Samitha C Chandraratne (NPI# 1770924672, PAC ID# 8729212311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1770924672 |
| PAC ID by PECOS | 8729212311 |
| Professional Enrollment ID | I20161110002662 |
| Full Name | Samitha C Chandraratne |
| Organization Legal Name | NORTH COUNTRY HEALTHCARE INC |
| Address |
2090 Smoketree Ave N Lake Havasu City AZ 86403-5806 |
| Phone Number | 9285229804 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8820981053 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030069 | HAVASU REGIONAL MEDICAL CENTER |
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 | 9285229804 | NORTH COUNTRY HEALTHCARE INC |
| Organization Legal Name | NORTH COUNTRY HEALTHCARE INC |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheilkeela S Howard-gurley | Nurse Practitioner | North Country Healthcare Inc | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 |
| Diana Mcnally | Nurse Practitioner | North Country Healthcare Inc | 1510 N Stockton Hill Rd, Kingman, AZ 86401-5173 |
| Elizabeth Miller | Nurse Practitioner | North Country Healthcare Inc | 2650 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7955 |
| Sarah A Stoit | Nurse Practitioner | North Country Healthcare Inc | 301 S 7th St, Williams, AZ 86046-2324 |
| Rebecca Lietzow | Nurse Practitioner | North Country Healthcare Inc | 708 S Coeur D Alene Lane B, Payson, AZ 85541-5662 |
| Patti W Mugo | Family Medicine | North Country Healthcare Inc | 2109 Navajo Blvd, Holbrook, AZ 86025-1822 |
| Flint C Hales | Family Medicine | North Country Healthcare Inc | 625 N 13th, Saint Johns, AZ 85936 |
| Timothy L Jackson | Physician Assistant | North Country Healthcare Inc | 1 Clinic Rd, Grand Canyon, AZ 86023-0290 |
| Jane E Dill | Family Medicine | North Country Healthcare Inc | 1120 W University Ave, Suite 101, Flagstaff, AZ 86001-2851 |
| Elaine M Accomando | Physician Assistant | North Country Healthcare Inc | 2920 N 4th St, Flagstaff, AZ 86004-1816 |
| Street Address |
2090 SMOKETREE AVE N |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip | 86403-5806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheilkeela S Howard-gurley | Nurse Practitioner | North Country Healthcare Inc | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 |
| Carol A Capozzi | Nurse Practitioner | North Country Healthcare Inc | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 |
| Neal Patrick Patalinghug | Family Medicine | North Country Healthcare Inc | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 |
| Joselyn M Branchik Jedick | Family Medicine | North Country Healthcare Inc | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 |
| Laura Ann Shackelford | Nurse Practitioner | North Country Healthcare Inc | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Essa J Sidiqi | Family Medicine | Lake Havasu Primary Care Pllc | 89 Civic Ctr Ln, Lake Havasu City, AZ 86403-0810 |
| Harley Finkle | Chiropractic | 1674 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0962 | |
| Mary Ann Widman | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Paul E Klein | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Annette Baccus | Nurse Practitioner | Havasu Regional Medical Center LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Christian L Grandell | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Peter H Dux | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Jeffrey J Carls | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Lisa V Williams | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Bridget C Conley | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Find all physicians in zip 86403 | |||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LAKE HAVASU CITY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Samitha C Chandraratne.
| 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.