Pamela J Whitlock (NPI# 1356417810, PAC ID# 9133174030) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1356417810 |
PAC ID by PECOS | 9133174030 |
Professional Enrollment ID | I20050314000734 |
Full Name | Pamela J Whitlock |
Organization Legal Name | OZARK TRI-COUNTY HEALTH CARE CONSORTIUM |
Address |
927 N 71 Business Hwy Anderson MO 64831-9753 |
Phone Number | 4178458300 |
Gender | F |
Credential | NP |
Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 8123918257 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
261317 | MERCY HOSPITAL - CASSVILLE |
Address | Phone | Organization |
---|---|---|
927 N 71 Business Hwy, Anderson, MO 64831-9753 | 4178458300 | OZARK TRI-COUNTY HEALTH CARE CONSORTIUM |
1101 Main St, Cassville, MO 65625-1118 | 4178470057 | OZARK TRI-COUNTY HEALTH CARE CONSORTIUM |
Organization Legal Name | OZARK TRI-COUNTY HEALTH CARE CONSORTIUM |
Physicians | 16 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph E Lutes Iii | Nurse Practitioner | Ozark Tri-county Health Care Consortium | 412 E Mckinney, Access Family Care, Neosho, MO 64850-1913 |
Gerald W Englund | Obstetrics/gynecology | Ozark Tri-county Health Care Consortium | 530 S Maiden Ln, Joplin, MO 64801-3084 |
Shawn C Brown | Nurse Practitioner | Ozark Tri-county Health Care Consortium | 101 W Patterson St, Mount Vernon, MO 65712-1054 |
Jerry L Jumper | Family Medicine | Ozark Tri-county Health Care Consortium | 927 N 71 Business Hwy, Anderson, MO 64831-9753 |
Richard A Metsker | Nurse Practitioner | Ozark Tri-county Health Care Consortium | 210 W 10th St, Access Family Care, Lamar, MO 64759-1405 |
Jaanna Guillory | Nurse Practitioner | Ozark Tri-county Health Care Consortium | 530 S Maiden Ln, Joplin, MO 64801-3084 |
Diane K Rowe | Nurse Practitioner | Ozark Tri-county Health Care Consortium | 530 S Maiden Ln, Joplin, MO 64801-3084 |
Tina R Reeves | Nurse Practitioner | Ozark Tri-county Health Care Consortium | 530 S Maiden Ln, Joplin, MO 64801-3084 |
Brian E Basham | Family Medicine | Ozark Tri-county Health Care Consortium | 1101 Main St, Cassville, MO 65625-1118 |
Nicole E Nugent | Nurse Practitioner | Ozark Tri-county Health Care Consortium | 412 E Mckinney, Access Family Care, Neosho, MO 64850-1913 |
Street Address |
927 N 71 BUSINESS HWY |
City | ANDERSON |
State | MO |
Zip | 64831-9753 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jerry L Jumper | Family Medicine | Ozark Tri-county Health Care Consortium | 927 N 71 Business Hwy, Anderson, MO 64831-9753 |
Patty J Taylor | Certified Nurse Midwife | Ozark Tri County Health Care Consortium Dba Access Family Care | 927 N 71 Business Hwy, Anderson, MO 64831-9753 |
Dawn L Talbert | Nurse Practitioner | Ozark Tri County Health Care Consortium Dba Access Family Care | 927 N 71 Business Hwy, Anderson, MO 64831-9753 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jill D Rogers | Nurse Practitioner | Elk River Health Services, Inc. | 104 E Main St, Anderson Rural Health Clinic, Anderson, MO 64831-0750 |
Coral L Couchenour | Family Medicine | Sgoh Acquisition Inc | 104 E Main St, Anderson, MO 64831-4103 |
Asefa K Gebre | Physician Assistant | Sgoh Acquisition Inc | 104 E Main St, Anderson, MO 64831-4103 |
Jennifer Clark | Nurse Practitioner | Sgoh Acquisition Inc | 104 E Main St, Anderson, MO 64831-4103 |
Amanda R Rehmert | Psychologist, Clinical | Sgoh Acquisition Inc | 104 E Main St, Anderson, MO 64831-4103 |
City | ANDERSON |
Zip Code | 64831 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ANDERSON + 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.