James D Amlicke (NPI# 1508961996, PAC ID# 5890755276) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508961996 |
| PAC ID by PECOS | 5890755276 |
| Professional Enrollment ID | I20041012000476 |
| Full Name | James D Amlicke |
| Organization Legal Name | CLARKSVILLE PHYSICIAN SERVICES GP |
| Address |
647 Dunlop Ln Suite 101 Clarksville TN 37040-5015 |
| Phone Number | 9315023750 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0547276917 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440035 | TENNOVA HEALTHCARE-CLARKSVILLE |
| 440082 | SAINT THOMAS WEST HOSPITAL |
| 440161 | TRISTAR CENTENNIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1731 Memorial Dr, Suite 209, Clarksville, TN 37043-4543 | 9315521221 | CLARKSVILLE PHYSICIAN SERVICES GP |
| 647 Dunlop Lane, Suite 210, Clarksville, TN 37040-5165 | 9315535495 | CLARKSVILLE PHYSICIAN SERVICES GP |
| 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 | 9315023750 | CLARKSVILLE PHYSICIAN SERVICES GP |
| 647 Dunlop Ln, Clarksville, TN 37040-5165 | CLARKSVILLE PHYSICIAN SERVICES GP | |
| 651 Dunlop Ln, Clarksville, TN 37040-5015 | 9315025080 | CLARKSVILLE PHYSICIAN SERVICES GP |
| 1020 Robert H Lee Dr, Dover, TN 37058-3750 | 9312325741 | CLARKSVILLE PHYSICIAN SERVICES GP |
| 133 Dr Robert H Lee Dr, Dover, TN 37058-3750 | 9312325141 | CLARKSVILLE PHYSICIAN SERVICES GP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 99% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 97% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 7% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 17% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 2% |
| Organization Legal Name | CLARKSVILLE PHYSICIAN SERVICES GP |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Joanne O'hara-rodriguez | Physician Assistant | Clarksville Physician Services Gp | 2485 Tiny Town Rd, Clarksville, TN 37042-7219 |
| Joseph A Kowal | Physician Assistant | Clarksville Physician Services Gp | 1731 Memorial Dr, Suite 209, Clarksville, TN 37043-4543 |
| Ali Latefi | Urology | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| William A Edwards | Nurse Practitioner | Clarksville Physician Services Gp | 133 Dr Robert H Lee Dr, Dover, TN 37058-3750 |
| Ewa Antonczyk | Internal Medicine | Clarksville Physician Services Gp | 647 Dunlop Lane, Suite 210, Clarksville, TN 37040-5165 |
| Robert H Lee | Family Medicine | Clarksville Physician Services Gp | 1836 Memorial Dr, Clarksville, TN 37043-8109 |
| Brent Oland | Physician Assistant | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| Amanda Lynn Blassl | Nurse Practitioner | Clarksville Physician Services Gp | 2485 Tiny Town Rd, Clarksville, TN 37042-7219 |
| Jane Holt | Nurse Practitioner | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| Craig A Ennis | Internal Medicine | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| Street Address |
647 DUNLOP LN SUITE 101 |
| City | CLARKSVILLE |
| State | TN |
| Zip | 37040-5015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali Latefi | Urology | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| Thomas G Bartlett | Cardiovascular Disease (cardiology) | Saint Thomas Medical Partners | 647 Dunlop Ln, Suite 116, Clarksville, TN 37040-5165 |
| Brent Oland | Physician Assistant | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| Jane Holt | Nurse Practitioner | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| Craig A Ennis | Internal Medicine | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| Thomas J Killian | Cardiovascular Disease (cardiology) | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 101, Clarksville, TN 37040-5015 |
| Daniel Pischl | General Surgery | Clarksville Physician Services Gp | 647 Dunlop Ln, Suite 203, Clarksville, TN 37040-5165 |
| Sara Tenille Cottrell | Nurse Practitioner | Saint Thomas Medical Partners | 647 Dunlop Ln, Suite 116, Clarksville, TN 37040-5165 |
| Matthew David Truscello | Podiatry | Gateway Foot and Ankle Center, Plc | 647 Dunlop Ln, Suite 209, Clarksville, TN 37040-5165 |
| Jason Cory Barnett | Gynecological Oncology | Saint Thomas Medical Partners | 647 Dunlop Ln, Suite 116, Clarksville, TN 37040-5165 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel R Owsiak | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Lisa M Ely | Optometry | 3315 Guthrie Hwy, Clarksville, TN 37040 | |
| Charles Fitch | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Adam Luka | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Richard Gannaway | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Alan Lee Blatterman | Optometry | All Eyes Vision Care, Inc. | 3315 Guthrie Hwy, Clarksville, TN 37040 |
| Nida Steiner | Optometry | Calvert Opthalmology Psc | 2801 Wilma Rudolph Blvd, Suite 665, Clarksville, TN 37040-1501 |
| Joshua Alan Lecker | Chiropractic | 2106 Trenton Rd A, Clarksville, TN 37040-1633 | |
| Taylor Singleton | Nurse Practitioner | Physician Partners PC | 511 8th St, Clarksville, TN 37040-3093 |
| Bethany Massey | Nurse Practitioner | Physician Partners PC | 511 8th St, Clarksville, TN 37040-3093 |
| Find all physicians in zip 37040 | |||
| City | CLARKSVILLE |
| Zip Code | 37040 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CLARKSVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on James D Amlicke.
| 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.