Amanda Lynn Blassl (NPI# 1255819926, PAC ID# 2365796588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255819926 |
| PAC ID by PECOS | 2365796588 |
| Professional Enrollment ID | I20181106003049 |
| Full Name | Amanda Lynn Blassl |
| Organization Legal Name | CLARKSVILLE PHYSICIAN SERVICES GP |
| Address |
2485 Tiny Town Rd Clarksville TN 37042-7219 |
| Phone Number | 9315022403 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| 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 |
| 2485 Tiny Town Rd, Clarksville, TN 37042-7219 | 9315022403 | 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 |
| Ewa Antonczyk | Internal Medicine | Clarksville Physician Services Gp | 647 Dunlop Lane, Suite 210, Clarksville, TN 37040-5165 |
| 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 |
| 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 |
2485 TINY TOWN RD |
| City | CLARKSVILLE |
| State | TN |
| Zip | 37042-7219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Joanne O'hara-rodriguez | Physician Assistant | Clarksville Physician Services Gp | 2485 Tiny Town Rd, Clarksville, TN 37042-7219 |
| Atef E Ebrhim | Family Medicine | Clarksville Physician Services Gp | 2485 Tiny Town Rd, Clarksville, TN 37042-7219 |
| Robinson O'hara-rodriguez | Physician Assistant | Clarksville Physician Services Gp | 2485 Tiny Town Rd, Clarksville, TN 37042-7219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Curtis | Chiropractic | 1881 Fort Campbell Blvd, Suite B, Clarksville, TN 37042-1437 | |
| Carla L Jones | Optometry | 1680 Fort Campbell Blvd, Clarksville, TN 37042-3537 | |
| John J Maria | Optometry | 78 Dover Crossing Rd, Dover, TN 37042-4111 | |
| Elizabeth M Botts | Psychologist, Clinical | 399 Dover Rd, Unit B, Clarksville, TN 37042-4133 | |
| Ramon J Aquino | General Practice | 351 Dover Rd, Clarksville, TN 37042-4144 | |
| Darlene M Adams | Physician Assistant | Women First, Pllc | 357 Dover Rd, Clarksville, TN 37042-4144 |
| James J Staudenmeier Jr. | Psychiatry | Psychiatry Services of Clarksville Plc | 243 Dover Rd, Clarksville, TN 37042-4155 |
| Alan M Werner | Vascular Surgery | Two Rivers Surgical Associates Pllc | 273 Dover Rd, Clarksville, TN 37042-4155 |
| Paul C Crow | Chiropractic | 255 Dover Rd, Clarksville, TN 37042-4155 | |
| David B Price | General Surgery | Two Rivers Surgical Associates Pllc | 273 Dover Rd, Clarksville, TN 37042-4155 |
| Find all physicians in zip 37042 | |||
| City | CLARKSVILLE |
| Zip Code | 37042 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLARKSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amanda Lynn Blassl.
| 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.