tarek Nashawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205862505 PECOS PAC ID: 0648275339 Enrollment ID: I20061003000028 |
| Provider Name | Peter Farkas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215035639 PECOS PAC ID: 5193722940 Enrollment ID: I20061108000650 |
| Provider Name | Phillip R Taggart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255319182 PECOS PAC ID: 0446354484 Enrollment ID: I20070330000120 |
| Provider Name | Hsichao Chow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356431464 PECOS PAC ID: 5193823482 Enrollment ID: I20070611000323 |
| Provider Name | Jose Viramontes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073600938 PECOS PAC ID: 0840383501 Enrollment ID: I20070911000638 |
| Provider Name | Mi L Seo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568425452 PECOS PAC ID: 1759304439 Enrollment ID: I20070912000096 |
| Provider Name | Kory D Huebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780748467 PECOS PAC ID: 2567417264 Enrollment ID: I20070912000481 |
| Provider Name | Hyung Dong Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659418382 PECOS PAC ID: 2769584127 Enrollment ID: I20070917000737 |
| Provider Name | Thomas P Stites |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750330262 PECOS PAC ID: 4789773334 Enrollment ID: I20071204000580 |
| Provider Name | Joseph Mark Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063527471 PECOS PAC ID: 1254411457 Enrollment ID: I20071228000484 |
| Provider Name | Kristina Leeann Liebenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538324389 PECOS PAC ID: 0244305258 Enrollment ID: I20081015000044 |
| Provider Name | Gregory Robert Flick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417991969 PECOS PAC ID: 3870525264 Enrollment ID: I20081113000712 |
| Provider Name | Ellen Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760408850 PECOS PAC ID: 7517981244 Enrollment ID: I20081125000488 |
| Provider Name | Ann Loeffler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053374611 PECOS PAC ID: 8729142633 Enrollment ID: I20090121000370 |
| Provider Name | Jocelyn A Park |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609960228 PECOS PAC ID: 3173674934 Enrollment ID: I20090708000167 |
| Provider Name | Jun Beom Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750499513 PECOS PAC ID: 1052465341 Enrollment ID: I20090820000818 |
| Provider Name | Bryan M Mcvay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356517098 PECOS PAC ID: 2668528290 Enrollment ID: I20090923000011 |
| Provider Name | Anthony P Furnary |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407812555 PECOS PAC ID: 4082688619 Enrollment ID: I20091109000268 |
| Provider Name | Craig A Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811996176 PECOS PAC ID: 6901945963 Enrollment ID: I20091203000685 |
| Provider Name | Harkness S Floten |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366408429 PECOS PAC ID: 4183698715 Enrollment ID: I20091208000564 |
| Provider Name | Rod Lee Elliott-mullens |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1447271986 PECOS PAC ID: 2668383241 Enrollment ID: I20100818001061 |
| Provider Name | Ismeth S Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245328020 PECOS PAC ID: 6406842996 Enrollment ID: I20101014000838 |
| Provider Name | Mohamed Siyad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780862391 PECOS PAC ID: 1254525066 Enrollment ID: I20101104001356 |
| Provider Name | Julia Paz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861428146 PECOS PAC ID: 3173711751 Enrollment ID: I20101223000315 |
| Provider Name | Craig Adam Lash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235128471 PECOS PAC ID: 8426065327 Enrollment ID: I20110107000176 |
| Provider Name | Andrew C Mcivor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972696755 PECOS PAC ID: 6103902952 Enrollment ID: I20110110000187 |
| Provider Name | Joseph L Sage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477583722 PECOS PAC ID: 4688612435 Enrollment ID: I20110310000209 |
| Provider Name | Simona A Parau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932381316 PECOS PAC ID: 4183785389 Enrollment ID: I20110428000653 |
| Provider Name | John M Armitage |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1255331195 PECOS PAC ID: 7012071780 Enrollment ID: I20110512000083 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20110527000281 |
| Provider Name | Erin M Wray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881857357 PECOS PAC ID: 1052580545 Enrollment ID: I20110818000401 |
| Provider Name | Kishan Ramachandran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417143793 PECOS PAC ID: 6204008899 Enrollment ID: I20111003000722 |
| Provider Name | James Mccord |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124027198 PECOS PAC ID: 7315922135 Enrollment ID: I20120420000462 |
