Ewa Antonczyk (NPI# 1891740270, PAC ID# 0840215034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1891740270 |
| PAC ID by PECOS | 0840215034 |
| Professional Enrollment ID | I20111004000781 |
| Full Name | Ewa Antonczyk |
| Organization Legal Name | CLARKSVILLE PHYSICIAN SERVICES GP |
| Address |
647 Dunlop Lane Suite 210 Clarksville TN 37040-5165 |
| Phone Number | 9315535495 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0547276917 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440035 | TENNOVA HEALTHCARE-CLARKSVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1731 Memorial Dr, Suite 209, Clarksville, TN 37043-4543 | 9315521221 | CLARKSVILLE PHYSICIAN SERVICES GP |
| 647 Dunlop Lane, Suite 210, Clarksville, TN 37040-5165 | 9315535495 | CLARKSVILLE PHYSICIAN SERVICES GP |
| 647 Dunlop Ln, Clarksville, TN 37040-5165 | CLARKSVILLE PHYSICIAN SERVICES GP |
| Organization Legal Name | CLARKSVILLE PHYSICIAN SERVICES GP |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Joanne O'hara-rodriguez | Physician Assistant | Clarksville Physician Services Gp | 2485 Tiny Town Rd, Clarksville, TN 37042-7219 |
| Joseph A Kowal | Physician Assistant | Clarksville Physician Services Gp | 1731 Memorial Dr, Suite 209, Clarksville, TN 37043-4543 |
| Ali Latefi | Urology | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| William A Edwards | Nurse Practitioner | Clarksville Physician Services Gp | 133 Dr Robert H Lee Dr, Dover, TN 37058-3750 |
| Robert H Lee | Family Medicine | Clarksville Physician Services Gp | 1836 Memorial Dr, Clarksville, TN 37043-8109 |
| Brent Oland | Physician Assistant | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| Amanda Lynn Blassl | Nurse Practitioner | Clarksville Physician Services Gp | 2485 Tiny Town Rd, Clarksville, TN 37042-7219 |
| Jane Holt | Nurse Practitioner | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| Craig A Ennis | Internal Medicine | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| Atef E Ebrhim | Family Medicine | Clarksville Physician Services Gp | 2485 Tiny Town Rd, Clarksville, TN 37042-7219 |
| Street Address |
647 DUNLOP LANE SUITE 210 |
| City | CLARKSVILLE |
| State | TN |
| Zip | 37040-5165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Lucas | General Surgery | Clarksville Physician Services Gp | 647 Dunlop Lane, Suite 210, Clarksville, TN 37040-5165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel R Owsiak | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Lisa M Ely | Optometry | 3315 Guthrie Hwy, Clarksville, TN 37040 | |
| Charles Fitch | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Adam Luka | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Richard Gannaway | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Alan Lee Blatterman | Optometry | All Eyes Vision Care, Inc. | 3315 Guthrie Hwy, Clarksville, TN 37040 |
| Nida Steiner | Optometry | Calvert Opthalmology Psc | 2801 Wilma Rudolph Blvd, Suite 665, Clarksville, TN 37040-1501 |
| Joshua Alan Lecker | Chiropractic | 2106 Trenton Rd A, Clarksville, TN 37040-1633 | |
| Taylor Singleton | Nurse Practitioner | Physician Partners PC | 511 8th St, Clarksville, TN 37040-3093 |
| Bethany Massey | Nurse Practitioner | Physician Partners PC | 511 8th St, Clarksville, TN 37040-3093 |
| Find all physicians in zip 37040 | |||
| City | CLARKSVILLE |
| Zip Code | 37040 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CLARKSVILLE + INTERNAL MEDICINE |
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| 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.