Jeffery Knisley (NPI# 1609325158, PAC ID# 5991093932) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1609325158 |
| PAC ID by PECOS | 5991093932 |
| Professional Enrollment ID | I20181109000359 |
| Full Name | Jeffery Knisley |
| Organization Legal Name | CLINICAL COLLEAGUES INC |
| Address |
1260 E State Rd Suite 205 Columbia City IN 46725-9492 |
| Phone Number | 2602489301 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8729011333 |
| Number of Group Practice Members | 116 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150146 | PARKVIEW NOBLE HOSPITAL |
| 150091 | PARKVIEW HUNTINGTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 | 2602489301 | CLINICAL COLLEAGUES INC |
| 401 N Sawyer Rd, Kendallville, IN 46755-2568 | 2603478140 | CLINICAL COLLEAGUES INC |
| Organization Legal Name | CLINICAL COLLEAGUES INC |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney D Mann | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 1900 N 14th St, Ponca City, OK 74601-2035 |
| Dana Alan Reynolds | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 1250 S Washington St, Van Wert County Hospital, Van Wert, OH 45891-2599 |
| Jonathan B Mitchell | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 70 Medical Ctr Dr, Commerce, GA 30529-1078 |
| Kathryn A Montagne | Anesthesiology | Clinical Colleagues Inc | 133 Fairfield St, Saint Albans, VT 05478-1726 |
| Perry Arthur Rathbun | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| David J Nowak | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Danielle J Aguilar | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 2001 Stults Rd, Huntington, IN 46750-1291 |
| Jeremiah L Ashe | Anesthesiology | Clinical Colleagues Inc | 2001 Stults Rd, Huntington, IN 46750-1291 |
| James D Holden | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Babatunde Adeosun | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 2001 Stults Rd, Huntington, IN 46750-1291 |
| Street Address |
1260 E STATE RD SUITE 205 |
| City | COLUMBIA CITY |
| State | IN |
| Zip | 46725-9492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Michael Wing | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Tracy R Rahall | Emergency Medicine | Professional Emergency Physicians PC | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Oleg V Korolev | Anesthesiology | Clinical Colleagues Inc | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Kevin Francis Oconnor Sr. | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Michael E Myers | Emergency Medicine | Professional Emergency Physicians Inc | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Lynn Kirgis | Chiropractic | 695 N Opportunity Dr, Columbia City, IN 46725-1041 | |
| Lori M Kirgis | Chiropractic | Whitley Chiropractic and Wellness Center | 695 N Opportunity Dr, Columbia City, IN 46725-1041 |
| Braion Chapman | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Parkview Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Whitney Miller | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Jessica Shaye Proxmire | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Cindi Urick-greer | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Parkview Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Renee Grant | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Margery Ann Gordon | Family Medicine | Parkview Health System Inc | 885 W Connexion Way, 200 Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Gerry S Easterday | Emergency Medicine | Parkview Health System Inc | 885 W Connexion Way, Columbia City, IN 46725-1045 |
| Andrew B Hogue | Optometry | 513 N Line St, Columbia City, IN 46725-1229 | |
| Find all physicians in zip 46725 | |||
| City | COLUMBIA CITY |
| Zip Code | 46725 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | COLUMBIA CITY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.