Southeastern Physician Services Pc - Medicare Primary Care in Oak Ridge, TN

Southeastern Physician Services Pc is a medicare enrolled primary clinic (Hospitalist) in Oak Ridge, Tennessee. The current practice location for Southeastern Physician Services Pc is 990 Oak Ridge Tpke, Oak Ridge, Tennessee. For appointments, you can reach them via phone at (865) 481-1000. The mailing address for Southeastern Physician Services Pc is Po Box 635705, Cincinnati, Ohio and phone number is (888) 203-1274.

Southeastern Physician Services Pc is licensed to practice in Tennessee (license number ). The clinic also participates in the medicare program and its NPI number is 1083835441. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (865) 481-1000.

Contact Information

Southeastern Physician Services Pc
990 Oak Ridge Tpke
Oak Ridge
TN 37830-6976
(865) 481-1000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSoutheastern Physician Services Pc
SpecialityHospitalist
Location990 Oak Ridge Tpke, Oak Ridge, Tennessee
Authorized Official Name and PositionRandal L Dabbs (PRESIDENT)
Authorized Official Contact8882031274
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southeastern Physician Services Pc
Po Box 635705
Cincinnati
OH 45263-5705

Ph: (888) 203-1274
Southeastern Physician Services Pc
990 Oak Ridge Tpke
Oak Ridge
TN 37830-6976

Ph: (865) 481-1000

NPI Details:

NPI Number1083835441
Provider Enumeration Date05/02/2007
Last Update Date01/31/2020

Medicare PECOS Information:

