Leah Rae Talley (NPI# 1326566928, PAC ID# 1759620701) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1326566928 |
| PAC ID by PECOS | 1759620701 |
| Professional Enrollment ID | I20190308001292 |
| Full Name | Leah Rae Talley |
| Organization Legal Name | PENINSULA COMMUNITY HEALTH SERVICES |
| Address |
320 S Kitsap Blvd Port Orchard WA 98366-3778 |
| Phone Number | 3608767215 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9436044781 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501336 | MASON GENERAL HOSPITAL & FAMILY OF CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 3608767215 | PENINSULA COMMUNITY HEALTH SERVICES |
| Organization Legal Name | PENINSULA COMMUNITY HEALTH SERVICES |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Jeffrey Clemons | Nurse Practitioner | Peninsula Community Health Services | 616 6th St, Bremerton, WA 98337-1420 |
| Anthony E Lyon Loftus | Physician Assistant | Peninsula Community Health Services | 2508 Wheaton Way, Pchs Wheaton, Bremerton, WA 98310-3303 |
| John D Swift | Internal Medicine | Peninsula Community Health Services | 19917 7th Ave Ne, Suite 205, Poulsbo, WA 98370-7403 |
| Brian Rigg | Physician Assistant | Peninsula Community Health Services | 2508 Wheaton Way, Pchs Wheaton, Bremerton, WA 98310-3303 |
| Zackary J Budiselic | Nurse Practitioner | Peninsula Community Health Services | 616 6th St, Bremerton, WA 98337-1420 |
| Demery Paladichuk | Nurse Practitioner | Peninsula Community Health Services | 2508 Wheaton Way, Pchs Wheaton, Bremerton, WA 98310-3303 |
| Mona E Wiggins | Nurse Practitioner | Peninsula Community Health Services | 2508 Wheaton Way, Pchs Wheaton, Bremerton, WA 98310-3303 |
| Danielle Elise Daehnke | Physician Assistant | Peninsula Community Health Services | 2508 Wheaton Way, Pchs Wheaton, Bremerton, WA 98310-3303 |
| Lauren Menard | Nurse Practitioner | Peninsula Community Health Services | 2508 Wheaton Way, Pchs Wheaton, Bremerton, WA 98310-3303 |
| Adam David Boyd | Physician Assistant | Peninsula Community Health Services | 616 6th St, Bremerton, WA 98337-1420 |
| Street Address |
320 S KITSAP BLVD |
| City | PORT ORCHARD |
| State | WA |
| Zip | 98366-3778 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lillian Michelle White | Nurse Practitioner | Peninsula Community Health Services | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 |
| Jorge O Zapata | Obstetrics/gynecology | Peninsula Community Health Services | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffery A Fry | Chiropractic | 4800 Jackson Seave, Suite 104, Port Orchard, WA 98366-1109 | |
| Brandon Glen Turnbo | Nurse Practitioner | Swenson Healthcare Pllc | 2051 Pottery Ave, Port Orchard, WA 98366-2010 |
| Bruce E Fernie | Chiropractic | 2431 Bethel Rd Se, Port Orchard, WA 98366-2438 | |
| Ryan R Larson | Physical Therapy | Pacific Physical Therapy Pllc | 1950 Pottery Ave, Suite 110, Port Orchard, WA 98366-2501 |
| Alicia D Gilfoy | Physical Therapy | Pacific Physical Therapy Pllc | 1950 Pottery Ave, Suite 110, Port Orchard, WA 98366-2501 |
| Brett D Palmer | Physical Therapy | Pacific Physical Therapy Pllc | 1950 Pottery Ave, Suite 110, Port Orchard, WA 98366-2501 |
| John A Mishko | Chiropractic | 1950 Pottery Ave, Suite 164, Port Orchard, WA 98366-2501 | |
| Eric Duquette | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366-2518 |
| Candy L Nelson | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366-2518 |
| Ashley Fruner | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366-2518 |
| Find all physicians in zip 98366 | |||
| City | PORT ORCHARD |
| Zip Code | 98366 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PORT ORCHARD + PHYSICIAN ASSISTANT |
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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.