Michelle Lynn Ross (NPI# 1114198702, PAC ID# 9830257419) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114198702 |
| PAC ID by PECOS | 9830257419 |
| Professional Enrollment ID | I20180109003030 |
| Full Name | Michelle Lynn Ross |
| Organization Legal Name | FAIRVIEW PHYSICIANS NETWORK LLC |
| Address |
219 W 17th St Hopkinsville KY 42240-1911 |
| Phone Number | 2708865141 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012187925 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180051 | JENNIE STUART MEDICAL CENTER |
| 180093 | BAPTIST HEALTH MADISONVILLE |
| 181304 | TRIGG COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 219 W 17th St, Hopkinsville, KY 42240-1911 | 2708865141 | FAIRVIEW PHYSICIANS NETWORK LLC |
| 223 Burley Ave, Hopkinsville, KY 42240-8725 | 2708876565 | FAIRVIEW PHYSICIANS NETWORK LLC |
| 227 Burley Ave, Hopkinsville, KY 42240-8725 | 2708857300 | FAIRVIEW PHYSICIANS NETWORK LLC |
| 231 Burley Ave, Hopkinsville, KY 42240-8725 | 2708875640 | FAIRVIEW PHYSICIANS NETWORK LLC |
| Organization Legal Name | FAIRVIEW PHYSICIANS NETWORK LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda Long | Nurse Practitioner | Fairview Physicians Network LLC | 222 W 18th St, Hopkinsville, KY 42240-1963 |
| Marni B Barnes | Physician Assistant | Fairview Physicians Network LLC | 223 Burley Ave, Hopkinsville, KY 42240-8725 |
| Tanner Jackson Parrent | Dermatology | Fairview Physicians Network LLC | 231 Burley Ave, Hopkinsville, KY 42240-8725 |
| Stephanie Nason | Nurse Practitioner | Fairview Physicians Network LLC | 112 Keeton Dr, Hopkinsville, KY 42240-8756 |
| Hope B Clark | Nurse Practitioner | Fairview Physicians Network LLC | 1717 High St, Suite 4b, Hopkinsville, KY 42240-6300 |
| Matthew S Robinson | General Surgery | Fairview Physicians Network LLC | 1722 High St, Hopkinsville, KY 42240-1936 |
| Jeffrey K Riggs | Gastroenterology | Fairview Physicians Network LLC | 227 Burley Ave, Hopkinsville, KY 42240-8725 |
| Frederick G Robbe | Orthopedic Surgery | Fairview Physicians Network LLC | 105 Keeton Dr, Hopkinsville, KY 42240-8756 |
| Misty Cook | Nurse Practitioner | Fairview Physicians Network LLC | 1724 Kenton St, Suite 2b, Hopkinsville, KY 42240-1981 |
| Emily Denham | Physician Assistant | Fairview Physicians Network LLC | 223 Burley Ave, Hopkinsville, KY 42240-8725 |
| Street Address |
219 W 17TH ST |
| City | HOPKINSVILLE |
| State | KY |
| Zip | 42240-1911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirk Dominic Cianciolo | Urology | Fairview Physicians Network LLC | 219 W 17th St, Hopkinsville, KY 42240-1911 |
| Jenny J Franke | Urology | Fairview Physicians Network LLC | 219 W 17th St, Hopkinsville, KY 42240-1911 |
| Hugh K Dougherty | Urology | Fairview Physicians Network LLC | 219 W 17th St, Hopkinsville, KY 42240-1911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Autumn Lee Triplett | Nurse Practitioner | 111 Derrick Pl, Hopkinsville, KY 42240-1325 | |
| Theresa S Clark | Registered Dietitian Or Nutrition Professional | 530 Noel Ave, Hopkinsville, KY 42240-1386 | |
| Travis N Calhoun | Internal Medicine | 538 B Noel Ave, Hopkinsville, KY 42240-1386 | |
| Mark J Edmunds | Podiatry | 101 N Dr, Hopkinsville, KY 42240-1603 | |
| Charles W Bosch | Otolaryngology | 1830 High St, Suite B, Hopkinsville, KY 42240-1746 | |
| Vinna D Denison | Family Medicine | 320 N Dr, Hopkinsville, KY 42240-1806 | |
| Christina Marie Polete | Nurse Practitioner | Hopkinsville Family Care Psc | 315 A W 16th St, Hopkinsville, KY 42240-1903 |
| Cyrus C Chapman Iii | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| James M Clark | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| Charles D Ross | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| Find all physicians in zip 42240 | |||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HOPKINSVILLE + PHYSICIAN ASSISTANT |
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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.