Tracy R Rahall (NPI# 1093871584, PAC ID# 4385606078) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1093871584 |
| PAC ID by PECOS | 4385606078 |
| Professional Enrollment ID | I20070515000186 |
| Full Name | Tracy R Rahall |
| Organization Legal Name | PROFESSIONAL EMERGENCY PHYSICIANS PC |
| Address |
1260 E State Rd Suite 205 Columbia City IN 46725-9492 |
| Phone Number | 2602489000 |
| Gender | F |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2769384213 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 151310 | PARKVIEW WABASH HOSPITAL, INC |
| 150146 | PARKVIEW NOBLE HOSPITAL |
| 150101 | PARKVIEW WHITLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 | 2602489000 | PROFESSIONAL EMERGENCY PHYSICIANS PC |
| 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2603734000 | PROFESSIONAL EMERGENCY PHYSICIANS PC |
| Organization Legal Name | PROFESSIONAL EMERGENCY PHYSICIANS PC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danyelle R Aber | Emergency Medicine | Professional Emergency Physicians PC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Albert V Emilian | Emergency Medicine | Professional Emergency Physicians PC | 416 E Maumee St, Angola, IN 46703-2015 |
| Betsy G Krause | Family Medicine | Professional Emergency Physicians PC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Jaime R Hajjari | Emergency Medicine | Professional Emergency Physicians PC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Nicholas J Gould | Emergency Medicine | Professional Emergency Physicians PC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Justin S. Ritonya | Emergency Medicine | Professional Emergency Physicians PC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Kimberly E Matz | Family Medicine | Professional Emergency Physicians PC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Robert L Brunk Ii | Emergency Medicine | Professional Emergency Physicians PC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Thomas D Huntington | Emergency Medicine | Professional Emergency Physicians PC | 416 E Maumee St, Angola, IN 46703-2015 |
| Peter G Topis | Family Medicine | Professional Emergency Physicians PC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Street Address |
1260 E STATE RD SUITE 205 |
| City | COLUMBIA CITY |
| State | IN |
| Zip | 46725-9492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Michael Wing | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Jeffery Knisley | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Oleg V Korolev | Anesthesiology | Clinical Colleagues Inc | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Kevin Francis Oconnor Sr. | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Michael E Myers | Emergency Medicine | Professional Emergency Physicians Inc | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Lynn Kirgis | Chiropractic | 695 N Opportunity Dr, Columbia City, IN 46725-1041 | |
| Lori M Kirgis | Chiropractic | Whitley Chiropractic and Wellness Center | 695 N Opportunity Dr, Columbia City, IN 46725-1041 |
| Braion Chapman | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Parkview Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Whitney Miller | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Jessica Shaye Proxmire | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Cindi Urick-greer | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Parkview Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Renee Grant | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Margery Ann Gordon | Family Medicine | Parkview Health System Inc | 885 W Connexion Way, 200 Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Gerry S Easterday | Emergency Medicine | Parkview Health System Inc | 885 W Connexion Way, Columbia City, IN 46725-1045 |
| Andrew B Hogue | Optometry | 513 N Line St, Columbia City, IN 46725-1229 | |
| Find all physicians in zip 46725 | |||
| City | COLUMBIA CITY |
| Zip Code | 46725 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | COLUMBIA CITY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Tracy R Rahall.
| 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.