| Provider Name | Daniel L Surette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699934612 PECOS PAC ID: 9830351030 Enrollment ID: I20120504000400 |
| Provider Name | Jonathan Daniel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609031475 PECOS PAC ID: 6901952845 Enrollment ID: I20120507000319 |
| Provider Name | Jolanta S Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346244043 PECOS PAC ID: 6204924962 Enrollment ID: I20120518000182 |
| Provider Name | Jonathan T Pak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467657056 PECOS PAC ID: 9436305018 Enrollment ID: I20120814000676 |
| Provider Name | Robert A Abernathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063433449 PECOS PAC ID: 4981662798 Enrollment ID: I20120815000094 |
| Provider Name | Susan E Stein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821231408 PECOS PAC ID: 4688821093 Enrollment ID: I20120820000876 |
| Provider Name | Mildred H Rowley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003874199 PECOS PAC ID: 1355328121 Enrollment ID: I20120910000259 |
| Provider Name | Kyle S Schulz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811151871 PECOS PAC ID: 9032369756 Enrollment ID: I20121015000546 |
| Provider Name | Mary F Burchell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396763413 PECOS PAC ID: 8426209743 Enrollment ID: I20121115000557 |
| Provider Name | Seth M Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093038986 PECOS PAC ID: 1658522552 Enrollment ID: I20121126000514 |
| Provider Name | Katherine E Mcgraw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144203514 PECOS PAC ID: 5890748693 Enrollment ID: I20130212000581 |
| Provider Name | Joseph Tristan N Oconer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942400858 PECOS PAC ID: 9234377300 Enrollment ID: I20130531000053 |
| Provider Name | Deborah Ann Volk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174574081 PECOS PAC ID: 4880596311 Enrollment ID: I20130606000594 |
| Provider Name | Daniel Ilfrey Lincoln |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215258595 PECOS PAC ID: 1850532565 Enrollment ID: I20130723000502 |
| Provider Name | Scott Russi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093789372 PECOS PAC ID: 3375441165 Enrollment ID: I20130821000552 |
| Provider Name | Logan Daniel Cutts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144661752 PECOS PAC ID: 1951545193 Enrollment ID: I20130910000447 |
| Provider Name | Destiny J Gmelch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013161413 PECOS PAC ID: 2365676491 Enrollment ID: I20131003000465 |
| Provider Name | Ryan J De Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104920693 PECOS PAC ID: 7416087671 Enrollment ID: I20140115000234 |
| Provider Name | Teresa Lanier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104865658 PECOS PAC ID: 2163501669 Enrollment ID: I20140120000522 |
| Provider Name | Paul B Bascom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689680134 PECOS PAC ID: 7517926157 Enrollment ID: I20140428001230 |
| Provider Name | Jessica Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134467368 PECOS PAC ID: 5092953091 Enrollment ID: I20140609002507 |
| Provider Name | Cihan Cevik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619169596 PECOS PAC ID: 4082839139 Enrollment ID: I20140702002120 |
| Provider Name | Donna J Hephinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104974724 PECOS PAC ID: 4880619246 Enrollment ID: I20140813001077 |
| Provider Name | Ian L Liao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154586105 PECOS PAC ID: 3476728411 Enrollment ID: I20141118002371 |
| Provider Name | Sidney Dana Sparks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598719841 PECOS PAC ID: 3678896768 Enrollment ID: I20141222000941 |
| Provider Name | Danielle J Renfro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699175638 PECOS PAC ID: 4587981923 Enrollment ID: I20150324002893 |
| Provider Name | Thurman A Merritt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124006598 PECOS PAC ID: 7113928458 Enrollment ID: I20150805007385 |
| Provider Name | Ivonne M Daly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639379811 PECOS PAC ID: 4789775404 Enrollment ID: I20150818003614 |
| Provider Name | Nicholas Joshua Engstrom |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1558596312 PECOS PAC ID: 1557505591 Enrollment ID: I20150821013637 |
| Provider Name | Desmond Jy Wah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366673568 PECOS PAC ID: 5496901787 Enrollment ID: I20150826002351 |
| Provider Name | Abdulmetin Dursun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679867071 PECOS PAC ID: 6608195631 Enrollment ID: I20150831000841 |
| Provider Name | Jeffrey Michael Paulsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609042431 PECOS PAC ID: 6002094109 Enrollment ID: I20151005000603 |
| Provider Name | Ellen Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679916738 PECOS PAC ID: 1951540947 Enrollment ID: I20151008001039 |
