Timothy P Kordick
CLINICAL COLLEAGUES INC


Address: 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Phone: 5737769544

Timothy P Kordick (NPI# 1174796601, PAC ID# 0749234862) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1174796601
PAC ID by PECOS 0749234862
Professional Enrollment ID I20050310000686
Full Name Timothy P Kordick
Organization Legal Name CLINICAL COLLEAGUES INC
Address 3100 Oak Grove Rd
Poplar Bluff
MO 63901-1573
Phone Number 5737769544
Gender M
Credential CNA
Graduation Year 1998
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 8729011333
Number of Group Practice Members 116
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260119 POPLAR BLUFF REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 5737769544 CLINICAL COLLEAGUES INC

Organization Information

Organization Legal Name CLINICAL COLLEAGUES INC
Physicians 109

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Perry Arthur Rathbun Certified Registered Nurse Anesthetist (crna) Clinical Colleagues Inc 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
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James D Holden Certified Registered Nurse Anesthetist (crna) Clinical Colleagues Inc 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
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Office Location

Street Address 3100 OAK GROVE RD
City POPLAR BLUFF
State MO
Zip 63901-1573

Physicians in the same location

Name Specialty Organization Address
Alicia Marie Cisne Nurse Practitioner Poplar Bluff Emergency Physicians, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Savannah Coin Nurse Practitioner Poplar Bluff Emergency Physicians, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Hanumanth K Reddy Cardiovascular Disease (cardiology) Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Alexandros Georgolios Otolaryngology Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Michael J. Del Rio Thoracic Surgery Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Perry Arthur Rathbun Certified Registered Nurse Anesthetist (crna) Clinical Colleagues Inc 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Silvia Pagoada Vallecillo General Surgery Butler Physician Services, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Mark W Clark Certified Registered Nurse Anesthetist (crna) Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
James D Holden Certified Registered Nurse Anesthetist (crna) Clinical Colleagues Inc 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Kashif Hameed Psychiatry Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
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Physicians in the same zip code

Name Specialty Organization Address
Zachary Clark Willis General Surgery Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Brenda Ann Mcgehee Nurse Practitioner Poplar Bluff Emergency Physicians, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Hasan Shanawani Pulmonary Disease Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Jay S Jones Orthopedic Surgery Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Muhammad Shabbir Ijaz Internal Medicine Butler Physician Services, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Sergio M Rodriguez Family Medicine Butler Physician Services, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Richard L Crayton Certified Registered Nurse Anesthetist (crna) Clinical Colleagues Inc 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Cynthia M Troiano Family Medicine Butler Physician Services, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Kimberly A Schisler Family Medicine 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Taghogho Agarin Pain Management Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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