James Russell Hutcherson (NPI# 1477756542, PAC ID# 9537249610) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1477756542 |
PAC ID by PECOS | 9537249610 |
Professional Enrollment ID | I20080102000019 |
Full Name | James Russell Hutcherson |
Organization Legal Name | FORT PAYNE CLINIC CORP |
Address |
1504 Main St Fyffe AL 35971-3484 |
Phone Number | 2566232910 |
Gender | M |
Graduation Year | 2006 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5698779304 |
Number of Group Practice Members | 14 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010012 | DEKALB REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1504 Main St, Fyffe, AL 35971-3484 | 2566232910 | FORT PAYNE CLINIC CORP |
Organization Legal Name | FORT PAYNE CLINIC CORP |
Physicians | 13 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shannon Hilley | Nurse Practitioner | Fort Payne Clinic Corp | 415 Medical Ctr Dr Sw, Fort Payne, AL 35968-3421 |
Rebecca Workman | Family Medicine | Fort Payne Clinic Corp | 13280 County Rd, Suite 51, Collinsville, AL 35961-4174 |
Katherine Hurtt | Nurse Practitioner | Fort Payne Clinic Corp | 323 Medical Ctr Swdr, Fort Payne, AL 35968-3420 |
Brittany Lynn Robertson | Nurse Practitioner | Fort Payne Clinic Corp | 306 Medical Ctr Dr Sw, Fort Payne, AL 35968-3416 |
Ashley R Cole | Emergency Medicine | Fort Payne Clinic Corp | 590 Medical Ctr Dr Sw, Fort Payne, AL 35968-3418 |
Paul M Gilreath | Neurology | Fort Payne Clinic Corp | 309 Medical Ctr Dr Sw, Fort Payne, AL 35968-3420 |
Jason Ham | Family Medicine | Fort Payne Clinic Corp | 309 Medical Ctr Dr Sw, Fort Payne, AL 35968-3420 |
Scott B Argo | Family Medicine | Fort Payne Clinic Corp | 309 Medical Ctr Dr Sw, Fort Payne, AL 35968-3420 |
Shelly Smith Laney | Nurse Practitioner | Fort Payne Clinic Corp | 13280 County Rd, Suite 51, Collinsville, AL 35961-4174 |
Wael I Al Halaseh | Cardiovascular Disease (cardiology) | Fort Payne Clinic Corp | 306 Medical Ctr Dr Sw, Fort Payne, AL 35968-3416 |
Street Address |
1504 MAIN ST |
City | FYFFE |
State | AL |
Zip | 35971-3484 |
City | FYFFE |
Zip Code | 35971 |
Specialty | NURSE PRACTITIONER |
City + Specialty | FYFFE + 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.