Tyler Russell Archer (NPI# 1548770944, PAC ID# 5597025940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1548770944 |
| PAC ID by PECOS | 5597025940 |
| Professional Enrollment ID | I20180205001421 |
| Full Name | Tyler Russell Archer |
| Organization Legal Name | ELITE PAIN CONSULTANTS PLLC |
| Address |
102 Dunhill Place Nw Cleveland TN 37311-3885 |
| Phone Number | 4233399581 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4587924014 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 102 Dunhill Place Nw, Cleveland, TN 37311-3885 | 4233399581 | ELITE PAIN CONSULTANTS PLLC |
| 11416 Grigsby Chapel Rd, Suite 104, Knoxville, TN 37934-1649 | 8652182100 | ELITE PAIN CONSULTANTS PLLC |
| Organization Legal Name | ELITE PAIN CONSULTANTS PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley M Ellis | Nurse Practitioner | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Ashley C Campbell | Nurse Practitioner | Elite Pain Consultants Pllc | 103 Donner Dr, Oak Ridge, TN 37830-7745 |
| Courtney R Harris | Nurse Practitioner | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Piper Hill | Nurse Practitioner | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Christine D Ladd | Nurse Practitioner | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Valerie J Miller | Nurse Practitioner | Elite Pain Consultants Pllc | 103 Donner Dr, Oak Ridge, TN 37830-7745 |
| Megan W. Couch | Physician Assistant | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Todd A Pepper | Pain Management | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Anita E Bayles | Nurse Practitioner | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Street Address |
102 DUNHILL PLACE NW |
| City | CLEVELAND |
| State | TN |
| Zip | 37311-3885 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley M Ellis | Nurse Practitioner | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Courtney R Harris | Nurse Practitioner | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Piper Hill | Nurse Practitioner | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Christine D Ladd | Nurse Practitioner | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Megan W. Couch | Physician Assistant | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Todd A Pepper | Pain Management | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Anita E Bayles | Nurse Practitioner | Elite Pain Consultants Pllc | 102 Dunhill Place Nw, Cleveland, TN 37311-3885 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth C Hudson | Optometry | Walter F Peterson Od PC | 2020 Keith Nwst, Cleveland, TN 37311-1351 |
| Dennis C Ford | Interventional Pain Management | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
| Gregory Vanfossen | Nurse Practitioner | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
| Sarah Ford | Nurse Practitioner | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
| Blake Allen Peterson | Optometry | Walter F Peterson Od PC | 2020 Keith Nwst, Cleveland, TN 37311-1351 |
| John N Gernert | Podiatry | 105 Keith St, Cleveland, TN 37311-1704 | |
| Leland W Wear | Chiropractic | 755 Broad St Nw, Suite C, Cleveland, TN 37311-2248 | |
| Michael L Hoops | Plastic and Reconstructive Surgery | 597 Church St Ne, Cleveland, TN 37311-2275 | |
| Dean Leroy Bowen | Nurse Practitioner | Volunteer Behavioral Health Care System | 940 S Ocoee St, Cleveland, TN 37311-2601 |
| Troy D Gilson | Psychiatry | Volunteer Behavioral Health Care System | 940 S Ocoee St, Cleveland, TN 37311-2601 |
| Find all physicians in zip 37311 | |||
| City | CLEVELAND |
| Zip Code | 37311 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLEVELAND + 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.