Susan E Broyles (NPI# 1720352818, PAC ID# 6608029251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720352818 |
| PAC ID by PECOS | 6608029251 |
| Professional Enrollment ID | I20130109000483 |
| Full Name | Susan E Broyles |
| Organization Legal Name | GUT PC |
| Address |
480 Honeysuckle Rd Dothan AL 36305-1156 |
| Phone Number | 3348361212 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3375589799 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010001 | SOUTHEAST ALABAMA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 3348361212 | GUT PC |
| Organization Legal Name | GUT PC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey J Crittenden | Gastroenterology | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| William Mclaughlin | Gastroenterology | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Kristy Turner | Nurse Practitioner | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Samuel J Tarwater | Gastroenterology | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Robert P Albares | Gastroenterology | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Lisa Lynn Clark | Certified Registered Nurse Anesthetist (crna) | Gut PC | 1450 Ross Clark Cir, Suite 4, Dothan, AL 36301-4736 |
| Lynette M Elkins | Nurse Practitioner | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Alison W Hall | Nurse Practitioner | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Paul B Lamb | Gastroenterology | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Amy C Ethridge | Nurse Practitioner | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Street Address |
480 HONEYSUCKLE RD |
| City | DOTHAN |
| State | AL |
| Zip | 36305-1156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey J Crittenden | Gastroenterology | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| William Mclaughlin | Gastroenterology | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Kristy Turner | Nurse Practitioner | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Samuel J Tarwater | Gastroenterology | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Robert P Albares | Gastroenterology | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Lynette M Elkins | Nurse Practitioner | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Alison W Hall | Nurse Practitioner | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Paul B Lamb | Gastroenterology | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Amy C Ethridge | Nurse Practitioner | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Carol M Williams | Nurse Practitioner | Gut PC | 480 Honeysuckle Rd, Dothan, AL 36305-1156 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norma Faye Mcknight | Nurse Practitioner | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Kelli N Heer | Physician Assistant | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Robert M Hagler | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Tonia L Ruddock | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Laura M Tamburin | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Candace N Short | Nurse Practitioner | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| James Butler | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Craig D Omohundro | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Philip Mathew Dozier | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Christopher E Nicholls | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Find all physicians in zip 36305 | |||
| City | DOTHAN |
| Zip Code | 36305 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DOTHAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan E Broyles.
| 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.