Physician Onsite, Inc | |
3570 Keith St Nw Cleveland TN 37312-4309 | |
(423) 473-5026 | |
Not Available |
Full Name | Physician Onsite, Inc |
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Speciality | Internal Medicine |
Location | 3570 Keith St Nw, Cleveland, Tennessee |
Authorized Official Name and Position | Cindy S Cross (DIRECTOR/ ASSISTANT SECRETARY) |
Authorized Official Contact | 4234735867 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Physician Onsite, Inc 3570 Keith St Nw Cleveland TN 37312-4309 Ph: (423) 473-5026 | Physician Onsite, Inc 3570 Keith St Nw Cleveland TN 37312-4309 Ph: (423) 473-5026 |
NPI Number | 1174897888 |
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Provider Enumeration Date | 02/27/2012 |
Last Update Date | 09/15/2021 |
Medicare PECOS PAC ID | 3375707912 |
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Medicare Enrollment ID | O20130124000288 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174897888 | NPI | - | NPPES |
Provider Name | Brian A Kenny |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023007358 PECOS PAC ID: 8123081809 Enrollment ID: I20041104000808 |
Provider Name | Lee Ann Rooney Giardino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245442672 PECOS PAC ID: 1456317841 Enrollment ID: I20041207001114 |
Provider Name | Perry G Farb |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114902848 PECOS PAC ID: 7214972710 Enrollment ID: I20050624000700 |
Provider Name | Gary H Asher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689663882 PECOS PAC ID: 4284664384 Enrollment ID: I20050818000338 |
Provider Name | Kimberly W Ebb |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790777589 PECOS PAC ID: 7416972708 Enrollment ID: I20051005001068 |
Provider Name | Bilal Hussain |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477538171 PECOS PAC ID: 7214012848 Enrollment ID: I20080306000641 |
Provider Name | Christine Beck |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841517745 PECOS PAC ID: 1355521410 Enrollment ID: I20110207000198 |
Provider Name | Ashraf F Elkerm |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306825831 PECOS PAC ID: 7416184528 Enrollment ID: I20131217001454 |
Provider Name | Donna Kaba |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568843126 PECOS PAC ID: 9638472517 Enrollment ID: I20160127001102 |
Provider Name | Michaela Anne Kaddy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992114458 PECOS PAC ID: 0648492975 Enrollment ID: I20161228001185 |
Provider Name | Pauline N Mongo-shei |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437776655 PECOS PAC ID: 2466871991 Enrollment ID: I20201001001898 |
Provider Name | Meghan Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346849825 PECOS PAC ID: 2264843150 Enrollment ID: I20201125001058 |
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