| Clarksville Physician Services PC | |
|
1141 Hospital Dr Nw Corydon IN 47112-2164 | |
| (812) 738-4251 | |
| (812) 738-4268 |
| Full Name | Clarksville Physician Services PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1141 Hospital Dr Nw, Corydon, Indiana |
| Authorized Official Name and Position | Christopher P Lipsmeyer (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Physician Services PC 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Clarksville Physician Services PC 1141 Hospital Dr Nw Corydon IN 47112-2164 Ph: (812) 738-4251 |
| NPI Number | 1811629546 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 3476937756 |
|---|---|
| Medicare Enrollment ID | O20220906001693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811629546 | NPI | - | NPPES |
| Provider Name | Thomas Radice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356327613 PECOS PAC ID: 6204828288 Enrollment ID: I20040331000639 |
| Provider Name | Annette Darlene Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063504207 PECOS PAC ID: 2860487667 Enrollment ID: I20040420000512 |
| Provider Name | Chad D Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467492579 PECOS PAC ID: 4587637418 Enrollment ID: I20040818000302 |
| Provider Name | John Brent Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518969674 PECOS PAC ID: 2961481791 Enrollment ID: I20041207000907 |
| Provider Name | John Desalvo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336134402 PECOS PAC ID: 5092614214 Enrollment ID: I20080304000552 |
| Provider Name | Kenji Oyasu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487768552 PECOS PAC ID: 9739285941 Enrollment ID: I20090520000190 |
| Provider Name | David B Farman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659571453 PECOS PAC ID: 9830242767 Enrollment ID: I20090724000484 |
| Provider Name | Lauren K Kaiser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154557718 PECOS PAC ID: 4688711013 Enrollment ID: I20091016000422 |
| Provider Name | Bryan C Swanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255570263 PECOS PAC ID: 0244363240 Enrollment ID: I20100728000073 |
| Provider Name | Fakhry Rafiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477607695 PECOS PAC ID: 5395769632 Enrollment ID: I20100823000379 |
| Provider Name | David M Cummins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043475445 PECOS PAC ID: 7618091745 Enrollment ID: I20100826000598 |
| Provider Name | Amy L Millard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336455641 PECOS PAC ID: 0941494033 Enrollment ID: I20101102001500 |
| Provider Name | Charity L Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306154786 PECOS PAC ID: 7618163544 Enrollment ID: I20101118000157 |
| Provider Name | Jenny M Tristano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548402621 PECOS PAC ID: 5698930121 Enrollment ID: I20120706000149 |
| Provider Name | Neil Malhotra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881822591 PECOS PAC ID: 1052560752 Enrollment ID: I20121011000900 |
| Provider Name | Jacob Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891957981 PECOS PAC ID: 8628240975 Enrollment ID: I20121017000483 |
| Provider Name | Brian K Albertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023173077 PECOS PAC ID: 3678657657 Enrollment ID: I20121026000671 |
| Provider Name | Lisa R Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851652820 PECOS PAC ID: 0547411217 Enrollment ID: I20121107000220 |
| Provider Name | Steven L Perkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730315953 PECOS PAC ID: 0941108435 Enrollment ID: I20130104000182 |
| Provider Name | Oluwayomi S Akande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326082199 PECOS PAC ID: 0143226951 Enrollment ID: I20130410000008 |
| Provider Name | Mohammed Omar Jahangir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073748422 PECOS PAC ID: 1456526813 Enrollment ID: I20130720000130 |
| Provider Name | Ryan K Misek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275830572 PECOS PAC ID: 5496998056 Enrollment ID: I20130829000285 |
| Provider Name | Thomas Alan Brozek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659678621 PECOS PAC ID: 7315176195 Enrollment ID: I20140128001225 |
| Provider Name | June B Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417244484 PECOS PAC ID: 9739328618 Enrollment ID: I20140805001113 |
| Provider Name | Kashif Janjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522730 PECOS PAC ID: 5597938282 Enrollment ID: I20150316002377 |
| Provider Name | Renato M Durham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174554745 PECOS PAC ID: 2466411343 Enrollment ID: I20150626001335 |
| Provider Name | John Michael Marogol |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962458208 PECOS PAC ID: 4688634231 Enrollment ID: I20150806012824 |
