Peter R Bockhorst (NPI# 1336143866, PAC ID# 3274429618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1336143866 |
| PAC ID by PECOS | 3274429618 |
| Professional Enrollment ID | I20040224000465 |
| Full Name | Peter R Bockhorst |
| Organization Legal Name | MEDICAL EDUCATION ASSISTANCE CORPORATION |
| Address |
102 E Ravine Rd Kingsport TN 37660-3814 |
| Phone Number | 4232459600 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3870491269 |
| Number of Group Practice Members | 137 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| 440176 | INDIAN PATH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 102 E Ravine Rd, Kingsport, TN 37660-3814 | 4232459600 | MEDICAL EDUCATION ASSISTANCE CORPORATION |
| Organization Legal Name | MEDICAL EDUCATION ASSISTANCE CORPORATION |
| Physicians | 155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce A Troxler | Family Medicine | Medical Education Assistance Corporation | 917 W Walnut St, Johnson City, TN 37604-6527 |
| Marcy K Lau | Qualified Audiologist | Medical Education Assistance Corporation | 156 S Dossett Dr, Johnson City, TN 37615-1702 |
| Matthew R. Krolikowski | Infectious Disease | Medical Education Assistance Corporation | 4 Sheridan Sq, Suite 200, Kingsport, TN 37660-7435 |
| Andrea Lynne Hopkins | Family Medicine | Medical Education Assistance Corporation | 208 Medical Park Blvd, Bristol, TN 37620-7343 |
| Janet Williams | Nurse Practitioner | Medical Education Assistance Corporation | 325 N State of Franklin Rd, 2nd Floor, Johnson City, TN 37604-6062 |
| Abigail Cruz | Hematology/oncology | Medical Education Assistance Corporation | 400 E State of Franklin Rd, Johnson City, TN 3760148ND |
| Saravanan Elangovan | Qualified Audiologist | Medical Education Assistance Corporation | 1000 Jason Witten Way, Elizabethton, TN 37643-2970 |
| Martin E Olsen | Obstetrics/gynecology | Medical Education Assistance Corporation | 222 E Main St, Johnson City, TN 37604-5708 |
| Beverly G Ray | Clinical Social Worker | Medical Education Assistance Corporation | Bldg 52 Lake Dr, Mountain Home, TN 37684-0001 |
| Christine Rigsby | Nurse Practitioner | Medical Education Assistance Corporation | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 |
| Street Address |
102 E RAVINE RD |
| City | KINGSPORT |
| State | TN |
| Zip | 37660-3814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
| Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Find all physicians in zip 37660 | |||
| City | KINGSPORT |
| Zip Code | 37660 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KINGSPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Peter R Bockhorst.
| 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.