Jessica Michelle Black (NPI# 1093253379, PAC ID# 4880960178) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1093253379 |
PAC ID by PECOS | 4880960178 |
Professional Enrollment ID | I20171101002221 |
Full Name | Jessica Michelle Black |
Organization Legal Name | TRIAD HEALTH SYSTEMS, INC. |
Address |
329 Floyd Dr Carrollton KY 41008-8261 |
Phone Number | 5027321082 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4082798699 |
Number of Group Practice Members | 14 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
329 Floyd Dr, Carrollton, KY 41008-8261 | 5027321082 | TRIAD HEALTH SYSTEMS, INC. |
441 Us Hwy 42 W, Warsaw, KY 41095-9561 | 8595671591 | TRIAD HEALTH SYSTEMS, INC. |
Organization Legal Name | TRIAD HEALTH SYSTEMS, INC. |
Physicians | 15 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cheryl B Baker | Nurse Practitioner | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
Barbara J Newell | Family Medicine | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
Jasmine K Birchall | Nurse Practitioner | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
Larry C Johnson | Family Medicine | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
Susan A Sanford | Nurse Practitioner | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
Larry Joseph Gross | Psychiatry | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
Eric C Baumann | Family Medicine | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
Mark L Miller | Family Medicine | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
William F Metzger | Optometry | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
Cindy J Haines | Nurse Practitioner | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
Street Address |
329 FLOYD DR |
City | CARROLLTON |
State | KY |
Zip | 41008-8261 |
Name | Specialty | Organization | Address |
---|---|---|---|
Travis L Smith | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia Consultants, LLC | 329 Floyd Dr, Suite D2, Carrollton, KY 41008-8261 |
Larry C Johnson | Family Medicine | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
Chad M Galle | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia Consultants, LLC | 329 Floyd Dr, Suite D2, Carrollton, KY 41008-8261 |
Eric C Baumann | Family Medicine | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
Roy A Morris | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia Consultants, LLC | 329 Floyd Dr, Suite D2, Carrollton, KY 41008-8261 |
Christina M Rollins | Nurse Practitioner | American Pain Institute Inc | 329 Floyd Dr, Suite D, Carrollton, KY 41008-8261 |
Justin P Pearce | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia Consultants, LLC | 329 Floyd Dr, Suite D2, Carrollton, KY 41008-8261 |
Douglas M Smalara | Family Medicine | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
Kelly Simpson | Nurse Practitioner | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
Charles T Morse Jr. | Certified Registered Nurse Anesthetist | Metro Anesthesia Consultants, LLC | 329 Floyd Dr, Suite D2, Carrollton, KY 41008-8261 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Courtney Coffey | Physician Assistant | Radiology Associates of Northern Kentucky Pllc | 309 11th St, Carrollton, KY 41008-1435 |
Samer H Hussein | Internal Medicine | Ccmh Corporation | 309 11th St, Carrollton, KY 41008-1435 |
Elizabeth A Reichard | Diagnostic Radiology | Radiology Associates of Northern Kentucky Pllc | 309 11th St, Carrollton, KY 41008-1435 |
William R Shanks | Emergency Medicine | Ohio River Emergency Physicians LLC | 309 11th St, Carrollton, KY 41008-1435 |
Farooq A Mirza | General Surgery | Ccmh Corporation | 309 11th St, Carrollton, KY 41008-1435 |
Steven Mark Bloom | Ophthalmology | Eye Centers of Louisville Psc | 309 11th St, Carrollton, KY 41008-1435 |
Tawanda Nacole Whidby | Nurse Practitioner | Ccmh Corporation | 309 11th St, Carrollton, KY 41008-1435 |
Toni Nicole Wright | Nurse Practitioner | Commonwealth Pain Associates Pllc | 309 11th St, Carrollton, KY 41008-1435 |
Amber Adcock | Nurse Practitioner | Ccmh Corporation | 309 11th St, Carrollton, KY 41008-1435 |
Thomas R Slone | Certified Registered Nurse Anesthetist (crna) | Ccmh Corporation | 309 11th St, Carrollton, KY 41008-1435 |
Find all physicians in zip 41008 |
City | CARROLLTON |
Zip Code | 41008 |
Specialty | NURSE PRACTITIONER |
City + Specialty | CARROLLTON + NURSE PRACTITIONER |
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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.