| Advanced Gastro | |
|
1109 E Reelfoot Ave Suite C Union City TN 38261-5856 | |
| (731) 884-0600 | |
| (731) 885-6171 |
| Full Name | Advanced Gastro |
|---|---|
| Speciality | Internal Medicine |
| Location | 1109 E Reelfoot Ave, Union City, Tennessee |
| Authorized Official Name and Position | Hayley Maree Summers (PRACTICE MANAGER) |
| Authorized Official Contact | 7318840600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gastro 1109 E Reelfoot Ave Suite C Union City TN 38261-5856 Ph: (731) 884-0600 | Advanced Gastro 1109 E Reelfoot Ave Suite C Union City TN 38261-5856 Ph: (731) 884-0600 |
| NPI Number | 1245276765 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 03/13/2018 |
| Medicare PECOS PAC ID | 0446143374 |
|---|---|
| Medicare Enrollment ID | O20040205000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245276765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD31272 (Tennessee) | Primary |
| Provider Name | Kofi W Nuako |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104813153 PECOS PAC ID: 9436042371 Enrollment ID: I20040212000700 |
| Provider Name | Laura W Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710974761 PECOS PAC ID: 8022057538 Enrollment ID: I20050425001093 |
| Provider Name | Amy M Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598746372 PECOS PAC ID: 1557303849 Enrollment ID: I20050526000394 |
| Provider Name | Gustavo a Alvarez Paiva |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154447993 PECOS PAC ID: 2365515723 Enrollment ID: I20080717000390 |
| Provider Name | Nikhil R Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104897032 PECOS PAC ID: 0244423218 Enrollment ID: I20120316000176 |
| Provider Name | Joyce a Addo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871881920 PECOS PAC ID: 1355764705 Enrollment ID: I20200702000667 |
Philip A. Sherman, M.D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 E Reelfoot Ave, Suite 103, Union City, TN 38261 Phone: 731-886-1252 Fax: 731-886-1261 |
Stephanie R. Wilder Pa-c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 E Florida Ave, Union City, TN 38261 Phone: 731-599-0261 Fax: 986-786-5149 |
Union City Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 Edwards St, Union City, TN 38261 Phone: 731-884-8800 Fax: 731-884-0240 |
Doctors' Clinic of Union City, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Reelfoot Ave, Union City, TN 38261 Phone: 731-885-5131 Fax: 731-885-5335 |
Grover F Schleifer III MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 E. Reelfoot Ave., Ste 103, Union City, TN 38261 Phone: 731-886-1240 Fax: 731-886-1234 |
Premier Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 702 Sherrill St Ste B, Union City, TN 38261 Phone: 731-885-8884 |