Medicare PECOS PAC ID0042307852
Medicare Enrollment IDO20071025000571

Medical Identifiers

Medical identifiers for Southeastern Physician Services Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083835441NPI-NPPES
3370208MedicaidTN
GP5012MedicaidSC
7100046370MedicaidKY
529932974MedicaidAL
5950338MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (Tennessee)Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
208M00000XHospitalist (Tennessee)Primary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
363A00000XPhysician Assistant (Tennessee)Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363L00000XNurse Practitioner (Tennessee)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southeastern Physician Services Pc acts as a billing entity for following providers:
Provider NameAyodele A Olusanya
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932155868
PECOS PAC ID: 2163336264
Enrollment ID: I20031113000449
Provider NamePeter R Deversa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598773871
PECOS PAC ID: 2961306717
Enrollment ID: I20031122000056
Provider NameKevin Turner
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1518995208
PECOS PAC ID: 7416854260
Enrollment ID: I20031218000502
Provider NameThan Z Tin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619943792
PECOS PAC ID: 7315847050
Enrollment ID: I20040109000972
Provider NameDavid Alvarez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871578385
PECOS PAC ID: 9931000569
Enrollment ID: I20040116000628
Provider NameRobert M Magill
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1275541567
PECOS PAC ID: 4284536533
Enrollment ID: I20040126000691
Provider NameKerry L Milligan
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1780776765
PECOS PAC ID: 8325937709
Enrollment ID: I20040312001272
Provider NameIsham C Hewgley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215915921
PECOS PAC ID: 1153213301
Enrollment ID: I20040325000281
Provider NamePepe L Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942299599
PECOS PAC ID: 2264427681
Enrollment ID: I20040415001334
Provider NameBeverly A Bradshaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043282502
PECOS PAC ID: 8921093295
Enrollment ID: I20040416000470
Provider NameJoseph Anthony Destefano
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508841032
PECOS PAC ID: 4688669526
Enrollment ID: I20040419001314
Provider NameMichael W Nelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124112727
PECOS PAC ID: 1658367842
Enrollment ID: I20040422001283
Provider NameDavid Guan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891772208
PECOS PAC ID: 8426044454
Enrollment ID: I20040423000638
Provider NameClyde R Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881676526
PECOS PAC ID: 6305834292
Enrollment ID: I20040430001282
Provider NameJalila Hudson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598773889
PECOS PAC ID: 4284615337
Enrollment ID: I20040526000139
Provider NameAlka Kamo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295738128
PECOS PAC ID: 1951383819
Enrollment ID: I20040603001185
Provider NameLisa M Pullen
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1871672717
PECOS PAC ID: 5991788440
Enrollment ID: I20040608000274
Provider NameTodd W Markwalter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700894276
PECOS PAC ID: 0941283832
Enrollment ID: I20040610001775
Provider NameJenny B Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811983455
PECOS PAC ID: 3072596865
Enrollment ID: I20040611000769
Provider NameChristian F Cooper
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508839440
PECOS PAC ID: 7618951088
Enrollment ID: I20040614001558
Provider NameAyodeji A Oso
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1689653461
PECOS PAC ID: 0941284889
Enrollment ID: I20040617000118
Provider NamePierce C Alexander
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1255319067
PECOS PAC ID: 6800872516
Enrollment ID: I20040624001327
Provider NameJerry W Bradley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558303644
PECOS PAC ID: 8426035270
Enrollment ID: I20040630000751
Provider NameRichard L Bremer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245218981
PECOS PAC ID: 4981681418
Enrollment ID: I20040702000274
Provider NameMartha Sanford
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821099839
PECOS PAC ID: 0941288021
Enrollment ID: I20040713001630
Provider NameWilliam T Bates
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073552121
PECOS PAC ID: 9537130679
Enrollment ID: I20040803001096
Provider NameTeresa J Regan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457337966
PECOS PAC ID: 4284605031
Enrollment ID: I20040804000939
Provider NameKarl E Lawrence
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033265178
PECOS PAC ID: 6800860578
Enrollment ID: I20040819001601
Provider NameThomas P Evans
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841285228
PECOS PAC ID: 5991775512
Enrollment ID: I20040823000216
Provider NameForrest B Tilson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891794418
PECOS PAC ID: 1052386604
Enrollment ID: I20040827000875
Provider NameStephanie Alison Hatcher
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114960622
PECOS PAC ID: 1153396320
Enrollment ID: I20040831000982
Provider NameDan S Powell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1952340697
PECOS PAC ID: 1052386075
Enrollment ID: I20040901000568