| Provider Name | Erandi Liyanaarachchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518227651 PECOS PAC ID: 8820399736 Enrollment ID: I20151218001105 |
| Provider Name | Alice So |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407968431 PECOS PAC ID: 0345345781 Enrollment ID: I20160201001308 |
| Provider Name | Nitikul Srisirirojanakorn Solomon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508833047 PECOS PAC ID: 2264722610 Enrollment ID: I20160526001272 |
| Provider Name | Kantee Karki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043521974 PECOS PAC ID: 4385838911 Enrollment ID: I20160621001942 |
| Provider Name | Gregory T Dressel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982779302 PECOS PAC ID: 9335314699 Enrollment ID: I20160720000512 |
| Provider Name | Julia C Swanson-birchill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023140597 PECOS PAC ID: 7810134897 Enrollment ID: I20160831001034 |
| Provider Name | Ian R White |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1699918169 PECOS PAC ID: 8820233760 Enrollment ID: I20160930001260 |
| Provider Name | Anna R Snyder |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184171738 PECOS PAC ID: 9739467879 Enrollment ID: I20161025001717 |
| Provider Name | Gloria A Burchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396014270 PECOS PAC ID: 3375710031 Enrollment ID: I20161026002196 |
| Provider Name | Sasha Dunbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457655284 PECOS PAC ID: 9739363656 Enrollment ID: I20161201001727 |
| Provider Name | Anne Ziemba |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083097083 PECOS PAC ID: 9830479195 Enrollment ID: I20161205000415 |
| Provider Name | Jaime M Fair |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013203348 PECOS PAC ID: 4688899222 Enrollment ID: I20161221001617 |
| Provider Name | Naveed A Quadeer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558526046 PECOS PAC ID: 2062689615 Enrollment ID: I20170214001435 |
| Provider Name | Heidi L Sandige |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982805065 PECOS PAC ID: 1355415720 Enrollment ID: I20170228002174 |
| Provider Name | Luis E Leyton-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013911601 PECOS PAC ID: 8022047174 Enrollment ID: I20170310001373 |
| Provider Name | William S Mcbride |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568480416 PECOS PAC ID: 9234194754 Enrollment ID: I20170329001121 |
| Provider Name | Nasibo Kadir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104137546 PECOS PAC ID: 9739315649 Enrollment ID: I20170417001216 |
| Provider Name | Debra L Scheidegger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548361819 PECOS PAC ID: 2860385267 Enrollment ID: I20170425002812 |
| Provider Name | Kristin Ann Flowers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356647051 PECOS PAC ID: 1052534864 Enrollment ID: I20170502000797 |
| Provider Name | George Zhongshan Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982655403 PECOS PAC ID: 5597832824 Enrollment ID: I20170615001053 |
| Provider Name | Son T Do |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285668822 PECOS PAC ID: 2668371337 Enrollment ID: I20170626001871 |
| Provider Name | Nora B Kirschner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174577597 PECOS PAC ID: 6002847035 Enrollment ID: I20170705003273 |
| Provider Name | Castigliano M Bhamidipati |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992968887 PECOS PAC ID: 5890008007 Enrollment ID: I20170713001086 |
| Provider Name | Wayne J Merback |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093924441 PECOS PAC ID: 4789970310 Enrollment ID: I20170818003214 |
| Provider Name | James Spawn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710306337 PECOS PAC ID: 3375815400 Enrollment ID: I20170823004012 |
| Provider Name | Kristin Meredick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255759304 PECOS PAC ID: 6002188968 Enrollment ID: I20170828001985 |
| Provider Name | Ashley Claire Mccorkhill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740690049 PECOS PAC ID: 4789988932 Enrollment ID: I20170829003165 |
| Provider Name | Harry Scholtz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124318639 PECOS PAC ID: 3779709456 Enrollment ID: I20170915001672 |
| Provider Name | Yves Chery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285904805 PECOS PAC ID: 6507090107 Enrollment ID: I20171011000896 |
| Provider Name | Thomas Eugene Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912172305 PECOS PAC ID: 7810067139 Enrollment ID: I20171122002322 |
| Provider Name | Anna Feldman Vertkin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346579364 PECOS PAC ID: 4587672910 Enrollment ID: I20171122002537 |
| Provider Name | Sara Sears Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801167614 PECOS PAC ID: 1254594195 Enrollment ID: I20180202000634 |
