Brent M Walz (NPI# 1720078900, PAC ID# 3173566544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1720078900 |
| PAC ID by PECOS | 3173566544 |
| Professional Enrollment ID | I20050607000239 |
| Full Name | Brent M Walz |
| Organization Legal Name | RHN CLARK MEMORIAL PHYSICIAN PRACTICES LLC |
| Address |
1220 Spring St Jeffersonville IN 47130-3704 |
| Phone Number | 8122828494 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0840504114 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150009 | CLARK MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1220 Spring St, Jeffersonville, IN 47130-3704 | 8122828494 | RHN CLARK MEMORIAL PHYSICIAN PRACTICES LLC |
| 3707 Charlestown Rd, Suite C1, New Albany, IN 47150-9254 | 8129444470 | RHN CLARK MEMORIAL PHYSICIAN PRACTICES LLC |
| Organization Legal Name | RHN CLARK MEMORIAL PHYSICIAN PRACTICES LLC |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabrina Leigh Taylor | Family Medicine | Rhn Clark Memorial Physician Practices LLC | 11500 Hwy 62, Charlestown, IN 47111-8612 |
| Emily Rench | Nurse Practitioner | Rhn Clark Memorial Physician Practices LLC | 2205 Greentree N, Clark Memorial Physician Group, Clarksville, IN 47129-8957 |
| Melissa Davidson | Nurse Practitioner | Rhn Clark Memorial Physician Practices LLC | 207 Sparks Ave, Suite 403, Jeffersonville, IN 47130-3739 |
| Lloyd C Trommler Jr. | Internal Medicine | Rhn Clark Memorial Physician Practices LLC | 1806 E 10th St, Clark Memorial Physician Group, Jeffersonville, IN 47130-6016 |
| Asad Ismail | Psychiatry | Rhn Clark Memorial Physician Practices LLC | 1220 Spring St, Jeffersonville, IN 47130-3704 |
| Kimberlee A Sickels | Nurse Practitioner | Rhn Clark Memorial Physician Practices LLC | 301 Gordon Gutmann Blvd, Suite 101, Jeffersonville, IN 47130-3765 |
| Chih C Chang | Endocrinology | Rhn Clark Memorial Physician Practices LLC | 2205 Greentree N, Clark Memorial Physician Group, Clarksville, IN 47129-8957 |
| Alicia Sawyer | Nurse Practitioner | Rhn Clark Memorial Physician Practices LLC | 2205 Greentree N, Clark Memorial Physician Group, Clarksville, IN 47129-8957 |
| Karen E Boha | Obstetrics/gynecology | Rhn Clark Memorial Physician Practices LLC | 207 Sparks Ave, Suite 301, Jeffersonville, IN 47130-3739 |
| Jill Ann Green | Obstetrics/gynecology | Rhn Clark Memorial Physician Practices LLC | 207 Sparks Ave, Suite 301, Jeffersonville, IN 47130-3739 |
| Street Address |
1220 SPRING ST |
| City | JEFFERSONVILLE |
| State | IN |
| Zip | 47130-3704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Asad Ismail | Psychiatry | Rhn Clark Memorial Physician Practices LLC | 1220 Spring St, Jeffersonville, IN 47130-3704 |
| Shane Jacob Kibbe | Orthopedic Surgery | Rhn Clark Memorial Physician Practices LLC | 1220 Spring St, Jeffersonville, IN 47130-3704 |
| John T Mahan | Orthopedic Surgery | Rhn Clark Memorial Physician Practices LLC | 1220 Spring St, Jeffersonville, IN 47130-3704 |
| Thomas Eric Sehlinger | Orthopedic Surgery | Rhn Clark Memorial Physician Practices LLC | 1220 Spring St, Jeffersonville, IN 47130-3704 |
| Patrick David Bauer | Orthopedic Surgery | Rhn Clark Memorial Physician Practices LLC | 1220 Spring St, Jeffersonville, IN 47130-3704 |
| John E Lindner | Orthopedic Surgery | Rhn Clark Memorial Physician Practices LLC | 1220 Spring St, Jeffersonville, IN 47130-3704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly Terry | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Lori D Duggins | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Timothy Wise | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Amy Lee Smith | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Pamela Ward | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Lyndsey M Zajac | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Charles F Kemper | Allergy/immunology | 1507 Spring St, Jeffersonville, IN 47130-2939 | |
| Michael C Nicoson | Hand Surgery | Hand and Wrist of Louisville Pllc | 200 Missouri Ave, Suite 18, Jeffersonville, IN 47130-3061 |
| Scott T Rotterman | Podiatry | Sports Medicine Surgical Specialists Pllc | 200 Missouri Ave, Suite A, Jeffersonville, IN 47130-3061 |
| Salle B Mcafee | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Associates Psc | 200 Missouri Ave, Jeffersonville, IN 47130-3061 |
| Find all physicians in zip 47130 | |||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | JEFFERSONVILLE + ORTHOPEDIC SURGERY |
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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.