Courtney N Bumbalough (NPI# 1952881435, PAC ID# 5799018586) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1952881435 |
| PAC ID by PECOS | 5799018586 |
| Professional Enrollment ID | I20190611000520 |
| Full Name | Courtney N Bumbalough |
| Organization Legal Name | PROACTIVE CLINICAL PARTNERS |
| Address |
2494 N Lebanon St Homewood of Lebanon Lebanon IN 46052-1111 |
| Phone Number | 3179417338 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527315852 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| Address | Phone | Organization |
|---|---|---|
| 2494 N Lebanon St, Homewood of Lebanon, Lebanon, IN 46052-1111 | 3179417338 | PROACTIVE CLINICAL PARTNERS |
| 937 E 186th St, Wellbrooke of Westfield, Westfield, IN 46074-7827 | 3179417338 | PROACTIVE CLINICAL PARTNERS |
| Organization Legal Name | PROACTIVE CLINICAL PARTNERS |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeromy Michael Shoup | Nurse Practitioner | Proactive Clinical Partners | 937 E 186th St, Wellbrooke of Westfield, Westfield, IN 46074-7827 |
| Dannielle Christine Gilyan | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Carla M Roberson | Nurse Practitioner | Proactive Clinical Partners | 1959 E Columbus St, Grandview Health and Rehabilitation, Martinsville, IN 46151-1857 |
| Saad A Hafidh | Internal Medicine | Proactive Clinical Partners | 2002 W 86th St, Willow Springs, Indianapolis, IN 46260-1903 |
| Syed K Hashmi | Internal Medicine | Proactive Clinical Partners | 45 Beachway Dr, Indianapolis, IN 46224-8501 |
| Heather Abbott | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Renee' K Mcdonald | Nurse Practitioner | Proactive Clinical Partners | 2002 W 86th St, Willow Springs, Indianapolis, IN 46260-1903 |
| Jessica E Squires | Physician Assistant | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Jennifer Dale | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Ibrar Faqir Paracha | Nephrology | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Street Address |
2494 N LEBANON ST HOMEWOOD OF LEBANON |
| City | LEBANON |
| State | IN |
| Zip | 46052-1111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita A Mankus | Nephrology | Franciscan Physician Network | 2485 N Lebanon St, Lebanon, IN 46052-1186 |
| Herschell Servies Jr. | Family Medicine | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Brandon J Horn | Orthopedic Surgery | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Leann M Toliver | Nurse Practitioner | Lafayette Emergency Physicians Inc | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Laura M Lambert | Anesthesiology | Anesthesiology of Indianapolis, PC | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Hak Nam Kim | Gastroenterology | University Medical Diagnostic Associates Inc | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Nicholas R Osborne | Nurse Practitioner | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Charles L Elliott | Otolaryngology | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Jonathan S Fried | Emergency Medicine | Lafayette Emergency Physicians Inc | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Michael Ira Shapiro | Pulmonary Disease | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Find all physicians in zip 46052 | |||
| City | LEBANON |
| Zip Code | 46052 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LEBANON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Courtney N Bumbalough.
| 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.