| Provider Name | Lisa Mussman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437424462 PECOS PAC ID: 9133429533 Enrollment ID: I20151207001791 |
| Provider Name | Lauren K Rutili |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538433438 PECOS PAC ID: 6406157049 Enrollment ID: I20151223001730 |
| Provider Name | Eric a Lombardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699016063 PECOS PAC ID: 9234433640 Enrollment ID: I20160205000182 |
| Provider Name | Logan Patrick Houlihan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245466812 PECOS PAC ID: 4587810700 Enrollment ID: I20160720000475 |
| Provider Name | Michael W Westfall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659323061 PECOS PAC ID: 8325003874 Enrollment ID: I20170424001562 |
| Provider Name | Aman Gebre-egziabher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568754091 PECOS PAC ID: 1850535527 Enrollment ID: I20170425000192 |
| Provider Name | Rikin D Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487096368 PECOS PAC ID: 2567771744 Enrollment ID: I20170721000729 |
| Provider Name | Erik J Frost |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720329121 PECOS PAC ID: 7810284924 Enrollment ID: I20171004001503 |
| Provider Name | Erik W Achramowicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598027245 PECOS PAC ID: 4284859778 Enrollment ID: I20180222000550 |
| Provider Name | Davor Gusak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851702823 PECOS PAC ID: 1850516071 Enrollment ID: I20180404000044 |
| Provider Name | Eric S Moon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942200027 PECOS PAC ID: 9133018617 Enrollment ID: I20180405001834 |
| Provider Name | Seth J Clifford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730503665 PECOS PAC ID: 4789801416 Enrollment ID: I20180522002016 |
| Provider Name | Alyssa a Pabalan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225454929 PECOS PAC ID: 2264659911 Enrollment ID: I20180613003018 |
| Provider Name | Rehan Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356511901 PECOS PAC ID: 9739357179 Enrollment ID: I20180730003571 |
| Provider Name | Robert John Nydza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164782025 PECOS PAC ID: 7517281470 Enrollment ID: I20180830003502 |
| Provider Name | Edna Wong Mckinstry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295997211 PECOS PAC ID: 0547431447 Enrollment ID: I20181023002700 |
| Provider Name | Christina Ofelia Foreman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306251251 PECOS PAC ID: 1456646215 Enrollment ID: I20181107002866 |
| Provider Name | Michael B Owolabi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033527874 PECOS PAC ID: 8426352634 Enrollment ID: I20181121002253 |
| Provider Name | Jonathan Ferris Bradley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063463552 PECOS PAC ID: 0143232009 Enrollment ID: I20190109000931 |
| Provider Name | Nadzieja Nicole Pocheki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053803965 PECOS PAC ID: 9638421597 Enrollment ID: I20190114001856 |
| Provider Name | Jennifer Virgl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023522125 PECOS PAC ID: 7911268875 Enrollment ID: I20190315001682 |
| Provider Name | Kathleen a Exner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477897353 PECOS PAC ID: 1557515715 Enrollment ID: I20190425002655 |
| Provider Name | Jeffrey Byron Florek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992156178 PECOS PAC ID: 3779876586 Enrollment ID: I20190514000342 |
| Provider Name | Shoaib Sheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275575581 PECOS PAC ID: 6709883325 Enrollment ID: I20190606002723 |
| Provider Name | Jeremy D Nathaniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427402221 PECOS PAC ID: 6608112974 Enrollment ID: I20190711000670 |
| Provider Name | Adeola Oviawe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053775239 PECOS PAC ID: 7517258130 Enrollment ID: I20190807000175 |
| Provider Name | Peter A. Zack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255781852 PECOS PAC ID: 0648567966 Enrollment ID: I20190812000203 |
| Provider Name | Richard Yu Uy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841647260 PECOS PAC ID: 5496047698 Enrollment ID: I20190925002031 |
| Provider Name | Monica Amona Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417904962 PECOS PAC ID: 9537258710 Enrollment ID: I20191227002379 |
| Provider Name | Erica L Deenihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861033060 PECOS PAC ID: 0244666972 Enrollment ID: I20200128003080 |
| Provider Name | Alexander Palma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760635445 PECOS PAC ID: 5991989360 Enrollment ID: I20200316002347 |
| Provider Name | Fatmah H Albaaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023373081 PECOS PAC ID: 8325274889 Enrollment ID: I20200407001926 |
