Hillard Patrick Brown (NPI# 1518499482, PAC ID# 9335425594) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1518499482 |
PAC ID by PECOS | 9335425594 |
Professional Enrollment ID | I20170425000288 |
Full Name | Hillard Patrick Brown |
Organization Legal Name | DAVID G PROVAZNIK DO INC |
Address |
10098 Big Bear Creek Rd Lucasville OH 45648-9168 |
Phone Number | 7402595536 |
Gender | M |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3971536244 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180036 | OUR LADY OF BELLEFONTE HOSPITAL |
Address | Phone | Organization |
---|---|---|
10098 Big Bear Creek Rd, Lucasville, OH 45648-9168 | 7402595536 | DAVID G PROVAZNIK DO INC |
1242 Crescent Dr, Wheelersburg, OH 45694-9376 | 7405748441 | DAVID G PROVAZNIK DO INC |
Organization Legal Name | DAVID G PROVAZNIK DO INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
David Provaznik | Family Medicine | David G Provaznik Do Inc | 1805 27th St, Portsmouth, OH 45662-2640 |
Street Address |
10098 BIG BEAR CREEK RD |
City | LUCASVILLE |
State | OH |
Zip | 45648-9168 |
Name | Specialty | Organization | Address |
---|---|---|---|
Duane Marchyn | Orthopedic Surgery | Premier Therapy and Health Centers Inc | 10606 Us Route 23, Lucasville, OH 45648-0747 |
Roy Aaron Adams | Family Medicine | Premier Therapy and Health Centers Inc | 10606 Us Route 23, Lucasville, OH 45648-0747 |
Jennifer Atkins | Physician Assistant | Premier Therapy and Health Centers Inc | 10606 Us Route 23, Lucasville, OH 45648-0747 |
Evan D Yates | Physician Assistant | Premier Therapy and Health Centers Inc | 10606 Us Route 23, Lucasville, OH 45648-0747 |
Jerod C Walker | Family Medicine | Premier Therapy and Health Centers Inc | 10606 Us Route 23, Lucasville, OH 45648-0747 |
Justin D Nolen | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 10 Thomas Hollow Rd, Lucasville, OH 45648-8889 |
Matthew S Schwamburger | Anesthesiology | Somc Medical Care Foundation, Inc. | 10 Thomas Hollow Rd, Lucasville, OH 45648-8889 |
Nathan E Rider | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 10 Thomas Hollow Rd, Lucasville, OH 45648-8889 |
City | LUCASVILLE |
Zip Code | 45648 |
Specialty | NURSE PRACTITIONER |
City + Specialty | LUCASVILLE + 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.