| Tennessee Oncology Pllc | |
|
2004 Hayes St Ste 800 Nashville TN 37203-2659 | |
| (615) 329-0570 | |
| Not Available |
| Full Name | Tennessee Oncology Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2004 Hayes St Ste 800, Nashville, Tennessee |
| Authorized Official Name and Position | Pattie Douglas (PAYER RELATIONS MANAGER) |
| Authorized Official Contact | 6155143042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Oncology Pllc Po Box 440100 Nashville TN 37244-0100 Ph: (615) 986-4102 | Tennessee Oncology Pllc 2004 Hayes St Ste 800 Nashville TN 37203-2659 Ph: (615) 329-0570 |
| NPI Number | 1811955917 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 4688586134 |
|---|---|
| Medicare Enrollment ID | O20031103000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811955917 | NPI | - | NPPES |
| 3709319 | Medicaid | TN |
| Provider Name | John P Moyers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326023789 PECOS PAC ID: 9638083595 Enrollment ID: I20031114000410 |
| Provider Name | Sara L Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871684423 PECOS PAC ID: 6103730965 Enrollment ID: I20031117000102 |
| Provider Name | Steven D Tishler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366429151 PECOS PAC ID: 9436063039 Enrollment ID: I20031118000414 |
| Provider Name | Michelle C Luschen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407830102 PECOS PAC ID: 2365346079 Enrollment ID: I20031124000753 |
| Provider Name | Mark P Freeman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912982513 PECOS PAC ID: 5294639894 Enrollment ID: I20031125000399 |
| Provider Name | Stuart C Spigel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801826185 PECOS PAC ID: 0648178343 Enrollment ID: I20031219000307 |
| Provider Name | Gregory L Lassiter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912984758 PECOS PAC ID: 1759281322 Enrollment ID: I20040110000077 |
| Provider Name | Jack R Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699752493 PECOS PAC ID: 0446150577 Enrollment ID: I20040113000520 |
| Provider Name | Brian L Berger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396721106 PECOS PAC ID: 4981590312 Enrollment ID: I20040224000396 |
| Provider Name | Scott D Gray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396729091 PECOS PAC ID: 2062308216 Enrollment ID: I20040224001259 |
| Provider Name | Christopher C Ng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013991850 PECOS PAC ID: 4284520271 Enrollment ID: I20040226000084 |
| Provider Name | Kurt V Berger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487638185 PECOS PAC ID: 0143212647 Enrollment ID: I20040402000718 |
| Provider Name | Julie A Means |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982703328 PECOS PAC ID: 5698769024 Enrollment ID: I20040409000200 |
| Provider Name | Brad R Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366510794 PECOS PAC ID: 3375533235 Enrollment ID: I20040513001175 |
| Provider Name | James R Gray |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841219938 PECOS PAC ID: 7113908534 Enrollment ID: I20040601000181 |
| Provider Name | Laura J Blakely |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265464499 PECOS PAC ID: 7315921343 Enrollment ID: I20040616000838 |
| Provider Name | Charles D Wendt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144274416 PECOS PAC ID: 9537145537 Enrollment ID: I20040629001163 |
| Provider Name | My Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043326127 PECOS PAC ID: 5294713459 Enrollment ID: I20040713000775 |
| Provider Name | Patricia A Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306930524 PECOS PAC ID: 2264402437 Enrollment ID: I20040727000936 |
| Provider Name | Julian C Heitz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437133139 PECOS PAC ID: 6901876960 Enrollment ID: I20040727001611 |
| Provider Name | Patrick Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245449982 PECOS PAC ID: 6103894696 Enrollment ID: I20040922000690 |
| Provider Name | Colin B Meyerowitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073557831 PECOS PAC ID: 9739157090 Enrollment ID: I20040923000818 |
| Provider Name | Jia Bi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174556492 PECOS PAC ID: 1759341811 Enrollment ID: I20041013000487 |
| Provider Name | William C Penley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194743914 PECOS PAC ID: 6305806480 Enrollment ID: I20041013000631 |
| Provider Name | Patrick B Murphy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487672291 PECOS PAC ID: 2365402468 Enrollment ID: I20041013000767 |
| Provider Name | Mainuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790739688 PECOS PAC ID: 6507826336 Enrollment ID: I20041015000085 |
| Provider Name | Ruth E Lamar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578597704 PECOS PAC ID: 7214998764 Enrollment ID: I20041019000971 |
| Provider Name | Ellis L Goodin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790762219 PECOS PAC ID: 9537121884 Enrollment ID: I20041029000626 |
| Provider Name | Nancy W Peacock |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194751354 PECOS PAC ID: 6608831623 Enrollment ID: I20041201000293 |
| Provider Name | Kartik Boorgu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689616294 PECOS PAC ID: 2668421512 Enrollment ID: I20050217000929 |
| Provider Name | Scott A Montesi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134103831 PECOS PAC ID: 0143282012 Enrollment ID: I20050222000651 |
| Provider Name | Hemalatha S Gokhale |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1942284658 PECOS PAC ID: 2466408976 Enrollment ID: I20050329000067 |
| Provider Name | Erin S Fennell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982674958 PECOS PAC ID: 7214970581 Enrollment ID: I20050607001237 |