Provider NameAshutosh Kumar Mishra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942262829
PECOS PAC ID: 6204729353
Enrollment ID: I20040909000085
Provider NameJames A Davis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184602898
PECOS PAC ID: 0547230096
Enrollment ID: I20040914000203
Provider NameAmanullah Siddiqi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780682906
PECOS PAC ID: 0042289316
Enrollment ID: I20041002000128
Provider NameFrank A Perry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619917879
PECOS PAC ID: 9032178157
Enrollment ID: I20041005000869
Provider NameMoez R Premji
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295794089
PECOS PAC ID: 3678532199
Enrollment ID: I20041008000715
Provider NameEustacia L Pratt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114977972
PECOS PAC ID: 1052371804
Enrollment ID: I20041015000240
Provider NameEugene C Scobey
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1750493474
PECOS PAC ID: 9830159656
Enrollment ID: I20041015000764
Provider NameFrederick R Yarid
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508865205
PECOS PAC ID: 8820067028
Enrollment ID: I20041028001029
Provider NameBrian P Donovan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598741787
PECOS PAC ID: 5496655755
Enrollment ID: I20041112000424
Provider NameVinaya S Belagode
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518048172
PECOS PAC ID: 4284698937
Enrollment ID: I20041112001055
Provider NameAdejoke F. Aina-babalola
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669556148
PECOS PAC ID: 8426013376
Enrollment ID: I20041119001020
Provider NameDimka M Ialamova Touncheva
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316924665
PECOS PAC ID: 1052376134
Enrollment ID: I20041130001080
Provider NameChetan D Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659480606
PECOS PAC ID: 7113985086
Enrollment ID: I20041222000804
Provider NameAnna B Gilbert
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285610931
PECOS PAC ID: 7810945862
Enrollment ID: I20050106000808
Provider NameRobert Dale Turner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124057534
PECOS PAC ID: 5698723591
Enrollment ID: I20050107000155
Provider NameHoward R Brock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215970140
PECOS PAC ID: 7911957063
Enrollment ID: I20050126000563
Provider NameVivian Clark
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205889508
PECOS PAC ID: 1456301548
Enrollment ID: I20050126000813
Provider NameRuth A Daniels
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710905989
PECOS PAC ID: 4183674955
Enrollment ID: I20050128000751
Provider NameAmi H Chattin-ponce
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922119288
PECOS PAC ID: 9830140219
Enrollment ID: I20050202000857
Provider NamePawel G Karolczak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639116999
PECOS PAC ID: 4183675846
Enrollment ID: I20050210000114
Provider NameKeith G Porter
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821036179
PECOS PAC ID: 8426000704
Enrollment ID: I20050215000463
Provider NameGeorge W Chambers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821094830
PECOS PAC ID: 7214823558
Enrollment ID: I20050223000967
Provider NameLee Marvin Carter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194774802
PECOS PAC ID: 6901859354
Enrollment ID: I20050224001017
Provider NameSusan Nettleton O Brien
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528001112
PECOS PAC ID: 2769435189
Enrollment ID: I20050225000364
Provider NameMuhammad R Faisal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003858267
PECOS PAC ID: 2567415987
Enrollment ID: I20050225000379
Provider NameMichael Prostko
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1114955945
PECOS PAC ID: 9335192756
Enrollment ID: I20050225000418
Provider NameCharles F Barnett
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053357673
PECOS PAC ID: 8325091515
Enrollment ID: I20050228000960
Provider NameDonald R Quinn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447219688
PECOS PAC ID: 1759299761
Enrollment ID: I20050323001005
Provider NameHenry Enyenihi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992708002
PECOS PAC ID: 3870549298
Enrollment ID: I20050329000206
Provider NameDouglas L Damron
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396785317
PECOS PAC ID: 4284681388
Enrollment ID: I20050331000898
Provider NameMark C Jenkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558364810
PECOS PAC ID: 6305884552
Enrollment ID: I20050419001149
Provider NameAileen S Garcia-gayoso
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891757761
PECOS PAC ID: 1254225253
Enrollment ID: I20050503000928
Provider NameStephen L Haile
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1114941291
PECOS PAC ID: 8921048232
Enrollment ID: I20050505000970
Provider NameStacey L Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871563981
PECOS PAC ID: 4981644937
Enrollment ID: I20050509000959
Provider NameKaren L Harsh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205809522
PECOS PAC ID: 5597709063
Enrollment ID: I20050615000531
Provider NameJanet G Pickstock
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215914528
PECOS PAC ID: 6103860267
Enrollment ID: I20050620000405
Provider NameGregory E Huff
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1730156241
PECOS PAC ID: 2961447578
Enrollment ID: I20050623000954
Provider NameDavid A Hancock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194753459