| Provider Name | Louis R Standiford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932561271 PECOS PAC ID: 6800189788 Enrollment ID: I20200511001808 |
| Provider Name | Abbi Danae Kroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992314504 PECOS PAC ID: 8426475120 Enrollment ID: I20200826001888 |
| Provider Name | Janel M Zilinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104423326 PECOS PAC ID: 1456771633 Enrollment ID: I20201009002037 |
| Provider Name | Daniel Raeff Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396344487 PECOS PAC ID: 6002226305 Enrollment ID: I20201027002298 |
| Provider Name | Greg C Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386280253 PECOS PAC ID: 0244643914 Enrollment ID: I20210120000298 |
| Provider Name | Zubair Faiyaz Dave |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144761495 PECOS PAC ID: 6709156375 Enrollment ID: I20210614000083 |
| Provider Name | Han Shen Huang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275073355 PECOS PAC ID: 9335419688 Enrollment ID: I20210615002140 |
| Provider Name | Robert Alan Look |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336672955 PECOS PAC ID: 0941570956 Enrollment ID: I20210621001480 |
| Provider Name | Cody J Krueger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912448952 PECOS PAC ID: 4587936331 Enrollment ID: I20210721001901 |
| Provider Name | Meghan E Vukorpa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811421704 PECOS PAC ID: 8820369275 Enrollment ID: I20210809000550 |
| Provider Name | Victor a Maslon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992208771 PECOS PAC ID: 9739435959 Enrollment ID: I20210817001198 |
| Provider Name | Emily Anne Cobb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528563731 PECOS PAC ID: 3476800848 Enrollment ID: I20210818001325 |
| Provider Name | Leigh Anne Morenus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538574934 PECOS PAC ID: 7416178124 Enrollment ID: I20210917002186 |
| Provider Name | Sydney Christine Cryder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508326521 PECOS PAC ID: 7214265867 Enrollment ID: I20210920001607 |
| Provider Name | Hassan a Al-shammaa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497173850 PECOS PAC ID: 1951600030 Enrollment ID: I20211015001242 |
| Provider Name | Taylor Michelle Adrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811652431 PECOS PAC ID: 9931599776 Enrollment ID: I20211209001181 |
| Provider Name | Elizabeth Alexandra Gonzalez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538664024 PECOS PAC ID: 7618224205 Enrollment ID: I20220621001533 |
| Provider Name | Jeny Tan-creevy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649839952 PECOS PAC ID: 3375878275 Enrollment ID: I20220627001786 |
| Provider Name | Thomas Bebekoski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508327933 PECOS PAC ID: 8921333188 Enrollment ID: I20220709000639 |
| Provider Name | Shawn Carl Joy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619425006 PECOS PAC ID: 3173802873 Enrollment ID: I20220803003205 |
| Provider Name | Ahmed Elshareif |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134758949 PECOS PAC ID: 7719361914 Enrollment ID: I20220908000186 |
| Provider Name | Keely Elizabeth Fischbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407155666 PECOS PAC ID: 9436375409 Enrollment ID: I20220913002995 |
| Provider Name | Dylan Rupska |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700414653 PECOS PAC ID: 3476939489 Enrollment ID: I20220928002543 |
| Provider Name | Erin Burchett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316407455 PECOS PAC ID: 6002144284 Enrollment ID: I20221128002533 |
| Provider Name | Jamil Meloelain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538262076 PECOS PAC ID: 0749206977 Enrollment ID: I20221216001756 |
| Provider Name | Emily R Felzenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063684702 PECOS PAC ID: 5890872329 Enrollment ID: I20230106000743 |
| Provider Name | Jacob N Mattox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922636893 PECOS PAC ID: 5991175994 Enrollment ID: I20230109002757 |
| Provider Name | Ericka Delores Colakovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205536349 PECOS PAC ID: 7113391657 Enrollment ID: I20230323000920 |
| Provider Name | Julie Ann Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780399873 PECOS PAC ID: 2062877178 Enrollment ID: I20230425000996 |
| Provider Name | Krista Adair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376232603 PECOS PAC ID: 8022474055 Enrollment ID: I20230517003445 |
| Provider Name | Danial Arshad Soleja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770970451 PECOS PAC ID: 6002163631 Enrollment ID: I20230601002881 |
| Provider Name | Abby Sapadin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356979223 PECOS PAC ID: 6709244841 Enrollment ID: I20230621002046 |