| Provider Name | Brian K Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982642716 PECOS PAC ID: 2769449404 Enrollment ID: I20050621000548 |
| Provider Name | James D Massie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689617433 PECOS PAC ID: 7012953037 Enrollment ID: I20050629001307 |
| Provider Name | Brooke R Daniel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326096231 PECOS PAC ID: 0547298937 Enrollment ID: I20050727000755 |
| Provider Name | Mary W Darden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144209495 PECOS PAC ID: 5496783698 Enrollment ID: I20050729000162 |
| Provider Name | Davey B Daniel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942258751 PECOS PAC ID: 2961432125 Enrollment ID: I20050817000375 |
| Provider Name | Kenneth E Hawkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245325422 PECOS PAC ID: 4587640503 Enrollment ID: I20050928001251 |
| Provider Name | Charles V Depriest |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104911387 PECOS PAC ID: 5193740074 Enrollment ID: I20051010000839 |
| Provider Name | Larry Schlabach |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386609394 PECOS PAC ID: 9830093822 Enrollment ID: I20051031000863 |
| Provider Name | James R Meadows |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1295783561 PECOS PAC ID: 2365462223 Enrollment ID: I20051207000089 |
| Provider Name | Stephen Golder |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154434264 PECOS PAC ID: 3678581766 Enrollment ID: I20060331000137 |
| Provider Name | Ian W Flinn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417990367 PECOS PAC ID: 5092725465 Enrollment ID: I20060428000518 |
| Provider Name | John D Zubkus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518919000 PECOS PAC ID: 6507877933 Enrollment ID: I20060519000060 |
| Provider Name | Cynthia Adair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881636348 PECOS PAC ID: 8729090782 Enrollment ID: I20060613000123 |
| Provider Name | William Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871548818 PECOS PAC ID: 8527043850 Enrollment ID: I20060629000077 |
| Provider Name | James D Peyton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881646073 PECOS PAC ID: 0941212328 Enrollment ID: I20060629000304 |
| Provider Name | James M Stafford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790730448 PECOS PAC ID: 5597794685 Enrollment ID: I20061004000312 |
| Provider Name | Alan W Horn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396707923 PECOS PAC ID: 9234160631 Enrollment ID: I20061017000311 |
| Provider Name | Julie A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730107392 PECOS PAC ID: 2466450192 Enrollment ID: I20061113000440 |
| Provider Name | Jonas V Sidrys |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124068275 PECOS PAC ID: 1557320959 Enrollment ID: I20061222000107 |
| Provider Name | Kent C Shih |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619075207 PECOS PAC ID: 0547261570 Enrollment ID: I20070118000143 |
| Provider Name | Bunyan S Dudley |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1609878586 PECOS PAC ID: 8729180807 Enrollment ID: I20070220000296 |
| Provider Name | Jeffrey R Infante |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396848271 PECOS PAC ID: 4385748375 Enrollment ID: I20070330000594 |
| Provider Name | Laura T Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174687636 PECOS PAC ID: 9234234402 Enrollment ID: I20070417000253 |
| Provider Name | Patrick L Brien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417091257 PECOS PAC ID: 6608975297 Enrollment ID: I20070622000474 |
| Provider Name | Derek W Holland |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487603817 PECOS PAC ID: 4183715337 Enrollment ID: I20070802000422 |
| Provider Name | Jessica Fay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477681534 PECOS PAC ID: 4284725193 Enrollment ID: I20070810000678 |
| Provider Name | Gregory D Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972549533 PECOS PAC ID: 1658463633 Enrollment ID: I20070822000769 |
| Provider Name | Kelly B Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902939655 PECOS PAC ID: 5597858936 Enrollment ID: I20070830000631 |
| Provider Name | Lisa Forte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982771226 PECOS PAC ID: 4284727918 Enrollment ID: I20070911000332 |
| Provider Name | Marcie T Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679779771 PECOS PAC ID: 9133216112 Enrollment ID: I20071108000157 |
| Provider Name | Christina L Macmurdo-france |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114001229 PECOS PAC ID: 1254429764 Enrollment ID: I20071116000581 |
| Provider Name | Brynda Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124188479 PECOS PAC ID: 7618058819 Enrollment ID: I20080114000551 |
| Provider Name | Robert Todd Mcclure |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750309845 PECOS PAC ID: 6800978891 Enrollment ID: I20080130000104 |
| Provider Name | Paul A Rosenblatt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003905969 PECOS PAC ID: 4981786977 Enrollment ID: I20080130000113 |
| Provider Name | Walter E Wojcicki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639113509 PECOS PAC ID: 4880656313 Enrollment ID: I20080130000402 |
| Provider Name | Amy Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215966544 PECOS PAC ID: 4981786845 Enrollment ID: I20080130000713 |
| Provider Name | Thomas Hunter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285797811 PECOS PAC ID: 8123101664 Enrollment ID: I20080207000189 |
| Provider Name | Dana L Demoss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346241130 PECOS PAC ID: 2264516954 Enrollment ID: I20080219000506 |