PECOS PAC ID: 1456397405
Enrollment ID: I20050630000236
Provider NameNickola S Jefferson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700995206
PECOS PAC ID: 6901832856
Enrollment ID: I20050719000099
Provider NameCarlos Rafic Shammas
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811954134
PECOS PAC ID: 6709813587
Enrollment ID: I20050722000886
Provider NameMichael Kempton
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1427072859
PECOS PAC ID: 2466432661
Enrollment ID: I20050801000342
Provider NameMohammed H Kabir
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598795833
PECOS PAC ID: 2769383355
Enrollment ID: I20050801001067
Provider NameObadias Marquez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174597546
PECOS PAC ID: 4880678135
Enrollment ID: I20050801001209
Provider NameRashid Mahboob
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659356335
PECOS PAC ID: 4789613977
Enrollment ID: I20050808001101
Provider NameJose Garrido
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982640140
PECOS PAC ID: 7416987144
Enrollment ID: I20050812000732
Provider NameAzhar S Sheikh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013972538
PECOS PAC ID: 2365472529
Enrollment ID: I20050817000332
Provider NameMark K Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528079969
PECOS PAC ID: 1759311749
Enrollment ID: I20050818001105
Provider NameMelanie L Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629004346
PECOS PAC ID: 9335170513
Enrollment ID: I20050826000888
Provider NameDebra A Lane
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740231646
PECOS PAC ID: 4688607666
Enrollment ID: I20050912000794
Provider NameSyed Farhan M Rizvi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346238961
PECOS PAC ID: 3476586751
Enrollment ID: I20050916000325
Provider NameSyed Shaukat Husnain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164641874
PECOS PAC ID: 6002840709
Enrollment ID: I20050922000204
Provider NameVitaly Nazarov
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760469084
PECOS PAC ID: 9830114131
Enrollment ID: I20051005001193
Provider NameMuhamed Salah Faour
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982672507
PECOS PAC ID: 1850319948
Enrollment ID: I20051107001156
Provider NameGina Pulido-soriano
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184660094
PECOS PAC ID: 8820017429
Enrollment ID: I20051114000154
Provider NameConstance A Hardy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568409829
PECOS PAC ID: 0547255812
Enrollment ID: I20051115000982
Provider NameFakhri Dalati
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1013967835
PECOS PAC ID: 3173590320
Enrollment ID: I20051202000720
Provider NameMichael E Ort
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043258213
PECOS PAC ID: 1153342464
Enrollment ID: I20051214000792
Provider NameJonathan S Bremer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336181239
PECOS PAC ID: 4688689243
Enrollment ID: I20060217000626
Provider NameJohn W Thurman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1790705341
PECOS PAC ID: 3072520246
Enrollment ID: I20060313000510
Provider NameRon Lanier Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073553608
PECOS PAC ID: 3375551906
Enrollment ID: I20060323000503
Provider NameFay Lynn Bembry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811098908
PECOS PAC ID: 6305854308
Enrollment ID: I20060403000488
Provider NameNaveed H Memon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386609055
PECOS PAC ID: 4688572795
Enrollment ID: I20060503000599
Provider NameEjikeme U Nwokolo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457304396
PECOS PAC ID: 3375554470
Enrollment ID: I20060602000203
Provider NameUdoeyop Udoeyop
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730166083
PECOS PAC ID: 7214940295
Enrollment ID: I20060714000182
Provider NamePatricia Estes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629058045
PECOS PAC ID: 3274546262
Enrollment ID: I20060714000212
Provider NameOsayawe N Odeh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245255819
PECOS PAC ID: 5395748883
Enrollment ID: I20060823000446
Provider NameBessie Ingram-nunally
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1720069578
PECOS PAC ID: 9537078720
Enrollment ID: I20060828000119
Provider NameEdward J Dinkins
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235163528
PECOS PAC ID: 1254336241
Enrollment ID: I20060926000262
Provider NameAnthony Udokwu Efobi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255300554
PECOS PAC ID: 3971564089
Enrollment ID: I20060927000277
Provider NameJason E Cox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720016710
PECOS PAC ID: 8022013929
Enrollment ID: I20060928000065
Provider NameSherry L Sexton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053331082
PECOS PAC ID: 7810993045
Enrollment ID: I20061011000728
Provider NameOwen Cameron Taylor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255305769
PECOS PAC ID: 5294632212
Enrollment ID: I20061026000066
Provider NameNaushaba Hasan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942298559
PECOS PAC ID: 1456359306
Enrollment ID: I20061201000242
Provider NameKimerly A Neal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689668105
PECOS PAC ID: 1951300292
Enrollment ID: I20061213000537
Provider NameAndrea Joy Bowers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942286786
PECOS PAC ID: 4587663752
Enrollment ID: I20061215000544
