Krista Budanov (NPI# 1861915357, PAC ID# 8224394747) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861915357 |
| PAC ID by PECOS | 8224394747 |
| Professional Enrollment ID | I20171115002864 |
| Full Name | Krista Budanov |
| Organization Legal Name | TOTAL LIFETIME CARE MEDICAL AFFILIATES INC. |
| Address |
1 Memory Ln Suite 200 Garrettsville OH 44231-9443 |
| Phone Number | 3305274852 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486635364 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Memory Ln, Suite 200, Garrettsville, OH 44231-9443 | 3305274852 | TOTAL LIFETIME CARE MEDICAL AFFILIATES INC. |
| Organization Legal Name | TOTAL LIFETIME CARE MEDICAL AFFILIATES INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Bichler | Physical Therapy | Total Lifetime Care Medical Affiliates Inc. | 1 Memory Ln, Suite 200, Garrettsville, OH 44231-9443 |
| Annette Louise Andrews | Internal Medicine | Total Lifetime Care Medical Affiliates Inc. | 1 Memory Ln, Suite 200, Garrettsville, OH 44231-9443 |
| Lonna L. Safko | Family Medicine | Total Lifetime Care Medical Affiliates Inc. | 1 Memory Ln, Suite 200, Garrettsville, OH 44231-9443 |
| Robert L Mangeri | Physical Therapy | Total Lifetime Care Medical Affiliates Inc. | 1 Memory Ln, Suite 200, Garrettsville, OH 44231-9443 |
| Marcy L Gonczy | Nurse Practitioner | Total Lifetime Care Medical Affiliates Inc. | 1 Memory Ln, Suite 200, Garrettsville, OH 44231-9443 |
| Street Address |
1 MEMORY LN SUITE 200 |
| City | GARRETTSVILLE |
| State | OH |
| Zip | 44231-9443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Bichler | Physical Therapy | Total Lifetime Care Medical Affiliates Inc. | 1 Memory Ln, Suite 200, Garrettsville, OH 44231-9443 |
| Annette Louise Andrews | Internal Medicine | Total Lifetime Care Medical Affiliates Inc. | 1 Memory Ln, Suite 200, Garrettsville, OH 44231-9443 |
| Lonna L. Safko | Family Medicine | Total Lifetime Care Medical Affiliates Inc. | 1 Memory Ln, Suite 200, Garrettsville, OH 44231-9443 |
| Robert L Mangeri | Physical Therapy | Total Lifetime Care Medical Affiliates Inc. | 1 Memory Ln, Suite 200, Garrettsville, OH 44231-9443 |
| Marcy L Gonczy | Nurse Practitioner | Total Lifetime Care Medical Affiliates Inc. | 1 Memory Ln, Suite 200, Garrettsville, OH 44231-9443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Andrews | Optometry | Timothy A. Andrews Co Od | 1 Memory Lane, Suite 100, Garrettsville, OH 44231 |
| Jessica H Bittence | Family Medicine | University Primary Care Practices Inc | 10724 S St, Garrettsville, OH 44231-1111 |
| Rachel Elena Cullison | Family Medicine | University Primary Care Practices Inc | 10724 S St, Garrettsville, OH 44231-1111 |
| Brittney Jergovich | Family Medicine | University Primary Care Practices Inc | 10724 S St, Garrettsville, OH 44231-1111 |
| Susanne F Bond | Nurse Practitioner | University Primary Care Practices Inc | 10724 S St, Garrettsville, OH 44231-1111 |
| Steven Riley | Chiropractic | 10697 Freedom St, Garrettsville, OH 44231-1130 | |
| Jerald D Hansing | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 11185 State Route 88, Garrettsville, OH 44231-9601 |
| City | GARRETTSVILLE |
| Zip Code | 44231 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GARRETTSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Krista Budanov.
| 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.