| Skyridge Clinical Associates Llc | |
|
1060 Peerless Crossing Dr Suite 200 Cleveland TN 37312-3785 | |
| (423) 479-4165 | |
| (423) 478-1884 |
| Full Name | Skyridge Clinical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1060 Peerless Crossing Dr, Cleveland, Tennessee |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR) |
| Authorized Official Contact | 8778929813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyridge Clinical Associates Llc 1060 Peerless Crossing Dr Suite 200 Cleveland TN 37312-3785 Ph: (423) 479-4165 | Skyridge Clinical Associates Llc 1060 Peerless Crossing Dr Suite 200 Cleveland TN 37312-3785 Ph: (423) 479-4165 |
| NPI Number | 1598933269 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 02/24/2010 |
| Medicare PECOS PAC ID | 3779662960 |
|---|---|
| Medicare Enrollment ID | O20080429000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598933269 | NPI | - | NPPES |
| Provider Name | Cecil B Breetzke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629142955 PECOS PAC ID: 0840252300 Enrollment ID: I20041028000130 |
| Provider Name | Obadias Marquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174597546 PECOS PAC ID: 4880678135 Enrollment ID: I20050801001209 |
| Provider Name | Leann M Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578668208 PECOS PAC ID: 6507866910 Enrollment ID: I20070109000487 |
| Provider Name | Jesus M Melendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063664647 PECOS PAC ID: 6800951773 Enrollment ID: I20090210000733 |
| Provider Name | Harrison G Sims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568413219 PECOS PAC ID: 6002008075 Enrollment ID: I20101008000391 |
| Provider Name | Anders E Petersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902049836 PECOS PAC ID: 4789840307 Enrollment ID: I20120726000564 |
| Provider Name | Susan G Finch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457305161 PECOS PAC ID: 5991808669 Enrollment ID: I20120730000028 |
| Provider Name | Dana Michelle Sweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104259324 PECOS PAC ID: 0840424693 Enrollment ID: I20140311000424 |
| Provider Name | Michael L Noble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205931565 PECOS PAC ID: 4688681430 Enrollment ID: I20180628003022 |
| Provider Name | Diana Marie Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548866866 PECOS PAC ID: 5193131910 Enrollment ID: I20210302003037 |
| Provider Name | Wei-ning E Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598261620 PECOS PAC ID: 2466717053 Enrollment ID: I20210923001110 |
| Provider Name | Brooke Booher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306462478 PECOS PAC ID: 6709279623 Enrollment ID: I20220216002316 |
| Provider Name | Twana Jaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912130584 PECOS PAC ID: 6204084049 Enrollment ID: I20220906000429 |
| Provider Name | Avan Jaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316406614 PECOS PAC ID: 3072843358 Enrollment ID: I20220912001575 |
| Provider Name | Nicole Cullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740857135 PECOS PAC ID: 9234519091 Enrollment ID: I20221121001723 |
Cleveland Medical Associates, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1060 William Way Nw, Cleveland, TN 37312 Phone: 423-478-1050 Fax: 423-478-1075 | |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Dunhill Pl Nw Ste B, Cleveland, TN 37311 Phone: 423-559-0444 Fax: 423-559-0103 | |
Donald E Robinson Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1860 Executive Park Nw, Suite B, Cleveland, TN 37312 Phone: 423-476-7584 Fax: 423-476-7586 | |
Michael Moffatt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Clingan Ridge Dr. Nw, Cleveland, TN 37312 Phone: 423-339-3340 Fax: 423-339-9927 | |
Physician Onsite, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3570 Keith St Nw, Cleveland, TN 37312 Phone: 423-473-5026 | |
Skyridge Clinical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1060 Peerless Crossing, Ste 200, Cleveland, TN 37312 Phone: 423-479-4165 | |
Cleveland Family Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2020 Westland Dr Sw, Cleveland, TN 37311 Phone: 423-338-8995 Fax: 423-614-5270 |