| Provider Name | Sylvia L Krueger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437152691 PECOS PAC ID: 7113001306 Enrollment ID: I20080227000035 |
| Provider Name | Jesus G Berdeja |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902842412 PECOS PAC ID: 2466469655 Enrollment ID: I20080304000809 |
| Provider Name | Johanna Chock Bendell |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083703540 PECOS PAC ID: 8527010362 Enrollment ID: I20080422000233 |
| Provider Name | Beata Panzegrau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851478747 PECOS PAC ID: 5496857880 Enrollment ID: I20080604000173 |
| Provider Name | Benjamin D Griffin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376756742 PECOS PAC ID: 8325119027 Enrollment ID: I20080624000713 |
| Provider Name | Lee H Rogers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720286487 PECOS PAC ID: 1456443787 Enrollment ID: I20080702000453 |
| Provider Name | Mathew Joseph |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922280692 PECOS PAC ID: 7719050343 Enrollment ID: I20080715000817 |
| Provider Name | Holly Bushart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881855690 PECOS PAC ID: 6800969841 Enrollment ID: I20080723000747 |
| Provider Name | Gregg Shepard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023205531 PECOS PAC ID: 3476627811 Enrollment ID: I20080804000447 |
| Provider Name | Amy J Ottman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134371701 PECOS PAC ID: 8527129741 Enrollment ID: I20081206000056 |
| Provider Name | Alia M Nunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447403530 PECOS PAC ID: 6901968312 Enrollment ID: I20090102000407 |
| Provider Name | Clarence E Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972650851 PECOS PAC ID: 4183775083 Enrollment ID: I20090707000265 |
| Provider Name | Michael B Hemphill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902812571 PECOS PAC ID: 1456378173 Enrollment ID: I20090707000443 |
| Provider Name | Jason L Shipman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306993282 PECOS PAC ID: 6901959402 Enrollment ID: I20090731000082 |
| Provider Name | Maureen S Sanger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407050180 PECOS PAC ID: 7911050927 Enrollment ID: I20090807000458 |
| Provider Name | Harsha Vardhana |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285823658 PECOS PAC ID: 4284788779 Enrollment ID: I20090818000615 |
| Provider Name | Edward R Arrowsmith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780632687 PECOS PAC ID: 9436221355 Enrollment ID: I20091230000420 |
| Provider Name | Darrell R Johnson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285682179 PECOS PAC ID: 0446322366 Enrollment ID: I20091230000549 |
| Provider Name | Arthur C Collie |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467442210 PECOS PAC ID: 3476561747 Enrollment ID: I20100125000341 |
| Provider Name | Edward K Barnes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770538738 PECOS PAC ID: 3971691486 Enrollment ID: I20100208000387 |
| Provider Name | Habib H Doss |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174565543 PECOS PAC ID: 8921196320 Enrollment ID: I20100209000352 |
| Provider Name | Frank A Greco |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1497791602 PECOS PAC ID: 3375631773 Enrollment ID: I20100216000062 |
| Provider Name | Anthony A Meluch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679521090 PECOS PAC ID: 4082702485 Enrollment ID: I20100217000347 |
| Provider Name | Denise A Yardley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801829114 PECOS PAC ID: 8123116498 Enrollment ID: I20100219000068 |
| Provider Name | David R Spigel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427074210 PECOS PAC ID: 3678661949 Enrollment ID: I20100219000095 |
| Provider Name | Howard A Burris |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417992397 PECOS PAC ID: 7719075225 Enrollment ID: I20100219000108 |
| Provider Name | William Liggett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336230424 PECOS PAC ID: 3274621677 Enrollment ID: I20100222000484 |
| Provider Name | Michel Kuzur |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083659163 PECOS PAC ID: 8820186224 Enrollment ID: I20100222000498 |
| Provider Name | Jessica Purdom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932430394 PECOS PAC ID: 1456496355 Enrollment ID: I20100303000552 |
| Provider Name | Dana S Thompson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306862669 PECOS PAC ID: 4587752852 Enrollment ID: I20100324000093 |
| Provider Name | Mitchell A Toomey |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326071614 PECOS PAC ID: 7214025584 Enrollment ID: I20100324000120 |
| Provider Name | Rohit R Patel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730115981 PECOS PAC ID: 5496843757 Enrollment ID: I20100324000133 |
| Provider Name | Lester L Porter |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1508890286 PECOS PAC ID: 9032207394 Enrollment ID: I20100324000152 |
| Provider Name | Victor G Gian |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1205878402 PECOS PAC ID: 0749378149 Enrollment ID: I20100526000159 |
| Provider Name | Mark G Mainwaring |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740216985 PECOS PAC ID: 1456449859 Enrollment ID: I20100628000790 |
| Provider Name | Eric R Ellis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477528644 PECOS PAC ID: 8527010867 Enrollment ID: I20100630000364 |
| Provider Name | Jack W Erter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821145624 PECOS PAC ID: 7618009309 Enrollment ID: I20100715000520 |
| Provider Name | Bertrand M Anz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205996014 PECOS PAC ID: 2163555301 Enrollment ID: I20100809000551 |