Provider NameMinesh N Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407947666
PECOS PAC ID: 4981604923
Enrollment ID: I20061222000094
Provider NameChristopher A Colburn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518958115
PECOS PAC ID: 9830191097
Enrollment ID: I20070201000290
Provider NameDoreen Lindsay
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649293184
PECOS PAC ID: 0840299624
Enrollment ID: I20070205000162
Provider NameJudith Boggess
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457315848
PECOS PAC ID: 6406959717
Enrollment ID: I20070307000081
Provider NameQing Yuan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225047053
PECOS PAC ID: 1951404193
Enrollment ID: I20070308000582
Provider NameLeigh A Livingston
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285798116
PECOS PAC ID: 8325141385
Enrollment ID: I20070312000347
Provider NameMary L Christian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235230871
PECOS PAC ID: 3476656299
Enrollment ID: I20070316000101
Provider NameFroilan B Joves
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063508356
PECOS PAC ID: 2567566094
Enrollment ID: I20070322000396
Provider NameEhud Ron Kamin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366518938
PECOS PAC ID: 4284731522
Enrollment ID: I20070521000386
Provider NameSnigdha S Priyadarshi
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1972670552
PECOS PAC ID: 1254438104
Enrollment ID: I20070529000624
Provider NameWalter Davis Arnold
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033162375
PECOS PAC ID: 1456459635
Enrollment ID: I20070612000442
Provider NamePatricia Oquinn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952343956
PECOS PAC ID: 2062510175
Enrollment ID: I20070612000798
Provider NameKim Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194723130
PECOS PAC ID: 3274632229
Enrollment ID: I20070615000618
Provider NameJohn W Fowler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982658506
PECOS PAC ID: 2365542420
Enrollment ID: I20070703000384
Provider NameLora D Spurlock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356465603
PECOS PAC ID: 3072613942
Enrollment ID: I20070705000661
Provider NameJacob Eric Holt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194831636
PECOS PAC ID: 6002876331
Enrollment ID: I20070710001001
Provider NameJohn E Tapp
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811986326
PECOS PAC ID: 7618078767
Enrollment ID: I20070719000699
Provider NameMichael R Robbins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790906436
PECOS PAC ID: 6002917556
Enrollment ID: I20070727000171
Provider NameLee D Logan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336188085
PECOS PAC ID: 2961414420
Enrollment ID: I20070802000618
Provider NameJohn N Sawaf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346347358
PECOS PAC ID: 8224135215
Enrollment ID: I20070810000410
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Provider NameNed Okarter
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457679037
PECOS PAC ID: 0345470894
Enrollment ID: I20231107002329
Provider NameAriana Fotouhi Vandillen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568091205
PECOS PAC ID: 3577992650
Enrollment ID: I20231116002801
Provider NameThavin Tempakornkul
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1396372603
PECOS PAC ID: 8224485982
Enrollment ID: I20231117000471
Provider NameShurook Elassouli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528683836
PECOS PAC ID: 6709208242
Enrollment ID: I20231130003405
Provider NameRichard Mcguire
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265052575
PECOS PAC ID: 1355762618
Enrollment ID: I20231204000829
Provider NameEmmanuel Obinna Ogbodo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336410190
PECOS PAC ID: 6709036650
Enrollment ID: I20231204002858
Provider NameHoda Nazari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184185050
PECOS PAC ID: 5799151718
Enrollment ID: I20231207001402
Provider NameNicole Viola Gayle Konda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558608067
PECOS PAC ID: 2567607898
Enrollment ID: I20231218001926
Provider NameLindsay Irace Predmore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134638604
PECOS PAC ID: 9133579899
Enrollment ID: I20231221002399
Provider NameMina Aknouk
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1073133013
PECOS PAC ID: 2668834045
Enrollment ID: I20231227001348
Provider NameKimberly Shani Forte
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568782738
PECOS PAC ID: 4183852023
Enrollment ID: I20240102000960
Provider NameRamy Ismail
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508233172
PECOS PAC ID: 6608165170
Enrollment ID: I20240104003696
Provider NameBrandon D White
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235463803
PECOS PAC ID: 3870617012
Enrollment ID: I20240119003230
Provider NameEkinadoese Osaghae
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104518059
PECOS PAC ID: 7315390283
Enrollment ID: I20240126001657
Provider NameTyler Scott Hogan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891448189
PECOS PAC ID: 5092197012
Enrollment ID: I20240131002922
Provider NameTyson Amundsen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013573054
PECOS PAC ID: 1153655626
Enrollment ID: I20240214001356
Provider NameSujatha Reddy
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1386600625
PECOS PAC ID: 2961452578
Enrollment ID: I20240214002479
