Mark Stovall (NPI# 1164561742, PAC ID# 5597865436) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1164561742 |
| PAC ID by PECOS | 5597865436 |
| Professional Enrollment ID | I20070707000039 |
| Full Name | Mark Stovall |
| Organization Legal Name | MEDSTREAM ANESTHESIA PLLC |
| Address |
1801 N Jackson St Tullahoma TN 37388-8259 |
| Phone Number | 8283985244 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7416198049 |
| Number of Group Practice Members | 434 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440144 | TENNOVA HEALTHCARE-HARTON |
| Address | Phone | Organization |
|---|---|---|
| 421 S Main St, Crossville, TN 38555-5048 | 8283985244 | MEDSTREAM ANESTHESIA PLLC |
| 1801 N Jackson St, Tullahoma, TN 37388-8259 | 8283985244 | MEDSTREAM ANESTHESIA PLLC |
| Organization Legal Name | MEDSTREAM ANESTHESIA PLLC |
| Physicians | 374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Andrew Fleck | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 320 W Main St, White Sulphur Springs, WV 24986-2414 |
| Liesel E.a. Leedy | Anesthesiology | Medstream Anesthesia Pllc | 3241 Sw 34th St, Ocala, FL 34474-7439 |
| Kittipong Burt Srisuwan | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 304 Medical Park Dr, Walterboro, SC 29488-5743 |
| Gina Brigitte Justis | Anesthesiology | Medstream Anesthesia Pllc | 1500 Sw 1st Ave, Ocala, FL 34471-6504 |
| Timothy Joe Carter Ii | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 421 S Main St, Crossville, TN 38555-5048 |
| Nathan G Fell | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 430 Main St, Oak Hill, WV 25901-3484 |
| Sarah M Hewitt | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 |
| Richard C Franklin | Anesthesiology | Medstream Anesthesia Pllc | 566 Ruin Creek Rd, Henderson, NC 27536-2927 |
| Cynthia L Kappler | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1710 Harper Rd, Beckley, WV 25801-3397 |
| Timothy Whalen | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 830 Rockford St, Mount Airy, NC 27030-5322 |
| Street Address |
1801 N JACKSON ST |
| City | TULLAHOMA |
| State | TN |
| Zip | 37388-8259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Roddy Russell | Diagnostic Radiology | Medical Imaging Consultants, PC | 1801 N Jackson St, Tullahoma, TN 37388-2201 |
| Heather M Hutchings | Family Medicine | Healogics Specialty Physicians of Tennessee, Pllc | 1801 N Jackson St, Tullahoma, TN 37388-8259 |
| Samantha L Dawson | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1801 N Jackson St, Tullahoma, TN 37388-8259 |
| Monica Meeks | Nurse Practitioner | App of Tennessee Ed Pllc | 1801 N Jackson St, Tullahoma, TN 37388-8259 |
| Shawn P Ross | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1801 N Jackson St, Tullahoma, TN 37388-8259 |
| Ginny E. Barton | Obstetrics/gynecology | Tullahoma Hma Physician Management, LLC | 1801 N Jackson St, Tullahoma, TN 37388-8256 |
| Kimberly D Altaffer | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1801 N Jackson St, Tullahoma, TN 37388-8259 |
| Sandra Danette Poppell | Anesthesiology | Medstream Anesthesia Pllc | 1801 N Jackson St, Tullahoma, TN 37388-8259 |
| Johnny M Mccormick | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1801 N Jackson St, Tullahoma, TN 37388-8259 |
| James G Schuler | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1801 N Jackson St, Tullahoma, TN 37388-8259 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett L Ferrell | Family Medicine | 100 William N Blvd, Tullahoma, TN 37388 | |
| Jonathan M Garrison | Clinical Psychologist | 111133 Tullahoma Hwy, Tullahoma, TN 37388 | |
| Robert M Bell | Podiatry | Highland Rim Foot and Ankle Clinic, Pllc | 1948 N Jackson St, Tullahoma, TN 37388-2204 |
| Matthew D Murphey | Podiatry | Highland Rim Foot and Ankle Clinic, Pllc | 1948 N Jackson St, Tullahoma, TN 37388-2204 |
| Brady Palmer | Optometry | 2111 N Jackson St, Tullahoma, TN 37388-2207 | |
| Heather C Bohannon Iyama | Nurse Practitioner | 2120 N Jackson St, Tullahoma, TN 37388-2208 | |
| Jennifer A Shetters | Nurse Practitioner | Spectrum Medical Associates | 2106 N Jackson St, Tullahoma, TN 37388-2208 |
| William B Bradford | Radiation Oncology | 2114 N Jackson St, Tullahoma, TN 37388-2208 | |
| Richard C Cole | Family Medicine | Spectrum Medical Associates | 2106 N Jackson St, Tullahoma, TN 37388-2208 |
| James Thurman | Oral Surgery | Tullahoma Oral Surgery, P.C. | 2120 N Jackson St, Tullahoma, TN 37388-2208 |
| Find all physicians in zip 37388 | |||
| City | TULLAHOMA |
| Zip Code | 37388 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | TULLAHOMA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Mark Stovall.
| 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.