| Provider Name | Natalie R Dickson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700839263 PECOS PAC ID: 6103914502 Enrollment ID: I20100830001086 |
| Provider Name | Jeffrey F Patton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801820519 PECOS PAC ID: 6800984311 Enrollment ID: I20100921000656 |
| Provider Name | Dianna L Shipley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700810371 PECOS PAC ID: 1850489113 Enrollment ID: I20101011000992 |
| Provider Name | Amanda J Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811215874 PECOS PAC ID: 0143416081 Enrollment ID: I20101118000314 |
| Provider Name | Laura Mcclure Barnes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629094438 PECOS PAC ID: 4789871468 Enrollment ID: I20101207000731 |
| Provider Name | Jeffrey William Gefter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023093168 PECOS PAC ID: 9830386226 Enrollment ID: I20101210000721 |
| Provider Name | Kathryn L Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417040098 PECOS PAC ID: 5890983993 Enrollment ID: I20101215001039 |
| Provider Name | Deborah Skojac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679667877 PECOS PAC ID: 5496943359 Enrollment ID: I20101220001059 |
| Provider Name | Susan M Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366525388 PECOS PAC ID: 5496944589 Enrollment ID: I20110105000267 |
| Provider Name | Jennifer E Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912231143 PECOS PAC ID: 1052500394 Enrollment ID: I20110118000861 |
| Provider Name | Jayme F Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861794943 PECOS PAC ID: 6507049103 Enrollment ID: I20110318000690 |
| Provider Name | Mark H Messenger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568455517 PECOS PAC ID: 2264615871 Enrollment ID: I20110318000786 |
| Provider Name | Douglas W Kingma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003871815 PECOS PAC ID: 3072579275 Enrollment ID: I20110531000673 |
| Provider Name | Yanjum Ma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598973273 PECOS PAC ID: 7618151689 Enrollment ID: I20110715000415 |
| Provider Name | Mark S Womack |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689887788 PECOS PAC ID: 8729130208 Enrollment ID: I20110727000753 |
| Provider Name | Candyce Poteet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609155761 PECOS PAC ID: 9638341167 Enrollment ID: I20111005000784 |
| Provider Name | Amy Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003907049 PECOS PAC ID: 0345412367 Enrollment ID: I20111017000092 |
| Provider Name | Yvette L Parsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801168489 PECOS PAC ID: 7012176696 Enrollment ID: I20120319000234 |
| Provider Name | Maria J Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629337688 PECOS PAC ID: 0840454567 Enrollment ID: I20120608000529 |
| Provider Name | Amanda G Vantrease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619240413 PECOS PAC ID: 9537323035 Enrollment ID: I20120613000555 |
| Provider Name | Anne L Reviere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770891269 PECOS PAC ID: 7810175544 Enrollment ID: I20120620000322 |
| Provider Name | Robert Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750410452 PECOS PAC ID: 8527223924 Enrollment ID: I20120710000754 |
| Provider Name | Todd M Bauer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336296136 PECOS PAC ID: 9032375027 Enrollment ID: I20120718000924 |
| Provider Name | An L Tran |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366637563 PECOS PAC ID: 3870771272 Enrollment ID: I20120725000694 |
| Provider Name | Marcus M Wagner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770780686 PECOS PAC ID: 2769648302 Enrollment ID: I20120725000734 |
| Provider Name | Olaide I Ajayi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952590705 PECOS PAC ID: 7911082961 Enrollment ID: I20120807000356 |
| Provider Name | Robert M Graham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306068135 PECOS PAC ID: 9830355221 Enrollment ID: I20120813000475 |
| Provider Name | Benjamin R Nadeau |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457563728 PECOS PAC ID: 0941325351 Enrollment ID: I20120824000465 |
| Provider Name | John A Fortney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215026372 PECOS PAC ID: 9234260365 Enrollment ID: I20120924000419 |
| Provider Name | Thomas P Stricker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134494784 PECOS PAC ID: 3779734363 Enrollment ID: I20121107000512 |
| Provider Name | Michael A Stipanov |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255384616 PECOS PAC ID: 3971675893 Enrollment ID: I20130117000355 |
| Provider Name | Erika P Hamilton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902007107 PECOS PAC ID: 4880881101 Enrollment ID: I20130724000281 |
| Provider Name | Clint D Kingsley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053348037 PECOS PAC ID: 5193766491 Enrollment ID: I20131101001613 |
| Provider Name | Darren Eugene Mullins |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134189814 PECOS PAC ID: 7214998590 Enrollment ID: I20140204000256 |
| Provider Name | Megan P Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083986426 PECOS PAC ID: 7810148186 Enrollment ID: I20140308000331 |
| Provider Name | Casey C Lipscomb |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861609331 PECOS PAC ID: 9638349954 Enrollment ID: I20140318000993 |
| Provider Name | Sharon B Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346470929 PECOS PAC ID: 7911059597 Enrollment ID: I20140324000763 |
| Provider Name | Anna E Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760807721 PECOS PAC ID: 6305079807 Enrollment ID: I20140508000553 |
