Jennifer Maddox (NPI# 1780069393, PAC ID# 7113235193) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1780069393 |
PAC ID by PECOS | 7113235193 |
Professional Enrollment ID | I20150925000344 |
Full Name | Jennifer Maddox |
Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
Address |
300 Barnes Rd Williamstown KY 41097-9483 |
Phone Number | 8593316466 |
Gender | F |
Graduation Year | 2015 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2163326240 |
Number of Group Practice Members | 511 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
181311 | ST ELIZABETH GRANT |
180035 | ST ELIZABETH EDGEWOOD |
Address | Phone | Organization |
---|---|---|
300 Barnes Rd, Williamstown, KY 41097-9483 | 8593316466 | SUMMIT MEDICAL GROUP, INC. |
Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
Physicians | 487 |
Name | Specialty | Organization | Address |
---|---|---|---|
Caroline Elmer-lyon | Urology | Summit Medical Group, Inc. | 610 Medical Village Dr, Edgewood, KY 41017-3416 |
James Schack | Family Medicine | Summit Medical Group, Inc. | 79 Country Club Dr, Butler, KY 41006-8704 |
Balaji Kalyanaraman | Urology | Summit Medical Group, Inc. | 7370 Turfway Rd, Florence, KY 41042-4895 |
Abraham Llapitan Tacang | Rheumatology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
Rani L. Clark | Nurse Practitioner | Summit Medical Group, Inc. | 2885 Alexandria Way, Highland Heights, KY 41076-1511 |
Gabriel Ymalay | Internal Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
Ashley Nicole Minton | Family Medicine | Summit Medical Group, Inc. | 300 Commerical Circle, Alexandria, KY 41001-0001 |
Saadeddine Dughman | Cardiovascular Disease (cardiology) | Summit Medical Group, Inc. | 900 Medical Village Dr, Edgewood, KY 41017-3422 |
James Michael Morrow | Podiatry | Summit Medical Group, Inc. | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3243 |
Brandon A Cowan | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
Street Address |
300 BARNES RD |
City | WILLIAMSTOWN |
State | KY |
Zip | 41097-9483 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michelle Lee Willoby | Family Medicine | Summit Medical Group, Inc. | 300 Barnes Rd, Williamstown, KY 41097-9483 |
Brennan C Burke | Family Medicine | Summit Medical Group, Inc. | 300 Barnes Rd, Williamstown, KY 41097-9483 |
Aditya Kalakonda | Gastroenterology | Summit Medical Group, Inc. | 300 Barnes Rd, Williamstown, KY 41097-9483 |
Name | Specialty | Organization | Address |
---|---|---|---|
Phyllis B Reed | Nurse Practitioner | Abounding Life Counseling and Support, LLC. | 265 Fernwood Dr, Williamstown, KY 41097-4203 |
Robert Noelker | Clinical Psychologist | Midlands Behavioral Medicine | 1406 N Main St, Suite 201, Williamstown, KY 41097-8500 |
Alice Heeger Hartman | Chiropractic | Amanda Howell Dc Pllc | 103 Barnes Rd, Suite E, Williamstown, KY 41097-9468 |
Jeffrey B Rubinstein | Otolaryngology | 238 Barnes Rd, Williamstown, KY 41097-9482 | |
Kathleen Matthews | Pathology | St Elizabeth Medical Center, Inc | 238 Barnes Rd, Williamstown, KY 41097-9482 |
City | WILLIAMSTOWN |
Zip Code | 41097 |
Specialty | NURSE PRACTITIONER |
City + Specialty | WILLIAMSTOWN + NURSE PRACTITIONER |
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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.