Stephanie L Mundy (NPI# 1912212143, PAC ID# 8426247412) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912212143 |
| PAC ID by PECOS | 8426247412 |
| Professional Enrollment ID | I20110110000875 |
| Full Name | Stephanie L Mundy |
| Organization Legal Name | TRI-RIVERS HEALTHCARE PLLC |
| Address |
308 S Main St Marion KY 42064-1545 |
| Phone Number | 2709654377 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8426965278 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181320 | LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC |
| 180095 | CRITTENDEN HEALTH SYSTEM |
| 180104 | BAPTIST HEALTH PADUCAH |
| 180102 | LOURDES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 308 S Main St, Marion, KY 42064-1545 | 2709654377 | TRI-RIVERS HEALTHCARE PLLC |
| 141 Hospital Dr, Suite 102, Salem, KY 42078-8043 | 2709883298 | TRI-RIVERS HEALTHCARE PLLC |
| Organization Legal Name | TRI-RIVERS HEALTHCARE PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Y Harris | Nurse Practitioner | Tri-rivers Healthcare Pllc | 141 Hospital Dr, Suite 103, Salem, KY 42078-8043 |
| William Barnes | General Practice | Tri-rivers Healthcare Pllc | 110 Country Club Dr, Marion, KY 42064-1873 |
| Robert M Wilkinson | Nurse Practitioner | Tri-rivers Healthcare Pllc | 205 E Adair St, Smithland, KY 42081-9164 |
| Ghassan Yazigi | Internal Medicine | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Justin J Lewis | Physician Assistant | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Terry W Boone | Physician Assistant | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Kara Ann Phillips | Nurse Practitioner | Tri-rivers Healthcare Pllc | 141 Hospital Dr, Suite 102, Salem, KY 42078-8043 |
| Demetrius Patton | General Surgery | Tri-rivers Healthcare Pllc | 110 Country Club Dr, Marion, KY 42064-1873 |
| Samantha N Greer | Nurse Practitioner | Tri-rivers Healthcare Pllc | 141 Hospital Dr, Suite 103, Salem, KY 42078-8043 |
| Street Address |
308 S MAIN ST |
| City | MARION |
| State | KY |
| Zip | 42064-1545 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Berke | Family Medicine | Ross Summers Md Pllc | 308 S Main St, Northville, MI 48167-1646 |
| James Russell | Family Medicine | 308 S Main St, Sapulpa, OK 74066-4110 | |
| Ghassan Yazigi | Internal Medicine | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Justin J Lewis | Physician Assistant | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Cheryl A Johnstone | Internal Medicine | Ross Summers Md Pllc | 308 S Main St, Northville, MI 48167-1646 |
| Terry W Boone | Physician Assistant | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Ross A Summers | Family Medicine | Ross Summers Md Pllc | 308 S Main St, Northville, MI 48167-1646 |
| Marvin J Bailey | Chiropractic | 308 S Main St, Jonesboro, IN 46938-1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hazel L Joseph | General Surgery | Kentucky Surgical and Wound Services Psc | 105 Morningside Dr, Marion, KY 42064-1269 |
| Eric C Brown | Family Medicine | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Gary V James | Family Medicine | Family Practice Clinic Psc | 518 W Gum St, Marion, KY 42064-1516 |
| Marcie A Ellington | Nurse Practitioner | Family Practice Clinic Psc | 518 W Gum St, Marion, KY 42064-1516 |
| Kathy Crawford | Nurse Practitioner | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Robert J Jones | Physician Assistant | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Jonathan P Maddux | Family Medicine | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Andrew P Tucker | Physician Assistant | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Howard G Maddux | Family Medicine | Family Practice Clinic Psc | 518 W Gum St, Marion, KY 42064-1516 |
| Shana W Geary | Certified Registered Nurse Anesthetist (crna) | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Find all physicians in zip 42064 | |||
| City | MARION |
| Zip Code | 42064 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MARION + 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.