| Provider Name | Brian Freeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811420433 PECOS PAC ID: 3274804620 Enrollment ID: I20230621002752 |
| Provider Name | Olatunji S Olaoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668970 PECOS PAC ID: 2961690839 Enrollment ID: I20230623001622 |
| Provider Name | Usman Hamayoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528695236 PECOS PAC ID: 6103248919 Enrollment ID: I20230803003208 |
| Provider Name | Stewart Pine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144776832 PECOS PAC ID: 8921428822 Enrollment ID: I20231003001996 |
| Provider Name | Olivia Flaherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457134926 PECOS PAC ID: 0345695961 Enrollment ID: I20231017000503 |
| Provider Name | Stephanie Michelle Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235911066 PECOS PAC ID: 1254789084 Enrollment ID: I20231204003266 |
| Provider Name | Morgan Klepinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013798370 PECOS PAC ID: 0648622993 Enrollment ID: I20240123000522 |
| Provider Name | Elina Kamaroff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407267412 PECOS PAC ID: 1254629769 Enrollment ID: I20240309000657 |
| Provider Name | Courtney Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427636992 PECOS PAC ID: 9436568144 Enrollment ID: I20240716001318 |
| Provider Name | Samuel Schimke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144801499 PECOS PAC ID: 1456756857 Enrollment ID: I20240723000366 |
| Provider Name | Michael Norville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316438112 PECOS PAC ID: 0345641494 Enrollment ID: I20240813001742 |
| Provider Name | Donald Ernest Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013606011 PECOS PAC ID: 1153861166 Enrollment ID: I20240905000921 |
| Provider Name | Anum Shahab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194305227 PECOS PAC ID: 3375084437 Enrollment ID: I20240917003475 |
| Provider Name | Alyssa Nicole Graziani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356075717 PECOS PAC ID: 6103367123 Enrollment ID: I20240918001157 |
| Provider Name | Makenna Ann Meister |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912755372 PECOS PAC ID: 8325570658 Enrollment ID: I20241011001732 |
| Provider Name | Lindsay Amanda Kline |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588404974 PECOS PAC ID: 7719414176 Enrollment ID: I20241224000160 |
| Provider Name | Allison Kayce Cherkasov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568295798 PECOS PAC ID: 0648707877 Enrollment ID: I20241230000300 |
| Provider Name | Scott Achramowicz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295244630 PECOS PAC ID: 1557628401 Enrollment ID: I20250107003485 |
| Provider Name | Jordan Lachappelle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467287623 PECOS PAC ID: 4486182938 Enrollment ID: I20250110002602 |
| Provider Name | Byron Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20250319002950 |
| Provider Name | Cody Bullington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841093085 PECOS PAC ID: 4981122959 Enrollment ID: I20250514001834 |
| Provider Name | Graham W Federico |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548900517 PECOS PAC ID: 4880875343 Enrollment ID: I20250522003010 |
| Provider Name | Austin Magley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326788225 PECOS PAC ID: 2365981867 Enrollment ID: I20250522003210 |
| Provider Name | Syed Muhammad Tayyab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780952994 PECOS PAC ID: 0345468815 Enrollment ID: I20250524000154 |
| Provider Name | Austin Gaby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366192577 PECOS PAC ID: 3476997784 Enrollment ID: I20250618002244 |
| Provider Name | Erick Lee Tiemens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376286344 PECOS PAC ID: 6002284627 Enrollment ID: I20250915000680 |
| Provider Name | Rhonel Lanique Citterbart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962797092 PECOS PAC ID: 7214106236 Enrollment ID: I20251021001008 |
| Provider Name | Mohamed Gharib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720575137 PECOS PAC ID: 7012319387 Enrollment ID: I20260520004262 |
Sleep Medicine Specialists 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 |
Harrison County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 Atwood St, Corydon, IN 47112 Phone: 812-738-3237 Fax: 812-738-6473 |
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 |
CH Specialty Services in LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 Country Club Rd, Corydon, IN 47112 Phone: 337-408-0797 |
Baptist Health Medical Group Primary Care Harrison Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Federal Dr Nw Ste 130, Corydon, IN 47112 Phone: 812-738-4155 Fax: 812-738-6104 |