Donald Anthony Spisak (NPI# 1699737056, PAC ID# 6608826847) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699737056 |
| PAC ID by PECOS | 6608826847 |
| Professional Enrollment ID | I20121005000404 |
| Full Name | Donald Anthony Spisak |
| Organization Legal Name | SKYLINE MEDICAL GROUP LLC |
| Address |
304 Northcreek Blvd Suite 200 Goodlettsville TN 37072-2097 |
| Phone Number | 6158550058 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709885189 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440006 | TRISTAR SKYLINE MEDICAL CENTER |
| 440194 | TRISTAR HENDERSONVILLE MEDICAL CENTER |
| 440065 | NORTHCREST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 304 Northcreek Blvd, Suite 200, Goodlettsville, TN 37072-2097 | 6158550058 | SKYLINE MEDICAL GROUP LLC |
| 3443 Dickerson Pike, Suite 520, Nashville, TN 37207-2520 | 6152346390 | SKYLINE MEDICAL GROUP LLC |
| 3443 Dickerson Pike, G30, Nashville, TN 37207-2541 | 6152346390 | SKYLINE MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SKYLINE MEDICAL GROUP LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Pilkinton Sr. | Family Medicine | Skyline Medical Group LLC | 304 Northcreek Blvd, Suite 200, Goodlettsville, TN 37072-2097 |
| Michael Chad Cozart | Internal Medicine | Skyline Medical Group LLC | 3443 Dickerson Pike, G30, Nashville, TN 37207-2541 |
| Julie R Dunn | Internal Medicine | Skyline Medical Group LLC | 3443 Dickerson Pike, Suite 520, Nashville, TN 37207-2520 |
| Megan A Settle | Family Medicine | Skyline Medical Group LLC | 304 Northcreek Blvd, Suite 200, Goodlettsville, TN 37072-2097 |
| Stephen C Scarpero | Internal Medicine | Skyline Medical Group LLC | 3443 Dickerson Pike, G30, Nashville, TN 37207-2541 |
| David Vance Ewart | Internal Medicine | Skyline Medical Group LLC | 3443 Dickerson Pike, Suite 520, Nashville, TN 37207-2520 |
| Aaron Templeton | Nurse Practitioner | Skyline Medical Group LLC | 3443 Dickerson Pike, G30, Nashville, TN 37207-2541 |
| Kelly Dayton | Nurse Practitioner | Skyline Medical Group LLC | 304 Northcreek Blvd, Suite 200, Goodlettsville, TN 37072-2097 |
| Indumeet Bal | Internal Medicine | Skyline Medical Group LLC | 3443 Dickerson Pike, Suite 520, Nashville, TN 37207-2520 |
| Jessica L Prest | Internal Medicine | Skyline Medical Group LLC | 3443 Dickerson Pike, Suite 440, Nashville, TN 37207-2524 |
| Street Address |
304 NORTHCREEK BLVD SUITE 200 |
| City | GOODLETTSVILLE |
| State | TN |
| Zip | 37072-2097 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony C Ekwo | Psychiatry | Madison Behavioral Health, LLC | 304 Northcreek Blvd, Suite 120, Goodlettsville, TN 37072-2098 |
| Robert D Pilkinton Sr. | Family Medicine | Skyline Medical Group LLC | 304 Northcreek Blvd, Suite 200, Goodlettsville, TN 37072-2097 |
| Megan A Settle | Family Medicine | Skyline Medical Group LLC | 304 Northcreek Blvd, Suite 200, Goodlettsville, TN 37072-2097 |
| Vedavyasa B Biliyar | Psychiatry | Madison Behavioral Health, LLC | 304 Northcreek Blvd, Suite 120, Goodlettsville, TN 37072-2098 |
| Kelly Dayton | Nurse Practitioner | Skyline Medical Group LLC | 304 Northcreek Blvd, Suite 200, Goodlettsville, TN 37072-2097 |
| Daniel C Kennedy | Nurse Practitioner | Madison Behavioral Health, LLC | 304 Northcreek Blvd, Suite 120, Goodlettsville, TN 37072-2098 |
| Paul W Ragan | Psychiatry | Madison Behavioral Health, LLC | 304 Northcreek Blvd, Suite 120, Goodlettsville, TN 37072-2098 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee A Bullington | Chiropractic | 120 E Cedar St, Godlettsville, TN 37072-1434 | |
| Jeffrey T Bryant | Psychologist, Clinical | 420 N Main St, Goodlettsville, TN 37072-1520 | |
| Bill Wayne Swilley | Family Medicine | 420 N Main St, Goodlettsville, TN 37072-1520 | |
| Janice Y Walker | Clinical Psychologist | 420 N Main St, Goodlettsville, TN 37072-1520 | |
| Kenneth R Stohr | Chiropractic | Guardian Chiropractic Pllc | 100 N Main St, Suite A, Goodlettsville, TN 37072-1524 |
| Dalton Tolliver | Chiropractic | Guardian Chiropractic Pllc | 100 N Main St, Suite A, Goodlettsville, TN 37072-1524 |
| William Miller | Chiropractic | Guardian Chiropractic Pllc | 100 N Main St, Suite A, Goodlettsville, TN 37072-1524 |
| Stephanie Dawn Fortney | Chiropractic | 301 S Main St, Suite D, Goodlettsville, TN 37072-1749 | |
| Stephen L Hammerman | Family Practice | 601 S Main St, A, Goodlettsville, TN 37072-1757 | |
| Kenneth W Brawner | Optometry | 900 Conference Dr, Suite 15b, Goodlettsville, TN 37072-1909 | |
| Find all physicians in zip 37072 | |||
| City | GOODLETTSVILLE |
| Zip Code | 37072 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GOODLETTSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Donald Anthony Spisak.
| 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.