Channdara Thach (NPI# 1578914842, PAC ID# 5799070256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1578914842 |
PAC ID by PECOS | 5799070256 |
Professional Enrollment ID | I20160823000698 |
Full Name | Channdara Thach |
Organization Legal Name | BHC - SHELBY INTERNAL MEDICINE |
Address |
120 Cahaba Valley Pkwy Pelham AL 35124-1179 |
Phone Number | 2056635770 |
Gender | F |
Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
Graduation Year | 2015 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 9436143641 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010016 | SHELBY BAPTIST MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
120 Cahaba Valley Pkwy, Pelham, AL 35124-1179 | 2056635770 | BHC - SHELBY INTERNAL MEDICINE |
120 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124-1179 | 2056635770 | BHC - SHELBY INTERNAL MEDICINE |
Organization Legal Name | BHC - SHELBY INTERNAL MEDICINE |
Physicians | 1 |
Street Address |
120 CAHABA VALLEY PKWY |
City | PELHAM |
State | AL |
Zip | 35124-1179 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daryl G Dykes | Orthopedic Surgery | Alabama Bone and Joint Clinic,llc | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124-1187 |
Dawn M Coston | Nurse Practitioner | Nephrology Associates, PC | 120 Cahaba Valley Pkwy, Suite 150, Pelham, AL 35124-1173 |
Jason D Cobb | Orthopedic Surgery | Alabama Bone and Joint Clinic,llc | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124-1187 |
Holly Danielle Scott | Nurse Practitioner | Alabama Bone and Joint Clinic,llc | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124-1187 |
Michael C Gerhardt | Orthopedic Surgery | Alabama Bone and Joint Clinic,llc | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124-1187 |
Rebekah N Cowan | Occupational Therapy | Alabama Bone and Joint Clinic,llc | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124-1187 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kristen Jane Betts | Nurse Practitioner | Rural Urgent Care LLC | Mainstreet Family Urgent Care, 300 Big Mountain Rd, Pelham, AL 35124 |
Jim H Day Jr. | Optometry | 2122 Old Montgomery Hwy, Pelham, AL 35124-1138 | |
Robert Craven Snyder Jr. | Family Medicine | 2508 Pelham Pkwy, Pelham, AL 35124-1321 | |
James B Perry | Optometry | Myeyedr Optometry of Alabama LLC | 2617 Hwy 31 S, Pelham, AL 35124-1322 |
Jason K Dickerson | Optometry | Myeyedr Optometry of Alabama LLC | 2617 Hwy 31 S, Pelham, AL 35124-1322 |
Megan S Kentros | Optometry | Myeyedr Optometry of Alabama LLC | 2617 Hwy 31 S, Pelham, AL 35124-1322 |
Michael S Williams | Optometry | Myeyedr Optometry of Alabama LLC | 2617 Hwy 31 S, Pelham, AL 35124-1322 |
Denise A Wheeler | Chiropractic | 2717 Pelham Pkwy, Pelham, AL 35124-1704 | |
Lynn Cagle Maiden | Nurse Practitioner | Baptist Health Centers LLC | 2705 Pelham Pkwy, Suite 100, Pelham, AL 35124-1704 |
Amanda Lea Higgins | Nurse Practitioner | American Family Care Inc | 2970 Pelham Pkwy, Pelham, AL 35124-1709 |
Find all physicians in zip 35124 |
City | PELHAM |
Zip Code | 35124 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | PELHAM + PHYSICIAN ASSISTANT |
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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.