| Provider Name | Melissa D Rikal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417373267 PECOS PAC ID: 4486878402 Enrollment ID: I20140613001197 |
| Provider Name | April S Gatlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407266919 PECOS PAC ID: 7012132608 Enrollment ID: I20140716001032 |
| Provider Name | Jonathan Whaley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669616132 PECOS PAC ID: 8527285279 Enrollment ID: I20140804002249 |
| Provider Name | William B Donnellan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396906657 PECOS PAC ID: 0749444164 Enrollment ID: I20140813002413 |
| Provider Name | Amy B Riemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205132347 PECOS PAC ID: 0749459576 Enrollment ID: I20140930001979 |
| Provider Name | Jill R Tichy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912103425 PECOS PAC ID: 7113042524 Enrollment ID: I20141002001996 |
| Provider Name | Johann C Brandes |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528105616 PECOS PAC ID: 8527155324 Enrollment ID: I20141210001625 |
| Provider Name | Andrea B Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154728467 PECOS PAC ID: 6002133865 Enrollment ID: I20150317000196 |
| Provider Name | Melissa L Johnson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1821269465 PECOS PAC ID: 9133315245 Enrollment ID: I20150325001433 |
| Provider Name | Chirag J Amin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093830176 PECOS PAC ID: 7315011343 Enrollment ID: I20150330001187 |
| Provider Name | Casey M Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013300045 PECOS PAC ID: 6800116559 Enrollment ID: I20150520000141 |
| Provider Name | Gregory Sutton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255575270 PECOS PAC ID: 7517103211 Enrollment ID: I20150625000650 |
| Provider Name | Sumana Nagireddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619107414 PECOS PAC ID: 8426372491 Enrollment ID: I20150720002189 |
| Provider Name | Tiffani A Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861883639 PECOS PAC ID: 0042528333 Enrollment ID: I20151006003275 |
| Provider Name | Jeremy Scott Mcduffie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811158942 PECOS PAC ID: 3971726753 Enrollment ID: I20151027001540 |
| Provider Name | Lauren Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295104933 PECOS PAC ID: 3274842505 Enrollment ID: I20151027001647 |
| Provider Name | Gretchen L Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114303773 PECOS PAC ID: 3476863135 Enrollment ID: I20151109001356 |
| Provider Name | Ellen K Ehleben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508243718 PECOS PAC ID: 5698085058 Enrollment ID: I20151116000350 |
| Provider Name | Michael T Byrne |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1316112634 PECOS PAC ID: 4587788534 Enrollment ID: I20151214000204 |
| Provider Name | British Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396102521 PECOS PAC ID: 9133425606 Enrollment ID: I20160309001024 |
| Provider Name | Sarah Deline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801254925 PECOS PAC ID: 3476859505 Enrollment ID: I20160315002513 |
| Provider Name | Alpa M Nick |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265589139 PECOS PAC ID: 0840340097 Enrollment ID: I20160321000997 |
| Provider Name | Lesley C Ballance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033570015 PECOS PAC ID: 2961701503 Enrollment ID: I20160503000502 |
| Provider Name | Meghan E Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104155332 PECOS PAC ID: 8426347048 Enrollment ID: I20160519002304 |
| Provider Name | Catherine Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548621824 PECOS PAC ID: 5991095101 Enrollment ID: I20160531001918 |
| Provider Name | Cathy J Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831421312 PECOS PAC ID: 6103117908 Enrollment ID: I20160627000944 |
| Provider Name | Erin Nicole Shoates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962880294 PECOS PAC ID: 2769773498 Enrollment ID: I20160817003003 |
| Provider Name | Christopher A Waynick |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780819375 PECOS PAC ID: 8325334295 Enrollment ID: I20160901002365 |
| Provider Name | Jessica G Fosbinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962891549 PECOS PAC ID: 1759679079 Enrollment ID: I20161019000880 |
| Provider Name | Katie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679022545 PECOS PAC ID: 6103105143 Enrollment ID: I20161116000890 |
| Provider Name | Audrey Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790870194 PECOS PAC ID: 2769448232 Enrollment ID: I20170113001397 |
| Provider Name | Amy D Latham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225498090 PECOS PAC ID: 5395042295 Enrollment ID: I20170327001361 |
| Provider Name | Ashley Wyse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043757289 PECOS PAC ID: 7911283478 Enrollment ID: I20170417002000 |
| Provider Name | Shari Lee Beauregard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518267533 PECOS PAC ID: 5597946913 Enrollment ID: I20170524000958 |
| Provider Name | Alexis June Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770010456 PECOS PAC ID: 8224307459 Enrollment ID: I20170703001084 |
| Provider Name | Eleanor M Osborne |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154687499 PECOS PAC ID: 3274804737 Enrollment ID: I20170802002790 |
| Provider Name | Rachel L Mitchell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992091995 PECOS PAC ID: 6800192030 Enrollment ID: I20170809002036 |
| Provider Name | Varun C Dhulipala |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1902196165 PECOS PAC ID: 1254578800 Enrollment ID: I20170922001174 |
| Provider Name | Mary A Grizzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821509266 PECOS PAC ID: 3274899745 Enrollment ID: I20171116000957 |
