Charles Omick (NPI# 1376637504, PAC ID# 6305734344) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1376637504 |
| PAC ID by PECOS | 6305734344 |
| Professional Enrollment ID | I20040310000296 |
| Full Name | Charles Omick |
| Organization Legal Name | MEDSTREAM ANESTHESIA PLLC |
| Address |
727 N Main St Emporia VA 23847-1274 |
| Phone Number | 8283985244 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1969 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 7416198049 |
| Number of Group Practice Members | 370 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490097 | SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 727 N Main St, Emporia, VA 23847-1274 | 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 |
727 N MAIN ST |
| City | EMPORIA |
| State | VA |
| Zip | 23847-1274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Firas Kaddaha | Cardiovascular Disease (cardiology) | Southside Physician Network LLC | 727 N Main St, Emporia, VA 23847-1274 |
| Philip Cogan Casey | Internal Medicine | Emergency Medicine Associates Pa PC | 727 N Main St, Emporia, VA 23847-1274 |
| Omar A Minai | Pulmonary Disease | Southside Physician Network LLC | 727 N Main St, Emporia, VA 23847-1274 |
| Mark Maher Guirguis | Anesthesiology | Medstream Anesthesia Pllc | 727 N Main St, Emporia, VA 23847-1274 |
| Rakesh Sood | Psychiatry | Southside Physician Network LLC | 727 N Main St, Emporia, VA 23847-1274 |
| Teresa Oswald | Nurse Practitioner | Southside Physician Network LLC | 727 N Main St, Emporia, VA 23847-1274 |
| Renee M Essary | Nurse Practitioner | Southside Physician Network LLC | 727 N Main St, Emporia, VA 23847-1274 |
| Adam Haymaker | Physician Assistant | Southside Physician Network LLC | 727 N Main St, Emporia, VA 23847-1274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline J Gatten | Clinical Social Worker | 420 S Main St C, Emporia, VA 23847-0016 | |
| William W Campbell | Neurology | Henrico Doctors Neurology Associates LLC | 301 Market Dr, Suite 7, Emporia, VA 23847-1215 |
| Spencer G Feldmann | Family Medicine | Southside Physician Network LLC | 511 Belfield Dr, Emporia, VA 23847-1217 |
| Amanda Miller Temple | Nurse Practitioner | Southside Physician Network LLC | 511 Belfield Dr, Emporia, VA 23847-1217 |
| Jennifer Robinson Watson | Nurse Practitioner | Emporia Medical Associates PC | 6 Doctors Dr, Emporia, VA 23847-1240 |
| Cassandra Dee Storey | Physician Assistant | Emporia Medical Associates PC | 6 Doctors Dr, Emporia, VA 23847-1240 |
| Michael S Anderson | Family Medicine | Emporia Medical Associates PC | 6 Doctors Dr, Emporia, VA 23847-1240 |
| Robert H Squire | Family Medicine | Emporia Medical Associates PC | 6 Doctors Dr, Emporia, VA 23847-1240 |
| Leanne W Rawlings | Nurse Practitioner | Emporia Medical Associates PC | 6 Doctors Dr, Emporia, VA 23847-1240 |
| Adolph V Flowers | Family Practice | Emporia Medical Associates PC | 6 Doctors Dr, Emporia, VA 23847-1240 |
| Find all physicians in zip 23847 | |||
| City | EMPORIA |
| Zip Code | 23847 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | EMPORIA + CERTIFIED REGISTERED NURSE ANESTHETIST |
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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.