Stacie Carruth (NPI# 1578920815, PAC ID# 1254635477) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1578920815 |
| PAC ID by PECOS | 1254635477 |
| Professional Enrollment ID | I20160209002256 |
| Full Name | Stacie Carruth |
| Organization Legal Name | MOUNT CARMEL HEALTH PROVIDERS TWO LLC |
| Address |
477 Cooper Rd Suite 200 Westerville OH 43081-8054 |
| Phone Number | 6144597676 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608828447 |
| Number of Group Practice Members | 168 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360012 | MOUNT CARMEL ST ANN'S |
| 360035 | MOUNT CARMEL WEST |
| Address | Phone | Organization |
|---|---|---|
| 6150 E Broad St, Columbus, OH 43213-1574 | 6145464400 | MOUNT CARMEL HEALTH PROVIDERS TWO LLC |
| 477 Cooper Rd, Suite 200, Westerville, OH 43081-8054 | 6144597676 | MOUNT CARMEL HEALTH PROVIDERS TWO LLC |
| Organization Legal Name | MOUNT CARMEL HEALTH PROVIDERS TWO LLC |
| Physicians | 159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruth Wai Man Chan | Rheumatology | Mount Carmel Health Providers Two LLC | 4674 Britton Pkwy, Suite 2300, Hilliard, OH 43026-0027 |
| Jeffrey Lee Gresh | Physician Assistant | Mount Carmel Health Providers Two LLC | 955 Eastwind Dr, Westerville, OH 43081-3376 |
| Morgan E White | Nurse Practitioner | Mount Carmel Health Providers Two LLC | 477 Cooper Rd, Suite 450, Westerville, OH 43081-8070 |
| Gina N Moody | Pulmonary Disease | Mount Carmel Health Providers Two LLC | 6150 E Broad St, Columbus, OH 43213-1574 |
| John Allen Fisher | Cardiovascular Disease (cardiology) | Mount Carmel Health Providers Two LLC | 5300 N Meadows Dr Bldg, 1 Suite 140, Grove City, OH 43123-2546 |
| Phillip A Immesoete | Neurosurgery | Mount Carmel Health Providers Two LLC | 11301 Upper Gilchrist Rd, Mount Vernon, OH 43050-8923 |
| Patrick R Wells | Cardiac Surgery | Mount Carmel Health Providers Two LLC | 85 Mcnaughten Rd, Columbus, OH 43213-5111 |
| Raina Vretenar | Nurse Practitioner | Mount Carmel Health Providers Two LLC | 477 Cooper Rd, Suite 450, Westerville, OH 43081-8070 |
| Thomas S Fanning | Interventional Cardiology | Mount Carmel Health Providers Two LLC | 477 Cooper Rd, Suite 200, Westerville, OH 43081-8054 |
| David F Hunt | Critical Care (intensivists) | Mount Carmel Health Providers Two LLC | 5300 N Meadows Dr Bldg, 1 Suite 140, Grove City, OH 43123-2546 |
| Street Address |
477 COOPER RD SUITE 200 |
| City | WESTERVILLE |
| State | OH |
| Zip | 43081-8054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan E White | Nurse Practitioner | Mount Carmel Health Providers Two LLC | 477 Cooper Rd, Suite 450, Westerville, OH 43081-8070 |
| Raina Vretenar | Nurse Practitioner | Mount Carmel Health Providers Two LLC | 477 Cooper Rd, Suite 450, Westerville, OH 43081-8070 |
| Thomas S Fanning | Interventional Cardiology | Mount Carmel Health Providers Two LLC | 477 Cooper Rd, Suite 200, Westerville, OH 43081-8054 |
| Claire C Ward | Qualified Audiologist | University Otolaryngologists Inc | 477 Cooper Rd, Suite 480, Westerville, OH 43081-8095 |
| Cherie Ryoo | Otolaryngology | University Otolaryngologists Inc | 477 Cooper Rd, Suite 480, Westerville, OH 43081-8095 |
| Andrew Jarrett Tompkins | Otolaryngology | University Otolaryngologists Inc | 477 Cooper Rd, Suite 480, Westerville, OH 43081-8095 |
| David R Giammar | Colorectal Surgery (proctology) | 477 Cooper Rd, Suite 440, Westerville, OH 43081-8055 | |
| David R Ralston | Pulmonary Disease | Mount Carmel Health Providers Two LLC | 477 Cooper Rd, Suite 450, Westerville, OH 43081-8070 |
| James A Barnes | Family Medicine | Mount Carmel Health System | 477 Cooper Rd, Suite 300, Westerville, OH 43081-8057 |
| Jason P Evanchan | Cardiovascular Disease (cardiology) | Mount Carmel Health Providers Two LLC | 477 Cooper Rd, Suite 200, Westerville, OH 43081-8054 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Rodney Comisar Jr. | Orthopedic Surgery | Orthopedic and Neurological Consultants Inc | 70 S Cleveland Ave, Westerville, OH 43081-1329 |
| David K Kim | Orthopedic Surgery | Orthopedic and Neurological Consultants Inc | 70 S Cleveland Ave, Westerville, OH 43081-1329 |
| Molly R Scholl-pease | Physical Therapy | Orthopedic and Neurological Consultants Inc | 70 S Cleveland Ave, Westerville, OH 43081-1329 |
| Valerie Elizabeth Johns | Physical Therapy | Orthopedic and Neurological Consultants Inc | 70 S Cleveland Ave, Westerville, OH 43081-1329 |
| Nicholas A Cheney | Orthopedic Surgery | Orthopedic and Neurological Consultants Inc | 70 S Cleveland Ave, Westerville, OH 43081-1329 |
| Shaunisha Winter | Physical Therapy | Orthopedic and Neurological Consultants Inc | 70 S Cleveland Ave, Westerville, OH 43081-1329 |
| Danielle M Robinson | Physical Therapy | Orthopedic and Neurological Consultants Inc | 70 S Cleveland Ave, Westerville, OH 43081-1329 |
| Mark A White | Neurosurgery | Orthopedic and Neurological Consultants Inc | 70 S Cleveland Ave, Westerville, OH 43081-1329 |
| Gary M Millard | Orthopedic Surgery | Orthopedic and Neurological Consultants Inc | 70 S Cleveland Ave, Westerville, OH 43081-1329 |
| Scott P Stephens | Orthopedic Surgery | Orthopedic and Neurological Consultants Inc | 70 S Cleveland Ave, Westerville, OH 43081-1329 |
| Find all physicians in zip 43081 | |||
| City | WESTERVILLE |
| Zip Code | 43081 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WESTERVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacie Carruth.
| 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.