| Provider Name | Nnamdi I Eze |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033370986 PECOS PAC ID: 5890967848 Enrollment ID: I20171120002081 |
| Provider Name | Ryan M Carr |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942594932 PECOS PAC ID: 9830331685 Enrollment ID: I20171130000067 |
| Provider Name | Romany Anne Nilanthi Johnpulle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962632968 PECOS PAC ID: 0941466288 Enrollment ID: I20171214000393 |
| Provider Name | Maikel E Botros |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164712394 PECOS PAC ID: 5193044055 Enrollment ID: I20180411001204 |
| Provider Name | Maribeth Hamrick Bosshardt |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1063738219 PECOS PAC ID: 6901023100 Enrollment ID: I20180605001161 |
| Provider Name | Amanda Brooke Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083133524 PECOS PAC ID: 3971858192 Enrollment ID: I20180612002005 |
| Provider Name | Kyle L Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356844518 PECOS PAC ID: 3476808163 Enrollment ID: I20180620003462 |
| Provider Name | Kelsey P Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619478559 PECOS PAC ID: 0547515967 Enrollment ID: I20180626000703 |
| Provider Name | Lori A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477938934 PECOS PAC ID: 2163731019 Enrollment ID: I20180626001554 |
| Provider Name | Joseph Merriman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669714226 PECOS PAC ID: 8022238161 Enrollment ID: I20180725003607 |
| Provider Name | Tammy Kay Easterly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649768805 PECOS PAC ID: 6103174917 Enrollment ID: I20180809004727 |
| Provider Name | Addi Lauren Quattlebaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699264440 PECOS PAC ID: 3476802125 Enrollment ID: I20180814002366 |
| Provider Name | Saurin Akshay Chokshi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043576952 PECOS PAC ID: 9739492760 Enrollment ID: I20180825000091 |
| Provider Name | Stephen Matthew Schleicher |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336433549 PECOS PAC ID: 4486894904 Enrollment ID: I20180907001504 |
| Provider Name | He James Zhu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316389182 PECOS PAC ID: 3173741733 Enrollment ID: I20180907002287 |
| Provider Name | Samuel Fairbrother |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346530284 PECOS PAC ID: 7911277926 Enrollment ID: I20180917000574 |
| Provider Name | Janell Marie Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710236039 PECOS PAC ID: 9436307659 Enrollment ID: I20180918002165 |
| Provider Name | Meredith Ann Mckean |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437425659 PECOS PAC ID: 5991930745 Enrollment ID: I20180925000596 |
| Provider Name | Elizabeth Jean Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982123162 PECOS PAC ID: 0042561300 Enrollment ID: I20180925003904 |
| Provider Name | Gregory A Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962980169 PECOS PAC ID: 9032461728 Enrollment ID: I20181008002025 |
| Provider Name | Sarah Kristen Purcell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104344043 PECOS PAC ID: 9638422470 Enrollment ID: I20181025000852 |
| Provider Name | Chassity S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952889859 PECOS PAC ID: 5698029411 Enrollment ID: I20181114002326 |
| Provider Name | Ryan Kim Cleary |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609210269 PECOS PAC ID: 7618279522 Enrollment ID: I20181128001501 |
| Provider Name | Nataly M Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386110542 PECOS PAC ID: 3779827548 Enrollment ID: I20181205001019 |
| Provider Name | Kelly Gayler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710453436 PECOS PAC ID: 1254678964 Enrollment ID: I20190201002208 |
| Provider Name | Deborah Irene Portela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255808770 PECOS PAC ID: 5496093387 Enrollment ID: I20190219003178 |
| Provider Name | Walter Matthew Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083191191 PECOS PAC ID: 4981942729 Enrollment ID: I20190220002544 |
| Provider Name | Sloan Marie Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841705944 PECOS PAC ID: 6103165915 Enrollment ID: I20190221002819 |
| Provider Name | Lauren P Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851879506 PECOS PAC ID: 8729329974 Enrollment ID: I20190416002041 |
| Provider Name | Tina Michelle Carden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215490230 PECOS PAC ID: 1759624042 Enrollment ID: I20190530002158 |
| Provider Name | Sabin Michelle Von Almen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558822320 PECOS PAC ID: 4981937026 Enrollment ID: I20190605001358 |
| Provider Name | Kelsey Lavon Maduell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336602150 PECOS PAC ID: 1850624487 Enrollment ID: I20190612003903 |
| Provider Name | Lauren Verity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467913095 PECOS PAC ID: 3274868732 Enrollment ID: I20190706000150 |
| Provider Name | Amelia Catherine Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760047534 PECOS PAC ID: 8123354628 Enrollment ID: I20190722001639 |
| Provider Name | Jonathan Freese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194381186 PECOS PAC ID: 8820324890 Enrollment ID: I20190729002643 |
| Provider Name | Ashlin Rae Charboneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114571536 PECOS PAC ID: 7113256983 Enrollment ID: I20190904003287 |
| Provider Name | Mark Sittig |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275951519 PECOS PAC ID: 0446589584 Enrollment ID: I20190914000197 |