Provider NameLisa Leigh Moses
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043368137
PECOS PAC ID: 3971947235
Enrollment ID: I20240215000347
Provider NameOreoluwa D Oladiran
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1275057861
PECOS PAC ID: 0143592204
Enrollment ID: I20240216001382
Provider NameStacey Marie Flaherty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396139119
PECOS PAC ID: 0941528459
Enrollment ID: I20240220001624
Provider NameThomas Joseph Watson
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1720349061
PECOS PAC ID: 4183856214
Enrollment ID: I20240223001289
Provider NameLindsey Tartera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881159903
PECOS PAC ID: 3779825088
Enrollment ID: I20240226000925
Provider NameJustin Khine
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851956486
PECOS PAC ID: 8921334707
Enrollment ID: I20240229000345
Provider NamePeter Shawki
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659590479
PECOS PAC ID: 3678668399
Enrollment ID: I20240304000734
Provider NameKamal Mubarak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619914108
PECOS PAC ID: 3678585080
Enrollment ID: I20240304003138
Provider NameJelena Licina
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316921687
PECOS PAC ID: 5092706366
Enrollment ID: I20240307000820
Provider NameTeresa Joyce Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346013182
PECOS PAC ID: 9830535020
Enrollment ID: I20240311001102
Provider NameJoseph Shnouda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184818866
PECOS PAC ID: 8325135171
Enrollment ID: I20240311003226
Provider NameCandace Francine Chumley
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1558892257
PECOS PAC ID: 8325302052
Enrollment ID: I20240315000090
Provider NameNadene Fair
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043482151
PECOS PAC ID: 3678643418
Enrollment ID: I20240315002826
Provider NameAmaka Eunice Ezimora
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902121122
PECOS PAC ID: 5799939799
Enrollment ID: I20240325000673
Provider NameNancy Maignan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114971207
PECOS PAC ID: 1355337361
Enrollment ID: I20240329001674
Provider NameKenechukwu Hilary Ibeneme
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043839855
PECOS PAC ID: 8628408523
Enrollment ID: I20240404000679
Provider NameAdarsh Goyal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144585043
PECOS PAC ID: 3274755590
Enrollment ID: I20240405000472
Provider NameAmeen A Masoodi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508429960
PECOS PAC ID: 5496089369
Enrollment ID: I20240408000285
Provider NameSara Chappell Knabe
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1740501881
PECOS PAC ID: 4082870118
Enrollment ID: I20240409000897
Provider NameNelson Kazie
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891089744
PECOS PAC ID: 2567631294
Enrollment ID: I20240415000166
Provider NameMuhammad Ehsan Faquih
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508216797
PECOS PAC ID: 1153673298
Enrollment ID: I20240417002987
Provider NameAkhil Ur Rahman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639326705
PECOS PAC ID: 2264698224
Enrollment ID: I20240418002451
Provider NameKatherine Makaita Takundwa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225224025
PECOS PAC ID: 9830257310
Enrollment ID: I20240419001508
Provider NameRobert Airapetov
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750887212
PECOS PAC ID: 0143627133
Enrollment ID: I20240419002727
Provider NameChoua Thao
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053653576
PECOS PAC ID: 6901128081
Enrollment ID: I20240501000650
Provider NameMohammed Sharif
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104321082
PECOS PAC ID: 7810394343
Enrollment ID: I20240502002299
Provider NameBahaa Ali Elzein
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689294100
PECOS PAC ID: 4981025780
Enrollment ID: I20240509001068
Provider NameChao Guo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043606486
PECOS PAC ID: 8628328960
Enrollment ID: I20240523001396
Provider NameIngrid Tanubrata
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659394542
PECOS PAC ID: 8820098726
Enrollment ID: I20240523002815
Provider NameMaira Malik
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841827805
PECOS PAC ID: 1658713490
Enrollment ID: I20240524002874

Reviews and Comments


Hospitalist in Oak Ridge, TN

Medexpress - Ornl Oak Ridge
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1 Bethel Valley Rd, Oak Ridge, TN 37830
Phone: 865-574-9355    Fax: 865-574-9353
Kimber A. Jones, Do, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 22 Rockingham Ln, Oak Ridge, TN 37830
Phone: 865-386-4887    
Oak Ridge Gastroenterology Associates, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 988 Oak Ridge Tpke, Suite 200, Physicians Plaza, Oak Ridge, TN 37830
Phone: 865-483-4366    Fax: 865-483-5957
Tlc Laser Eye Centers Knoxville
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 90 Vermont Ave, Oak Ridge, TN 37830
Phone: 423-282-0002    
Summit Medical Group Of Oak Ridge
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 850 Briarcliff Ave, Oak Ridge, TN 37830
Phone: 865-483-3172    Fax: 833-908-2163
Munsey Enterprises Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 106 Administration Rd, Oak Ridge, TN 37830
Phone: 865-483-8429    Fax: 865-483-7070

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.