| Ch Specialty Services In Llc | |
|
315 Country Club Rd Corydon IN 47112-1751 | |
| (337) 408-0797 | |
| Not Available |
| Full Name | Ch Specialty Services In Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 315 Country Club Rd, Corydon, Indiana |
| Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ch Specialty Services In Llc 5750 Johnston St Ste 205 Lafayette LA 70503-5345 Ph: (337) 408-0797 | Ch Specialty Services In Llc 315 Country Club Rd Corydon IN 47112-1751 Ph: (337) 408-0797 |
| NPI Number | 1497458731 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 03/21/2025 |
| Medicare PECOS PAC ID | 7810354636 |
|---|---|
| Medicare Enrollment ID | O20230608002772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497458731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ajit Dhakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649558024 PECOS PAC ID: 9638394026 Enrollment ID: I20140626001622 |
| Provider Name | Vlastimil Smetka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497974273 PECOS PAC ID: 1658424825 Enrollment ID: I20230523000850 |
| Provider Name | Brian Whyms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821440066 PECOS PAC ID: 2365736378 Enrollment ID: I20240417004187 |
| Provider Name | Amanda Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477942092 PECOS PAC ID: 9638494537 Enrollment ID: I20240427001834 |
| Provider Name | Ruth Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295392421 PECOS PAC ID: 3779818737 Enrollment ID: I20240703000300 |
| Provider Name | Audrianna Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20240913002050 |
| Provider Name | Michael C Lysek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265968853 PECOS PAC ID: 3173874823 Enrollment ID: I20240919003396 |
| Provider Name | Kaitlynn Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124772546 PECOS PAC ID: 5890182901 Enrollment ID: I20241115001784 |
| Provider Name | Courtney Jack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336740620 PECOS PAC ID: 8820403249 Enrollment ID: I20241211002201 |
| Provider Name | Chante Campbell-nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868738 PECOS PAC ID: 7416361126 Enrollment ID: I20241211002999 |
| Provider Name | Bridget Nore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306508262 PECOS PAC ID: 8426447988 Enrollment ID: I20241220001368 |
| Provider Name | Krista Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780203075 PECOS PAC ID: 7315343571 Enrollment ID: I20241227002207 |
| Provider Name | Angela Clater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104199215 PECOS PAC ID: 0749472348 Enrollment ID: I20250110001299 |
Chest Medicine Associates Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Federal Dr Nw, Suite 10, Corydon, IN 47112 Phone: 502-459-9127 Fax: 502-459-2956 | |
Baptist Health Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Federal Dr Nw Ste 130, Corydon, IN 47112 Phone: 812-734-3952 Fax: 812-734-3953 | |
Fmmg Harrison Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Federal Dr Nw, Suite 200, Corydon, IN 47112 Phone: 812-738-4155 Fax: 812-738-6104 | |
Harrison County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1141 Hospital Drive Nw, Corydon, IN 47112 Phone: 812-738-7865 Fax: 812-738-7833 | |
Harrison County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1263 Hospital Dr, Suite 210, Corydon, IN 47112 Phone: 812-738-3100 Fax: 812-738-3107 | |
Harrison County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1263 Hospital Dr Nw Ste 200, Corydon, IN 47112 Phone: 812-734-3899 Fax: 812-734-3897 |