| Provider Name | Jeffrey Matthew Friedman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235427220 PECOS PAC ID: 7517260516 Enrollment ID: I20190917002046 |
| Provider Name | Tamjeed Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235420316 PECOS PAC ID: 5698098200 Enrollment ID: I20190920002889 |
| Provider Name | Ryan Thomas Jones |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326467564 PECOS PAC ID: 3870892169 Enrollment ID: I20191014002937 |
| Provider Name | Susanna Awoyode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578917811 PECOS PAC ID: 1658603881 Enrollment ID: I20191021002824 |
| Provider Name | Sarah Ann Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356867501 PECOS PAC ID: 9335405513 Enrollment ID: I20191029003374 |
| Provider Name | Tiffany Marie Balin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033657218 PECOS PAC ID: 8729363874 Enrollment ID: I20191210003587 |
| Provider Name | Christine Massell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467095109 PECOS PAC ID: 3072948421 Enrollment ID: I20200114001029 |
| Provider Name | Patrick A Williams |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164828869 PECOS PAC ID: 6709133085 Enrollment ID: I20200123002385 |
| Provider Name | Richard Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104260272 PECOS PAC ID: 9234354697 Enrollment ID: I20200130000956 |
| Provider Name | Kathryn H Estopinal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194275560 PECOS PAC ID: 8527349554 Enrollment ID: I20200306001947 |
| Provider Name | Joshua Mondschein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124239421 PECOS PAC ID: 5395994586 Enrollment ID: I20200324001574 |
| Provider Name | Sarah Whitten Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215560438 PECOS PAC ID: 7416386743 Enrollment ID: I20200407002090 |
| Provider Name | Nitesh Rana |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205270428 PECOS PAC ID: 6103128020 Enrollment ID: I20200519001779 |
| Provider Name | Sandhya Mudumbi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902249089 PECOS PAC ID: 2062655871 Enrollment ID: I20200615002319 |
| Provider Name | Stephen Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740609684 PECOS PAC ID: 5890098180 Enrollment ID: I20200701001947 |
| Provider Name | Leslie Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689298846 PECOS PAC ID: 9638592090 Enrollment ID: I20200702001107 |
| Provider Name | Roxy Gazaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487279139 PECOS PAC ID: 8224453519 Enrollment ID: I20200804000776 |
| Provider Name | Helen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982184966 PECOS PAC ID: 1850644253 Enrollment ID: I20200813003851 |
| Provider Name | Jonathan Asif Abbas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316145253 PECOS PAC ID: 8022251230 Enrollment ID: I20200929000720 |
| Provider Name | Melody Ann Fryling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548698483 PECOS PAC ID: 0345669917 Enrollment ID: I20200930003295 |
| Provider Name | Amanda Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174018857 PECOS PAC ID: 3274882816 Enrollment ID: I20201028003240 |
| Provider Name | Kaytlyn Paige Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083223580 PECOS PAC ID: 8123438645 Enrollment ID: I20201111001929 |
| Provider Name | Kayla Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265031710 PECOS PAC ID: 0840601548 Enrollment ID: I20201202000832 |
| Provider Name | Demetrios T Braddock |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720069024 PECOS PAC ID: 9234114612 Enrollment ID: I20201207002166 |
| Provider Name | Michelle Frederick Trebilcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720671274 PECOS PAC ID: 3678980547 Enrollment ID: I20210322002287 |
| Provider Name | Erin Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629658232 PECOS PAC ID: 0648689661 Enrollment ID: I20210504001163 |
| Provider Name | Kaitlin Davis Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912585134 PECOS PAC ID: 3072922657 Enrollment ID: I20210512000112 |
| Provider Name | John Gary Phillips |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154648426 PECOS PAC ID: 4486899499 Enrollment ID: I20210518000446 |
| Provider Name | Meredith Sellers Pelster |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881936334 PECOS PAC ID: 2567766587 Enrollment ID: I20210728002051 |
| Provider Name | Benjamin Garmezy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770961617 PECOS PAC ID: 2163722091 Enrollment ID: I20210729000499 |
| Provider Name | Chase Edward Escott |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659735298 PECOS PAC ID: 3173927902 Enrollment ID: I20210802001325 |
| Provider Name | Tru-khang Trong Dinh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639523863 PECOS PAC ID: 2769886241 Enrollment ID: I20210805000636 |
| Provider Name | Daniel Wakefield |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003265539 PECOS PAC ID: 1355745472 Enrollment ID: I20210811000413 |
| Provider Name | Barton Sanders |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1740667005 PECOS PAC ID: 0941521363 Enrollment ID: I20210921000117 |
| Provider Name | Mindy Hsiao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083091912 PECOS PAC ID: 7517213028 Enrollment ID: I20210921001205 |
| Provider Name | Lauren Chambers Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093480295 PECOS PAC ID: 0648677484 Enrollment ID: I20210922000630 |
| Provider Name | Jillian Mcclintock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992306609 PECOS PAC ID: 6507264272 Enrollment ID: I20211011001067 |
| Provider Name | Jenny Mink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417425257 PECOS PAC ID: 5597007864 Enrollment ID: I20211012002882 |
| Provider Name | Michelle Ann Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548931785 PECOS PAC ID: 6406254093 Enrollment ID: I20211012002985 |