| Provider Name | Faisal Shamshad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225022320 PECOS PAC ID: 0345201463 Enrollment ID: I20180209002469 |
| Provider Name | Kanya N Delpozzo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578061339 PECOS PAC ID: 0547522682 Enrollment ID: I20180329000973 |
| Provider Name | Allyn Resch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841452661 PECOS PAC ID: 2163659293 Enrollment ID: I20180411003059 |
| Provider Name | Tushar Anil Tuliani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821377961 PECOS PAC ID: 3375816945 Enrollment ID: I20180516000526 |
| Provider Name | Mark Harold Enker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477600260 PECOS PAC ID: 2163562471 Enrollment ID: I20180620000385 |
| Provider Name | Krissi Danielsson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982099420 PECOS PAC ID: 4981911757 Enrollment ID: I20180823001417 |
| Provider Name | Eric James Nordsieck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538494042 PECOS PAC ID: 2567682131 Enrollment ID: I20180829002916 |
| Provider Name | Adrienne M Samar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639518368 PECOS PAC ID: 9436392552 Enrollment ID: I20180910003183 |
| Provider Name | David Gerard Burger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881679363 PECOS PAC ID: 4880622273 Enrollment ID: I20180918004361 |
| Provider Name | Amanda C Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104101757 PECOS PAC ID: 8628350055 Enrollment ID: I20181011001537 |
| Provider Name | Anan Tawil |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538450135 PECOS PAC ID: 6305111246 Enrollment ID: I20181022000167 |
| Provider Name | Alyse K Power |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578941373 PECOS PAC ID: 7315259884 Enrollment ID: I20181102002638 |
| Provider Name | Rey Jose Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508098286 PECOS PAC ID: 0345564126 Enrollment ID: I20181108000891 |
| Provider Name | Mohammed A Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538443791 PECOS PAC ID: 7315112992 Enrollment ID: I20181119001039 |
| Provider Name | Dana M Cummings |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114451671 PECOS PAC ID: 2466726229 Enrollment ID: I20181231001827 |
| Provider Name | Brenda Joy Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881758951 PECOS PAC ID: 5193064350 Enrollment ID: I20190305002851 |
| Provider Name | Linda Alic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235197161 PECOS PAC ID: 0648177840 Enrollment ID: I20190321000732 |
| Provider Name | Tanah E Clunies-ross |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679079768 PECOS PAC ID: 3072855097 Enrollment ID: I20190423001821 |
| Provider Name | Fong-kuei Frank Cheng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922275874 PECOS PAC ID: 0345488409 Enrollment ID: I20190522001110 |
| Provider Name | Kyong M Yi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306846399 PECOS PAC ID: 3870489933 Enrollment ID: I20190606001599 |
| Provider Name | Adnan Ameer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346554201 PECOS PAC ID: 1052675451 Enrollment ID: I20190613003257 |
| Provider Name | David Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649644618 PECOS PAC ID: 0143522367 Enrollment ID: I20190619000292 |
| Provider Name | Melissa A Sheffield |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487617502 PECOS PAC ID: 9234149634 Enrollment ID: I20190619001578 |
| Provider Name | Jeannine Marie Brevik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679912497 PECOS PAC ID: 3072896315 Enrollment ID: I20190619003022 |
| Provider Name | Ralph Brooks Vance |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487974192 PECOS PAC ID: 2466745658 Enrollment ID: I20190624003248 |
| Provider Name | Gurion Lantz |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1972949253 PECOS PAC ID: 7517109531 Enrollment ID: I20190710000976 |
| Provider Name | Denis Raleigh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1427069855 PECOS PAC ID: 0941219497 Enrollment ID: I20190828002926 |
| Provider Name | Francesca Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164876264 PECOS PAC ID: 6901147552 Enrollment ID: I20190917000712 |
| Provider Name | Maile E Parker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366880486 PECOS PAC ID: 6406096502 Enrollment ID: I20191002003285 |
| Provider Name | Peter Fox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326435504 PECOS PAC ID: 4880926385 Enrollment ID: I20191104000328 |
| Provider Name | Anjanette Ostrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003213745 PECOS PAC ID: 3274835798 Enrollment ID: I20191111001722 |
| Provider Name | David Kutlina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750576039 PECOS PAC ID: 6204163371 Enrollment ID: I20200217004485 |
| Provider Name | Shahab Aftahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881656783 PECOS PAC ID: 4789666397 Enrollment ID: I20200224001448 |
