Jay Justin Middleton (NPI# 1164918298, PAC ID# 5597017962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1164918298 |
| PAC ID by PECOS | 5597017962 |
| Professional Enrollment ID | I20181012000864 |
| Full Name | Jay Justin Middleton |
| Organization Legal Name | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC |
| Address |
3011 N Michigan St Pittsburg KS 66762-2546 |
| Phone Number | 6202319873 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 7911816392 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3011 N Michigan St, Pittsburg, KS 66762-2546 | 6202319873 | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC |
| Organization Legal Name | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy M Orellana | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Sarah Diane Stinebaugh | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Christy Allison Gilreath | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 2990 Military Ave, Baxter Springs, KS 66713-2331 |
| Erin Martinez | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 2100 Commerce Dr, Parsons, KS 67357-4951 |
| Erin J Veronie | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 801 W 8th St, Coffeyville, KS 67337-4109 |
| Sacha L Degraffenreid Yates | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 120 W Pine St, Columbus, KS 66725-1705 |
| Kelli Jo Eccles | Certified Clinical Nurse Specialist (cns) | Community Health Center of Southeast Kansas Inc | 1624 S National Ave, Fort Scott, KS 66701-2645 |
| Emily K Bolinger | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 102 Cline Rd, Coffeyville, KS 67337-3022 |
| Kristyn D Milburn | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 11155 Tucker Rd, Pleasanton, KS 66075-8401 |
| David M Torchia | Physician Assistant | Community Health Center of Southeast Kansas Inc | 601 E Washington St, Arma, KS 66712-4001 |
| Street Address |
3011 N MICHIGAN ST |
| City | PITTSBURG |
| State | KS |
| Zip | 66762-2546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy M Orellana | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| William T Carl | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Bethany Nicole Enoch | Family Medicine | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Kayla D Angleton | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Tonya Kendrick | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Curtis L Mellen | Physician Assistant | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Crystal D Merriman | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Trista Dawn King | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Brock A Boekhout | Psychologist, Clinical | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Lucinda J Whitney | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin A Reitz | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Amber D Hunziker | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Holly Gault | Family Medicine | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Joann Lois Mccleeary | Psychologist, Clinical | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Geeta Sandhu | General Practice | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Whitney Garretson | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Brenda Sue Brennan | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Larry E Seals | Obstetrics/gynecology | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Aaron D Shaw | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Laci D Barton | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Find all physicians in zip 66762 | |||
| City | PITTSBURG |
| Zip Code | 66762 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | PITTSBURG + PSYCHOLOGIST, CLINICAL |
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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.