| Steele Creek Physician Services PC | |
|
1 Medical Park Blvd Bristol TN 37620-7453 | |
| (423) 844-1121 | |
| Not Available |
| Full Name | Steele Creek Physician Services PC |
|---|---|
| Speciality | Hospitalist |
| Location | 1 Medical Park Blvd, Bristol, Tennessee |
| Authorized Official Name and Position | Kenneth Heinrich (PRESIDENT/OWNER) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steele Creek Physician Services PC 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Steele Creek Physician Services PC 1 Medical Park Blvd Bristol TN 37620-7453 Ph: (423) 844-1121 |
| NPI Number | 1700760311 |
|---|---|
| Provider Enumeration Date | 08/05/2025 |
| Last Update Date | 10/20/2025 |
| Certification Date | 10/20/2025 |
| Medicare PECOS PAC ID | 1052818960 |
|---|---|
| Medicare Enrollment ID | O20251008000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700760311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208M00000X | Hospitalist | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Rashid Mahboob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659356335 PECOS PAC ID: 4789613977 Enrollment ID: I20050808001101 |
| Provider Name | Jamie Bartley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386679462 PECOS PAC ID: 5496773467 Enrollment ID: I20051108000739 |
| Provider Name | Jeffery D Sargent |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396775532 PECOS PAC ID: 9830189794 Enrollment ID: I20051215000570 |
| Provider Name | Elizabeth a Krell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982687885 PECOS PAC ID: 1658360011 Enrollment ID: I20061019000501 |
| Provider Name | Walter Davis Arnold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033162375 PECOS PAC ID: 1456459635 Enrollment ID: I20070612000442 |
| Provider Name | Jules Mugemuzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982884656 PECOS PAC ID: 5294825220 Enrollment ID: I20071214000204 |
| Provider Name | Muhammad Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265626279 PECOS PAC ID: 8527128438 Enrollment ID: I20090722000205 |
| Provider Name | Anita Harker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417146374 PECOS PAC ID: 6002969003 Enrollment ID: I20090807000351 |
| Provider Name | Pushkas Gopalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376700930 PECOS PAC ID: 3274679949 Enrollment ID: I20091009000427 |
| Provider Name | Sharjeel Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417142159 PECOS PAC ID: 2163595968 Enrollment ID: I20101103000751 |
| Provider Name | Mihir H Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528226016 PECOS PAC ID: 4789855651 Enrollment ID: I20110926000612 |
| Provider Name | Makram Jurdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124281894 PECOS PAC ID: 0648444521 Enrollment ID: I20111111000446 |
| Provider Name | Rohini Nathan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316130586 PECOS PAC ID: 0547394991 Enrollment ID: I20120322000624 |
| Provider Name | Amit Vashist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598950644 PECOS PAC ID: 9335398130 Enrollment ID: I20121011000762 |
| Provider Name | Matthew T. Moody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386872869 PECOS PAC ID: 3870758139 Enrollment ID: I20121023000010 |
| Provider Name | Terri Ratcliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255753810 PECOS PAC ID: 6608007299 Enrollment ID: I20140325000301 |
| Provider Name | Ravikumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679879118 PECOS PAC ID: 9638396377 Enrollment ID: I20140804001851 |
| Provider Name | Mistie G Hagaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760861140 PECOS PAC ID: 9638481054 Enrollment ID: I20150626001491 |
| Provider Name | Charles M. Helton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598168627 PECOS PAC ID: 3072887348 Enrollment ID: I20170926000617 |
| Provider Name | Alexandra M Bowling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073996948 PECOS PAC ID: 5597063495 Enrollment ID: I20180905002536 |
| Provider Name | Bukola O Afilaka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619268455 PECOS PAC ID: 3476774324 Enrollment ID: I20190501002806 |
| Provider Name | Nhung P. Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316305766 PECOS PAC ID: 7517291602 Enrollment ID: I20190624001764 |
| Provider Name | Aaron Towe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750745477 PECOS PAC ID: 8325375041 Enrollment ID: I20191007001872 |
| Provider Name | Christopher Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548549611 PECOS PAC ID: 9032338686 Enrollment ID: I20191218003246 |
| Provider Name | Ali Bokhari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699204768 PECOS PAC ID: 2466879218 Enrollment ID: I20200825003708 |
| Provider Name | Simon Getachew Atena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598156309 PECOS PAC ID: 8325326002 Enrollment ID: I20201105002838 |
| Provider Name | Sarah Gach |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235667841 PECOS PAC ID: 3375962202 Enrollment ID: I20201208000704 |
| Provider Name | Ernesto G Zavaleta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982692554 PECOS PAC ID: 0749215382 Enrollment ID: I20210128002567 |
| Provider Name | Mark Owusu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083009930 PECOS PAC ID: 1052617305 Enrollment ID: I20210630003356 |
| Provider Name | Melanie B Honeycutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033879010 PECOS PAC ID: 9931592888 Enrollment ID: I20220217000455 |
| Provider Name | Raza Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265099923 PECOS PAC ID: 2860869633 Enrollment ID: I20221108001089 |
| Provider Name | Manju Pushkas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528629920 PECOS PAC ID: 5597133967 Enrollment ID: I20221128000180 |
| Provider Name | Preetham Talari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265695399 PECOS PAC ID: 4385812171 Enrollment ID: I20230511000792 |
| Provider Name | Heather R. Ellis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356026157 PECOS PAC ID: 1557724721 Enrollment ID: I20230906001027 |
| Provider Name | Lamiae Nfissi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720854102 PECOS PAC ID: 4981040284 Enrollment ID: I20240308002343 |
| Provider Name | Laura Ann Eller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023861523 PECOS PAC ID: 1456880566 Enrollment ID: I20250117001673 |
| Provider Name | Said Assif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164625463 PECOS PAC ID: 8224118690 Enrollment ID: I20250408002645 |
| Provider Name | Dilto Mendoza Bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417542291 PECOS PAC ID: 9739522640 Enrollment ID: I20251117000819 |
| Provider Name | Brionna Fleenor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760356547 PECOS PAC ID: 7719465723 Enrollment ID: I20260131000669 |
Broadmore Assisted Living Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 Meadow View Rd, Bristol, TN 37620 Phone: 423-764-4622 |
Bristol Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Midway St, Bristol, TN 37620 Phone: 423-968-5225 Fax: 423-764-8274 |
Pac of Tennessee PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1958 West State Street, Suite 2, Bristol, TN 37620 Phone: 423-573-1502 Fax: 423-217-0604 |
Carol a Dewey MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 Alabama St, Bristol, TN 37620 Phone: 423-968-4444 |
Integrated Health Concepts, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28 Midway St, Bristol, TN 37620 Phone: 423-573-9873 |
Internal Medicine and Pediatric Associates of Bristol PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 Steeles Road, Bristol, TN 37620 Phone: 423-844-6700 Fax: 423-844-6703 |