Jeremiah T Phelps (NPI# 1033571674, PAC ID# 3971873654) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1033571674 |
| PAC ID by PECOS | 3971873654 |
| Professional Enrollment ID | I20180803002670 |
| Full Name | Jeremiah T Phelps |
| Organization Legal Name | ICH-EPG ALLIANCE LLC |
| Address |
217 S 3rd St Danville KY 40422-1823 |
| Phone Number | 8592395008 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5092092577 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180048 | EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER |
| 181315 | EPHRAIM MCDOWELL FORT LOGAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 217 S 3rd St, Danville, KY 40422-1823 | 8592395008 | ICH-EPG ALLIANCE LLC |
| Organization Legal Name | ICH-EPG ALLIANCE LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather M Schulte | Emergency Medicine | Ich-epg Alliance LLC | 217 S 3rd St, Danville, KY 40422-1823 |
| Cody Gilbert | Emergency Medicine | Ich-epg Alliance LLC | 217 S 3rd St, Danville, KY 40422-1823 |
| Paul W Finley | Family Medicine | Ich-epg Alliance LLC | 217 S 3rd St, Danville, KY 40422-1823 |
| Gregory K Rodgers | Emergency Medicine | Ich-epg Alliance LLC | 217 S 3rd St, Danville, KY 40422-1823 |
| Street Address |
217 S 3RD ST |
| City | DANVILLE |
| State | KY |
| Zip | 40422-1823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn E Pingleton | Internal Medicine | 24 On Physicians PC | 217 S 3rd St, Danville, KY 40422-1823 |
| Mitu Karki Maskey | Infectious Disease | Ephraim Mcdowell Regional Medical Center Incorporated | 217 S 3rd St, Danville, KY 40422-1823 |
| Pallaki D Ravi | Family Medicine | 24 On Physicians PC | 217 S 3rd St, Danville, KY 40422-1823 |
| Georgeanna L. Grant | Certified Registered Nurse Anesthetist (crna) | Danville Anesthesia Associates, LLP | 217 S 3rd St, Danville, KY 40422-1823 |
| Jeremy S Keller | Internal Medicine | 24 On Physicians PC | 217 S 3rd St, Danville, KY 40422-1823 |
| Carl Edmond Wisecaver | Certified Registered Nurse Anesthetist (crna) | Danville Anesthesia Associates, LLP | 217 S 3rd St, Danville, KY 40422-1823 |
| Daniel M Rusu | Critical Care (intensivists) | 24 On Physicians PC | 217 S 3rd St, Danville, KY 40422-1823 |
| Heather M Schulte | Emergency Medicine | Ich-epg Alliance LLC | 217 S 3rd St, Danville, KY 40422-1823 |
| Peter I Aliu | Internal Medicine | 24 On Physicians PC | 217 S 3rd St, Danville, KY 40422-1823 |
| Susan Adams | Certified Registered Nurse Anesthetist (crna) | Danville Anesthesia Associates, LLP | 217 S 3rd St, Danville, KY 40422-1823 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deshana A Collett | Physician Assistant | Bluegrass Extended Care | 642 N 3rd St, Danville, KY 40422-1125 |
| Cheryl R Rivard | Psychiatry | New Vista of The Bluegrass Inc | 650 High St, Danville, KY 40422-1235 |
| Yu Cho Shih | Psychiatry | New Vista of The Bluegrass Inc | 650 High St, Danville, KY 40422-1235 |
| Anna M Hume | Nurse Practitioner | New Vista of The Bluegrass Inc | 650 High St, Danville, KY 40422-1235 |
| Pauline Richard | Clinical Social Worker | Bluegrass.org Inc | 650 High St, Danville, KY 40422-1235 |
| Leigh S Dunn | Clinical Social Worker | Bluegrass.org Inc | 650 High St, Danville, KY 40422-1235 |
| Alicia G Chisholm | Clinical Social Worker | Bluegrass.org Inc | 650 High St, Danville, KY 40422-1235 |
| Ingeborg G Petit | Nurse Practitioner | Bluegrass.org Inc | 650 High St, Danville, KY 40422-1235 |
| Sheenah D Yoder | Occupational Therapy | The Weston Group Inc | 1375 Perryville Rd, Danville, KY 40422-1337 |
| Jeremy T Parsons | Occupational Therapy | The Weston Group Inc | 1375 Perryville Rd, Danville, KY 40422-1337 |
| Find all physicians in zip 40422 | |||
| City | DANVILLE |
| Zip Code | 40422 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DANVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jeremiah T Phelps.
| 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.