Freddy D Conley (NPI# 1922353424, PAC ID# 7416104443) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1922353424 |
| PAC ID by PECOS | 7416104443 |
| Professional Enrollment ID | I20140422001620 |
| Full Name | Freddy D Conley |
| Organization Legal Name | E A HAWSE HEALTH CENTER INC |
| Address |
17978 State Rd Suite 55 Baker WV 26801-8626 |
| Phone Number | 3048975915 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204728041 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490004 | SENTARA RMH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 17978 State Rd, Suite 55, Baker, WV 26801-8626 | 3048975915 | E A HAWSE HEALTH CENTER INC |
| Organization Legal Name | E A HAWSE HEALTH CENTER INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Marie Basye | Physician Assistant | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
| Eleanor K Berg | Nurse Practitioner | E A Hawse Health Center Inc | 111 S Grove St, Suite 1, Petersburg, WV 26847-1805 |
| Loren N Cunningham | Physician Assistant | E A Hawse Health Center Inc | 111 S Grove St, Suite 1, Petersburg, WV 26847-1805 |
| Elaine M Smith | Physician Assistant | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
| Solomon M Mutetwa | Family Medicine | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
| Arthur J Cerami | Physician Assistant | E A Hawse Health Center Inc | 17978 State Rd, Baker, WV 26801-8626 |
| Melissa L Mathias | Nurse Practitioner | E A Hawse Health Center Inc | 111 S Grove St, Suite 1, Petersburg, WV 26847-1805 |
| James Lloyd Rising | Family Practice | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
| Kimberly D Washbourne | Nurse Practitioner | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
| Elizabeth T Smith | Family Practice | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
| Street Address |
17978 STATE RD SUITE 55 |
| City | BAKER |
| State | WV |
| Zip | 26801-8626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Marie Basye | Physician Assistant | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
| Elaine M Smith | Physician Assistant | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
| Solomon M Mutetwa | Family Medicine | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
| Arthur J Cerami | Physician Assistant | E A Hawse Health Center Inc | 17978 State Rd, Baker, WV 26801-8626 |
| James Lloyd Rising | Family Practice | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
| Kimberly D Washbourne | Nurse Practitioner | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
| Elizabeth T Smith | Family Practice | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
| City | BAKER |
| Zip Code | 26801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BAKER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Freddy D Conley.
| 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.