Audrey L Cavins-ezell
GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC.


Address: 1100 Walnut St, Owensboro, KY 42301-2956
Phone: 2706896500

Audrey L Cavins-ezell (NPI# 1154899805, PAC ID# 3971848839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1154899805
PAC ID by PECOS 3971848839
Professional Enrollment ID I20181220001847
Full Name Audrey L Cavins-ezell
Organization Legal Name GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC.
Address 1100 Walnut St
Owensboro
KY 42301-2956
Phone Number 2706896500
Gender F
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4082522396
Number of Group Practice Members 15
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
180038 OWENSBORO HEALTH REGIONAL HOSPITAL

Other Locations

Address Phone Organization
1269 Duvall Rd, Beaver Dam, KY 42320-8637 2702740650 GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC.
1100 Walnut St, Owensboro, KY 42301-2956 2706896500 GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC.

Organization Information

Organization Legal Name GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC.
Physicians 18

Physicians with the same organization

Name Specialty Organization Address
Gloria Johnson Royster Clinical Social Worker Green River Regional Mental Health/mental Retardation Board, Inc. 233 N Townsend, Morganfield, KY 42437-1436
Heather Ann Henderson Clinical Social Worker Green River Regional Mental Health/mental Retardation Board, Inc. 606 1st Ave, Providence, KY 42450-1735
Lori A Buckby-reddish Clinical Social Worker Green River Regional Mental Health/mental Retardation Board, Inc. 314 S Ewing Rd, Owensboro, KY 42301-0353
David M Whittaker Nurse Practitioner Green River Regional Mental Health/mental Retardation Board, Inc. 1100 Walnut St, Owensboro, KY 42301-2956
Ashley Vanover Clinical Social Worker Green River Regional Mental Health/mental Retardation Board, Inc. 1100 Walnut St, Owensboro, KY 42301-2956
Erik M Rotterman Psychiatry Green River Regional Mental Health/mental Retardation Board, Inc. 1100 Walnut St, Owensboro, KY 42301-2956
Amanda Lee Greenwell Clinical Social Worker Green River Regional Mental Health/mental Retardation Board, Inc. 1100 Walnut St, Owensboro, KY 42301-2956
Joan Evelyn Thomason Clinical Social Worker Green River Regional Mental Health/mental Retardation Board, Inc. 1100 Walnut St, Owensboro, KY 42301-2956
Patricia Watkins Clinical Social Worker Green River Regional Mental Health/mental Retardation Board, Inc. 1100 Walnut St, Owensboro, KY 42301-2956
Shiraz H Qalbani Psychiatry Green River Regional Mental Health/mental Retardation Board, Inc. 1100 Walnut St, Owensboro, KY 42301-2956

Office Location

Street Address 1100 WALNUT ST
City OWENSBORO
State KY
Zip 42301-2956

Physicians in the same location

Name Specialty Organization Address
Geoffrey Wayne Krampitz General Surgery Jefferson University Physicians 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563
Anirudh Kohli General Surgery Jefferson University Physicians 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563
David M Whittaker Nurse Practitioner Green River Regional Mental Health/mental Retardation Board, Inc. 1100 Walnut St, Owensboro, KY 42301-2956
Tyler Ross Grenda General Surgery Jefferson University Physicians 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563
John C Kairys General Surgery Jefferson University Physicians 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563
David W. Rittenhouse General Surgery Jefferson University Physicians 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563
Sung Whang Nurse Practitioner Jefferson University Physicians 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563
Ashley Vanover Clinical Social Worker Green River Regional Mental Health/mental Retardation Board, Inc. 1100 Walnut St, Owensboro, KY 42301-2956
Erik M Rotterman Psychiatry Green River Regional Mental Health/mental Retardation Board, Inc. 1100 Walnut St, Owensboro, KY 42301-2956
Karen Ann Chojnacki General Surgery Jefferson University Physicians 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563
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Physicians in the same zip code

Name Specialty Organization Address
Tore Stuen Physical Therapy Owensboro Health Medical Group Inc 2420 W 3rd St, Owensboro, KY 42301-0328
Alissa K Daugherty Family Practice Owensboro Health Medical Group Inc 2420 W 3rd St, Owensboro, KY 42301-0328
Lori A Buckby-reddish Clinical Social Worker Green River Regional Mental Health/mental Retardation Board, Inc. 314 S Ewing Rd, Owensboro, KY 42301-0353
Jin S Amon Psychiatry Owensboro Health Medical Group Inc 2526 W 10th St, Owensboro, KY 42301-1738
Alicia F Terry Physician Assistant Owensboro Health Medical Group Inc 2526 W 10th St, Owensboro, KY 42301-1738
Marissa S Hubert Clinical Social Worker Counseling Connections LLC 1326 W 9th St, Owensboro, KY 42301-2028
Staci L Ratliff Clinical Social Worker Counseling Connections LLC 1326 W 9th St, Owensboro, KY 42301-2028
Ashley A Berry Clinical Social Worker Counseling Connections LLC 1326 W 9th St, Owensboro, KY 42301-2028
Ashley S Davis Clinical Social Worker Counseling Connections LLC 1326 W 9th St, Owensboro, KY 42301-2028
Victoria J Meacham Clinical Social Worker Counseling Connections LLC 1326 W 9th St, Owensboro, KY 42301-2028
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Competitor

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City OWENSBORO
Zip Code 42301
Specialty NURSE PRACTITIONER
City + Specialty OWENSBORO + NURSE PRACTITIONER

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Dataset Information

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.

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