Joe Michael Mazzolini (NPI# 1811908718, PAC ID# 5092606897) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1811908718 |
PAC ID by PECOS | 5092606897 |
Professional Enrollment ID | I20100922000924 |
Full Name | Joe Michael Mazzolini |
Organization Legal Name | YOUR GOOD HEALTH, LLC |
Address |
1508 Tombras Ave East Ridge TN 37412-2720 |
Phone Number | 4238674969 |
Gender | M |
Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
Graduation Year | 1977 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 3173615838 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440068 | STARR REGIONAL MEDICAL CENTER ATHENS |
440185 | TENNOVA HEALTH CARE-CLEVELAND |
440084 | SWEETWATER HOSPITAL ASSOCIATION |
Address | Phone | Organization |
---|---|---|
764 Old Chattanooga Swpike, Cleveland, TN 37311-8566 | 4233031959 | LIFE BRIDGES, INC |
1508 Tombras Ave, East Ridge, TN 37412-2720 | 4238674969 | YOUR GOOD HEALTH, LLC |
Organization Legal Name | YOUR GOOD HEALTH, LLC |
Physicians | 20 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul D Wentland | Internal Medicine | Your Good Health, LLC | 14 Fort Town Dr, Fort Oglethorpe, GA 30742-4051 |
Anne R Neumann | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Minna Deluca | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Sabrina M Stover | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Amin S Sohani | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Ardyce Ridolfo | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Bruce E Dyer Sr. | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Judith Boggess | Internal Medicine | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Rebecca Dykes Henderson | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Laurie D Davis | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Street Address |
1508 TOMBRAS AVE |
City | EAST RIDGE |
State | TN |
Zip | 37412-2720 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anne R Neumann | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Minna Deluca | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Sabrina M Stover | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Amin S Sohani | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Ardyce Ridolfo | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Bruce E Dyer Sr. | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Judith Boggess | Internal Medicine | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Rebecca Dykes Henderson | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Laurie D Davis | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Carlina L Pendon | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly L Cook | Clinical Social Worker | 1201 S Seminole Dr, Chatttanooga, TN 37412-1135 | |
Richard Eby | Podiatry | 3603 -e Ringgold Rd, Chattanooga, TN 37412-1247 | |
Samiya Jones | Nurse Practitioner | Comprehensive Medical Care, P.C. | 4151 Ringgold Rd, East Ridge, TN 37412-2434 |
Mark W Bookout | Otolaryngology | Comprehensive Medical Care, P.C. | 4151 Ringgold Rd, East Ridge, TN 37412-2434 |
Gregory R Joyner | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Tami L Lloyd | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Carole H Johnson | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Kellie L Henderson | Physician Assistant | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Holly D Walker | Nurse Practitioner | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Beth N Jordan | Certified Registered Nurse Anesthetist | Your Good Health, LLC | 1508 Tombras Ave, East Ridge, TN 37412-2720 |
Find all physicians in zip 37412 |
City | EAST RIDGE |
Zip Code | 37412 |
Specialty | FAMILY MEDICINE |
City + Specialty | EAST RIDGE + FAMILY MEDICINE |
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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.