Perry Kent Bohanon (NPI# 1467437178, PAC ID# 4981691201) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1467437178 |
PAC ID by PECOS | 4981691201 |
Professional Enrollment ID | I20151104002807 |
Full Name | Perry Kent Bohanon |
Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
Address |
1400 Grand Ave Newport KY 41071-2570 |
Phone Number | 8599127193 |
Gender | M |
Credential | CNS |
Graduation Year | 1990 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2163326240 |
Number of Group Practice Members | 511 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180035 | ST ELIZABETH EDGEWOOD |
Address | Phone | Organization |
---|---|---|
1400 Grand Ave, Newport, KY 41071-2570 | 8599127193 | SUMMIT MEDICAL GROUP, INC. |
Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
Physicians | 487 |
Name | Specialty | Organization | Address |
---|---|---|---|
Caroline Elmer-lyon | Urology | Summit Medical Group, Inc. | 610 Medical Village Dr, Edgewood, KY 41017-3416 |
James Schack | Family Medicine | Summit Medical Group, Inc. | 79 Country Club Dr, Butler, KY 41006-8704 |
Balaji Kalyanaraman | Urology | Summit Medical Group, Inc. | 7370 Turfway Rd, Florence, KY 41042-4895 |
Abraham Llapitan Tacang | Rheumatology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
Rani L. Clark | Nurse Practitioner | Summit Medical Group, Inc. | 2885 Alexandria Way, Highland Heights, KY 41076-1511 |
Gabriel Ymalay | Internal Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
Ashley Nicole Minton | Family Medicine | Summit Medical Group, Inc. | 300 Commerical Circle, Alexandria, KY 41001-0001 |
Saadeddine Dughman | Cardiovascular Disease (cardiology) | Summit Medical Group, Inc. | 900 Medical Village Dr, Edgewood, KY 41017-3422 |
James Michael Morrow | Podiatry | Summit Medical Group, Inc. | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3243 |
Brandon A Cowan | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
Street Address |
1400 GRAND AVE |
City | NEWPORT |
State | KY |
Zip | 41071-2570 |
Name | Specialty | Organization | Address |
---|---|---|---|
Laura L Barczewski | Family Medicine | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Sherri L Schwartz | Family Medicine | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Laura Bertrand | Urology | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Kristen Marie Kreinest | Nurse Practitioner | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Sonali Vora Raman | Obstetrics/gynecology | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Kevin J Miller | Cardiovascular Disease (cardiology) | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Jamie E. C. Krusling | Nurse Practitioner | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Darryl Dwaine Dias | Cardiovascular Disease (cardiology) | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Benjamin Michael Anderson | Psychologist, Clinical | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Kathleen M Browning | Nurse Practitioner | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Linda Kokenge | Clinical Social Worker | Northern Kentucky Mental Health Mental Retardation Regional Board | 12 E 5th St, Newport, KY 41071-1618 |
Michael J Meier | Clinical Social Worker | Northern Kentucky Mental Health Mental Retardation Regional Board | 12 E 5th St, Newport, KY 41071-1618 |
Mark Allen Schroer | Internal Medicine | 17 E 6th St, Newport, KY 41071-1803 | |
Ronald W Randolph | Physician Assistant | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Keith L Sellers | Optometry | Drs Cooke, Landon and Sellers Optometrist, P.s.c | 59 Carothers Rd, Newport, KY 41071-2415 |
Kristin Leigh Gunn | Optometry | Drs Cooke, Landon and Sellers Optometrist, P.s.c | 59 Carothers Rd, Newport, KY 41071-2415 |
Lisa J Leonard | Physician Assistant | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Christine E Romani | Nurse Practitioner | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Robert R So | General Practice | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Josiah W Young | Optometry | Drs Cooke, Landon and Sellers Optometrist, P.s.c | 59 Carothers Rd, Newport, KY 41071-2415 |
Find all physicians in zip 41071 |
City | NEWPORT |
Zip Code | 41071 |
Specialty | NURSE PRACTITIONER |
City + Specialty | NEWPORT + 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.