Mark E Etheridge (NPI# 1659367035, PAC ID# 8527161587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1659367035 |
| PAC ID by PECOS | 8527161587 |
| Professional Enrollment ID | I20070312000322 |
| Full Name | Mark E Etheridge |
| Organization Legal Name | CAHABA MEDICAL CARE FOUNDATION |
| Address |
294 Pierson Ave Centreville AL 35042-2918 |
| Phone Number | 2059262992 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1355597923 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330079 | ADIRONDACK MEDICAL CENTER |
| 330140 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
| 010113 | MOBILE INFIRMARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | ANESTHESIOLOGISTS ASSOCIATED PC | |
| 294 Pierson Ave, Centreville, AL 35042-2918 | 2059262992 | CAHABA MEDICAL CARE FOUNDATION |
| 2233 State Route 86, Saranac Lake, NY 12983-5644 | 5188914141 | PREMIER ANESTHESIA OF NEW YORK, P.C. |
| 301 Prospect Ave, Syracuse, NY 13203-1807 | 3154485111 | AMERICAN ANESTHESIOLOGY OF NEW YORK, P.C. |
| Organization Legal Name | CAHABA MEDICAL CARE FOUNDATION |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A Stokes | Family Medicine | Cahaba Medical Care Foundation | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 |
| Kaylee Laura Perkins | Physician Assistant | Cahaba Medical Care Foundation | 1088 9th Swave, Suite 106, Bessemer, AL 35022-7834 |
| Laura A Hyer | Family Medicine | Cahaba Medical Care Foundation | 405 Belcher St, Centreville, AL 35042-2946 |
| Joshua Elledge | Nurse Practitioner | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Timothy Alphonzo Williams | Nephrology | Cahaba Medical Care Foundation | 294 Pierson Ave, Centreville, AL 35042-2918 |
| Andrew Posey | Family Medicine | Cahaba Medical Care Foundation | 995 9th Swave, Suite 507, Bessemer, AL 35022-4527 |
| Jamie Bishop | Family Medicine | Cahaba Medical Care Foundation | 405 Belcher St, Centreville, AL 35042-2946 |
| Hannah Faulkner | Nurse Practitioner | Cahaba Medical Care Foundation | 405 Belcher St, Centreville, AL 35042-2946 |
| Stephanie Nichole Savage | Nurse Practitioner | Cahaba Medical Care Foundation | 405 Belcher St, Centreville, AL 35042-2946 |
| Austin Klint | Family Medicine | Cahaba Medical Care Foundation | 405 Belcher St, Centreville, AL 35042-2946 |
| Street Address |
294 PIERSON AVE |
| City | CENTREVILLE |
| State | AL |
| Zip | 35042-2918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Alphonzo Williams | Nephrology | Cahaba Medical Care Foundation | 294 Pierson Ave, Centreville, AL 35042-2918 |
| Timmy O Williams | Certified Registered Nurse Anesthetist (crna) | Cahaba Medical Care Foundation | 294 Pierson Ave, Centreville, AL 35042-2918 |
| Karen E Ballard Montgomery | Family Medicine | Cahaba Medical Care Foundation | 294 Pierson Ave, Centreville, AL 35042-2918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Allgood | Optometry | 260 Walnut St, Centreville, AL 35042-2332 | |
| Connie W Richardson | Family Medicine | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| Lata R Patil | Family Medicine | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| Robin Birchfield | Nurse Practitioner | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| Karlee J Johnson | Nurse Practitioner | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| John Sansbury Meigs Jr. | Family Medicine | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| Johnstone P Hollis | Internal Medicine | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| Omar R Billano | Emergency Medicine | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| Joshua Elledge | Nurse Practitioner | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Alexandra Clifton | Physician Assistant | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Find all physicians in zip 35042 | |||
| City | CENTREVILLE |
| Zip Code | 35042 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CENTREVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.