| Provider Name | Iva Smolens |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992794564 PECOS PAC ID: 3173562741 Enrollment ID: I20200303002345 |
| Provider Name | Roberto Amado-cattaneo |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1073700225 PECOS PAC ID: 8527955004 Enrollment ID: I20200402003209 |
| Provider Name | Janina Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396998340 PECOS PAC ID: 9335116342 Enrollment ID: I20200406002989 |
| Provider Name | Stephen Peter Holland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851470967 PECOS PAC ID: 5890711428 Enrollment ID: I20200727001472 |
| Provider Name | Laura Pestana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588002521 PECOS PAC ID: 3971743063 Enrollment ID: I20200811001699 |
| Provider Name | Michael H.a. Sultan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538505326 PECOS PAC ID: 3577837921 Enrollment ID: I20200908000550 |
| Provider Name | Peter Marco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013975119 PECOS PAC ID: 9032254917 Enrollment ID: I20210315000463 |
| Provider Name | Laura J Burpee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386826071 PECOS PAC ID: 0941383590 Enrollment ID: I20210510001107 |
| Provider Name | Lisa Gartin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982939385 PECOS PAC ID: 8426277369 Enrollment ID: I20210518002809 |
| Provider Name | Stephen Wall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033503388 PECOS PAC ID: 2567897069 Enrollment ID: I20210628002424 |
| Provider Name | Chengda Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629429667 PECOS PAC ID: 0941592240 Enrollment ID: I20210927003110 |
| Provider Name | Cyrus P Tamboli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265420830 PECOS PAC ID: 6002887569 Enrollment ID: I20211230002039 |
| Provider Name | David Kovar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770536179 PECOS PAC ID: 9638151400 Enrollment ID: I20220216002954 |
| Provider Name | Dikshya Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639581226 PECOS PAC ID: 4688090418 Enrollment ID: I20220321001754 |
| Provider Name | Penny J Williams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588649453 PECOS PAC ID: 6305832452 Enrollment ID: I20220516000179 |
| Provider Name | Jennifer L Noelke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881858611 PECOS PAC ID: 4082956990 Enrollment ID: I20220615002110 |
| Provider Name | Benjamin Verbil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548935117 PECOS PAC ID: 6901294610 Enrollment ID: I20220816003888 |
| Provider Name | Raeann L Nesta |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104597855 PECOS PAC ID: 7911378153 Enrollment ID: I20230125002685 |
| Provider Name | Mustafa Ajam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205368909 PECOS PAC ID: 6204103674 Enrollment ID: I20230414001608 |
| Provider Name | Artin Mahmoudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265786552 PECOS PAC ID: 8325282700 Enrollment ID: I20230705001411 |
| Provider Name | Alex Bauer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255826434 PECOS PAC ID: 9234485152 Enrollment ID: I20230815000692 |
| Provider Name | Abhishek Sawant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295990570 PECOS PAC ID: 0941360341 Enrollment ID: I20230817003899 |
| Provider Name | Christina Macrosty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306103403 PECOS PAC ID: 3779735030 Enrollment ID: I20231122002949 |
| Provider Name | Luke Oakley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548571656 PECOS PAC ID: 1355563339 Enrollment ID: I20240105003339 |
| Provider Name | Tara Perti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952438814 PECOS PAC ID: 9133294523 Enrollment ID: I20240109004249 |
| Provider Name | Salman Mehboob |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497841795 PECOS PAC ID: 9931207412 Enrollment ID: I20240322003232 |
| Provider Name | Mark Lawton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497707053 PECOS PAC ID: 5597739201 Enrollment ID: I20240508003478 |
A Sound Mind Behavioral Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Continental Pl, Brentwood, TN 37027 Phone: 615-445-7600 Fax: 615-332-8939 | |
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Monogram Health Professional Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5410 Maryland Way Ste 301, Brentwood, TN 37027 Phone: 615-673-4455 | |
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Vanguard Crewcare Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 Maryland Way Ste 200, Brentwood, TN 37027 Phone: 615-577-4927 | |
Bluesky Housecalls, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 Westpark Dr, Brentwood, TN 37027 Phone: 615-340-6840 Fax: 615-600-4804 | |
Brentwood Family Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5046 Thoroughbred Ln, Brentwood, TN 37027 Phone: 615-370-8080 Fax: 615-371-8906 |