Heather M Tully (NPI# 1336637453, PAC ID# 2567713712) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336637453 |
| PAC ID by PECOS | 2567713712 |
| Professional Enrollment ID | I20180926003631 |
| Full Name | Heather M Tully |
| Organization Legal Name | NORTHEAST OHIO PRACTITIONER LLC |
| Address |
6681 Ridge Rd Suite 300 Parma OH 44129-5705 |
| Phone Number | 4408428675 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385990662 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6681 Ridge Rd, Suite 300, Parma, OH 44129-5705 | 4408428675 | NORTHEAST OHIO PRACTITIONER LLC |
| Organization Legal Name | NORTHEAST OHIO PRACTITIONER LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dina Aurslanian | Nurse Practitioner | Northeast Ohio Practitioner LLC | 9685 Chillicothe Rd, Kirtland, OH 44094-8503 |
| Lisa Gatrell-jacobs | Nurse Practitioner | Northeast Ohio Practitioner LLC | 2801 E Royalton Rd, Broadview Hts, OH 44147-2827 |
| Teresa A Chatmon-steele | Nurse Practitioner | Northeast Ohio Practitioner LLC | 4110 Rocky River Dr, Cleveland, OH 44135-1175 |
| Lisa A Koenig | Nurse Practitioner | Northeast Ohio Practitioner LLC | 4369 Brecksville Rd, Richfield, OH 44286-9457 |
| Deanna Caveslio | Nurse Practitioner | Northeast Ohio Practitioner LLC | 1212 Barlow Rd, Hudson, OH 44236-3713 |
| Shelley K Gorman | Nurse Practitioner | Northeast Ohio Practitioner LLC | 2801 E Royalton Rd, Broadview Hts, OH 44147-2827 |
| Street Address |
6681 RIDGE RD SUITE 300 |
| City | PARMA |
| State | OH |
| Zip | 44129-5705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniela Susoiu Tcaciuc | Internal Medicine | 6681 Ridge Rd, Suite 400, Parma, OH 44129-5705 | |
| Mohan J Durve | Allergy/immunology | 6681 Ridge Rd, Suite 305, Parma, OH 44129-5705 | |
| Kimberly Itayem | Nurse Practitioner | Great Lakes Practitioners LLC | 6681 Ridge Rd, Suite 300, Parma, OH 44129-5705 |
| William Edward Crowe | Internal Medicine | 6681 Ridge Rd, Suite 204, Parma, OH 44129-5705 | |
| Michael A Laluk | Internal Medicine | 6681 Ridge Rd, Suite 308, Parma, OH 44129-5705 | |
| Ogechi Muoh | Internal Medicine | University Primary Care Practices Inc | 6681 Ridge Rd, Suite 200, Parma, OH 44129-5705 |
| Daniel Chagin | Family Medicine | 6681 Ridge Rd, Suite 209, Parma, OH 44129-5705 | |
| Salvatore P Sidoti | Podiatry | University Primary Care Practices Inc | 6681 Ridge Rd, Suite 405, Parma, OH 44129-5705 |
| Coleen E Gearhart | Nurse Practitioner | Ohio Chest Physicians Ltd | 6681 Ridge Rd, Suite 209, Parma, OH 44129-5705 |
| Kourosh Saghafi | Internal Medicine | 6681 Ridge Rd, Suite 300, Parma, OH 44129-5705 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Schonfeld | Optometry | 6204 Brookpark Rd, Cleveland, OH 44129-1218 | |
| James Joseph Edwards | Ophthalmology | 5500 Ridge Rd, Suite 208, Parma, OH 44129-2367 | |
| Edgar Tolentino | General Surgery | 5500 Ridge Rd, Suite 115, Parma, OH 44129-2367 | |
| Diane M Kushnar | Family Medicine | 5500 Ridge Rd, Suite 120, Parma, OH 44129-2367 | |
| James Tsung-hwa Liang | Pediatric Medicine | 5500 Ridge Rd, Suite 220, Parma, OH 44129-2367 | |
| David J Mitchell | Ophthalmology | Retina Specialists of Ohio | 5500 Ridge Rd, Suite 208, Parma, OH 44129-2367 |
| Victoria M Ciotta | Chiropractic | 5569 Ridge Rd, Parma, OH 44129-2372 | |
| Clinton Scott Felker | Psychologist, Clinical | 5567 Ridge Rd, Parma, OH 44129-2372 | |
| Nathaniel Andrew Hamm | Podiatry | 5500 Ridge Rd, Suite 140, Parma, OH 44129-2393 | |
| Romeo Ong | Otolaryngology | 5500 Ridge Rd, Suite 236, Parma, OH 44129-2393 | |
| Find all physicians in zip 44129 | |||
| City | PARMA |
| Zip Code | 44129 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PARMA + NURSE PRACTITIONER |
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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.