Derek Christensen (NPI# 1821473604, PAC ID# 8628374063) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1821473604 |
| PAC ID by PECOS | 8628374063 |
| Professional Enrollment ID | I20171219003347 |
| Full Name | Derek Christensen |
| Organization Legal Name | HARBIN CLINIC LLC |
| Address |
501 Redmond Rd Nw Rome GA 30165-1415 |
| Phone Number | 7062910291 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0446154231 |
| Number of Group Practice Members | 257 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110054 | FLOYD MEDICAL CENTER |
| 110168 | REDMOND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 Redmond Rd, Rome, GA 30165-1535 | 7622351760 | HARBIN CLINIC LLC |
| 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 7622352495 | HARBIN CLINIC LLC |
| 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 7065095000 | HARBIN CLINIC LLC |
| 501 Redmond Rd Nw, Rome, GA 30165-1415 | 7062910291 | HARBIN CLINIC LLC |
| 504 Redmond Rd Nw, Rome, GA 30165-1416 | 7622353130 | HARBIN CLINIC LLC |
| 550 Redmond Rd Nw, Rome, GA 30165-1416 | 7622353340 | HARBIN CLINIC LLC |
| Organization Legal Name | HARBIN CLINIC LLC |
| Physicians | 254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Emery | Nurse Practitioner | Harbin Clinic LLC | 330 Turner Mccall Blvd Sw, Rome, GA 30165-5616 |
| Whitney Leigh Worthy | Nurse Practitioner | Harbin Clinic LLC | 255 W 5th St Sw, Rome, GA 30165-2817 |
| Donna Watters Gregory | Family Medicine | Harbin Clinic LLC | 150 Gentilly Blvd, Cartersville, GA 30120-8522 |
| Lindsey B Garmon | Nurse Practitioner | Harbin Clinic LLC | 504 Redmond Rd Nw, Rome, GA 30165-1416 |
| Katy Degraw | Physician Assistant | Harbin Clinic LLC | 101 Redmond Rd, Rome, GA 30165-1535 |
| Ashley Wilbanks | Nurse Practitioner | Harbin Clinic LLC | 550 Redmond Rd Nw, Rome, GA 30165-1416 |
| Muhammad R Ishaque | Nephrology | Harbin Clinic LLC | 4880 Lower Roswell Rd, Suite 770, Marietta, GA 30068-4453 |
| Charles E Mcbride Iii | Family Medicine | Harbin Clinic LLC | 5470 Martha Berry Hwy Ne, Armuchee, GA 30105-2302 |
| Katrina C Woodard | Nurse Practitioner | Harbin Clinic LLC | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 |
| Frank G Russo Alesi | Orthopedic Surgery | Harbin Clinic LLC | 501 Redmond Rd Nw, Rome, GA 30165-1415 |
| Street Address |
501 REDMOND RD NW |
| City | ROME |
| State | GA |
| Zip | 30165-1415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank G Russo Alesi | Orthopedic Surgery | Harbin Clinic LLC | 501 Redmond Rd Nw, Rome, GA 30165-1415 |
| John C Abdou | Radiation Oncology | Harbin Clinic LLC | 501 Redmond Rd Nw, Rome, GA 30165-1415 |
| Adam S Whittemore | Physician Assistant | Harbin Clinic LLC | 501 Redmond Rd Nw, Rome, GA 30165-1415 |
| Austin James Malcom | Physician Assistant | Harbin Clinic LLC | 501 Redmond Rd Nw, Rome, GA 30165-1415 |
| Mesha L Mathis | Physician Assistant | Harbin Clinic LLC | 501 Redmond Rd Nw, Rome, GA 30165-1415 |
| Caleb Elisha Etheridge | Physician Assistant | Harbin Clinic LLC | 501 Redmond Rd Nw, Rome, GA 30165-1415 |
| Ashley Marie Gaulin | Physician Assistant | Harbin Clinic LLC | 501 Redmond Rd Nw, Rome, GA 30165-1415 |
| Monica Mejia Acosta | Neurology | Southeastern Hospitalist Services, PC | 501 Redmond Rd Nw, Rome, GA 30165-1415 |
| James D Riley | General Surgery | Harbin Clinic LLC | 501 Redmond Rd Nw, Rome, GA 30165-1415 |
| John K Mayfield | General Surgery | Harbin Clinic LLC | 501 Redmond Rd Nw, Rome, GA 30165-1415 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Leonard | Nurse Practitioner | Highland Rivers Community Service Board | 6 Mathis Dr Nw, Suite B, Rome, GA 30165-1242 |
| Nicole S Wright | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Shola Adewunmi | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Tresselyn Douglas Adams | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Ephi J Betan | Psychologist, Clinical | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Cathleen Ann Hulbert | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Nurah J Walton | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Catherine L Hoover | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Tina R. Folden | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Willie James Campbell | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Find all physicians in zip 30165 | |||
| City | ROME |
| Zip Code | 30165 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROME + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Derek Christensen.
| 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.