| Provider Name | Emily Mcduffee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669793261 PECOS PAC ID: 7810128600 Enrollment ID: I20211108001596 |
| Provider Name | Robert Jeffrey Green |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396741377 PECOS PAC ID: 9638082951 Enrollment ID: I20211124001164 |
| Provider Name | Amber Gross Shoulders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386256592 PECOS PAC ID: 9739571944 Enrollment ID: I20220120002319 |
| Provider Name | Charlsie Deloach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578173795 PECOS PAC ID: 2163848912 Enrollment ID: I20220216001143 |
| Provider Name | Amity Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770239436 PECOS PAC ID: 1254727092 Enrollment ID: I20220405000835 |
| Provider Name | Jessica Brooke Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447990288 PECOS PAC ID: 6608253893 Enrollment ID: I20220509001382 |
| Provider Name | James Slatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699234351 PECOS PAC ID: 8820420177 Enrollment ID: I20220510000143 |
| Provider Name | Breanna Michaels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265192231 PECOS PAC ID: 6901283761 Enrollment ID: I20220517000189 |
| Provider Name | Chelsea Elliott Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952837932 PECOS PAC ID: 6406124189 Enrollment ID: I20220602001092 |
| Provider Name | Dana Marcom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861139131 PECOS PAC ID: 7012398134 Enrollment ID: I20220721000840 |
| Provider Name | Brian Bingham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952831984 PECOS PAC ID: 1557611365 Enrollment ID: I20220805002987 |
| Provider Name | David Cooper |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386172773 PECOS PAC ID: 3274883871 Enrollment ID: I20220812001654 |
| Provider Name | Taylor Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679094718 PECOS PAC ID: 3577815752 Enrollment ID: I20221118002605 |
| Provider Name | Ishita Chen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235669227 PECOS PAC ID: 1052789260 Enrollment ID: I20221118002860 |
| Provider Name | Allison Nicole Flinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730801630 PECOS PAC ID: 4688042476 Enrollment ID: I20221129001935 |
| Provider Name | Jordan Gulley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609400183 PECOS PAC ID: 4981026457 Enrollment ID: I20221213000225 |
| Provider Name | Zachary Davis Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154038149 PECOS PAC ID: 5395114045 Enrollment ID: I20221220000498 |
| Provider Name | Scott Strickler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043744477 PECOS PAC ID: 2163778549 Enrollment ID: I20221220002575 |
| Provider Name | Mandy Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619562865 PECOS PAC ID: 7810368214 Enrollment ID: I20230123001553 |
| Provider Name | Jennifer Hennick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083929541 PECOS PAC ID: 9537423843 Enrollment ID: I20230124001117 |
| Provider Name | Bailey Jo Mannis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164017521 PECOS PAC ID: 0547632259 Enrollment ID: I20230206002962 |
| Provider Name | Breanna Lee Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750853198 PECOS PAC ID: 8729326012 Enrollment ID: I20230208000697 |
| Provider Name | Melissa Lee Kincade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225738396 PECOS PAC ID: 1658745039 Enrollment ID: I20230327001050 |
| Provider Name | Stephanie Darlene Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205526563 PECOS PAC ID: 1759747272 Enrollment ID: I20230525000745 |
| Provider Name | Samyukta Mullangi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598143497 PECOS PAC ID: 3476853268 Enrollment ID: I20231009001492 |
| Provider Name | Brian Schlick |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063946945 PECOS PAC ID: 3173895653 Enrollment ID: I20231010001745 |
| Provider Name | Bradley Harrison |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821520453 PECOS PAC ID: 4385912237 Enrollment ID: I20231026001600 |
| Provider Name | Annie Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245872654 PECOS PAC ID: 5991195489 Enrollment ID: I20231030001271 |
| Provider Name | Revathi Kollipara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356879795 PECOS PAC ID: 4082984281 Enrollment ID: I20231122003157 |
| Provider Name | Rodney Dixon Dorand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215424080 PECOS PAC ID: 1254789290 Enrollment ID: I20231130002883 |
| Provider Name | Mark Winfield Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811761588 PECOS PAC ID: 4587013156 Enrollment ID: I20231207001884 |
| Provider Name | Damoun Safarpour |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023404654 PECOS PAC ID: 7012251606 Enrollment ID: I20231213001995 |
| Provider Name | Constance R Stubblefield Lydon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447588942 PECOS PAC ID: 1759425184 Enrollment ID: I20231214000774 |
| Provider Name | Jonathan David Weatherly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104698745 PECOS PAC ID: 2961853163 Enrollment ID: I20240112000458 |
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Thrive Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 25th Ave N Ste 1220, Nashville, TN 37203 Phone: 615-549-5033 | |
Nashville Therapt For Women Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Belle Forest Cir Ste A, Nashville, TN 37221 Phone: 615-516-2323 | |
Athena Consulting And Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Athens Way Ste 104, Nashville, TN 37228 Phone: 615-320-1155 Fax: 615-320-1177 | |
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