Nicholas L Nussbaum (NPI# 1720107824, PAC ID# 9830262070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720107824 |
| PAC ID by PECOS | 9830262070 |
| Professional Enrollment ID | I20080721000535 |
| Full Name | Nicholas L Nussbaum |
| Organization Legal Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Address |
205 Tower Dr Monroe IN 46772-9362 |
| Phone Number | 2606926163 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0941198253 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151330 | ADAMS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 205 Tower Dr, Monroe, IN 46772-9362 | 2606926163 | ADAMS COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monalisa Ann Rodgers | Nurse Practitioner | Adams County Memorial Hospital | 1100 Mercer Ave, Decatur, IN 46733-2303 |
| Mark S Gresla | Family Medicine | Adams County Memorial Hospital | 1300 Mercer Ave, Decatur, IN 46733-2407 |
| Amy M Weaver | Nurse Practitioner | Adams County Memorial Hospital | 955 High St, Suite 2, Decatur, IN 46733-2361 |
| Brenda Kaye Dearmond | Nurse Practitioner | Adams County Memorial Hospital | 205 Tower Dr, Monroe, IN 46772-9362 |
| Valorie Clouse | Nurse Practitioner | Adams County Memorial Hospital | 1100 Mercer Ave, Decatur, IN 46733-2303 |
| Nina Elaine Orr | Nurse Practitioner | Adams County Memorial Hospital | 1100 Mercer Ave, Decatur, IN 46733-2303 |
| Yu Liu | Neurology | Adams County Memorial Hospital | 1100 Mercer Ave, Decatur, IN 46733-2303 |
| Alicia Kay Bates | Nurse Practitioner | Adams County Memorial Hospital | 1100 Mercer Ave, Decatur, IN 46733-2303 |
| Jennifer E Taylor | General Surgery | Adams County Memorial Hospital | 1100 Mercer Ave, Decatur, IN 46733-2303 |
| Baldemar Silva | Clinical Social Worker | Adams County Memorial Hospital | 1100 Mercer Ave, Decatur, IN 46733-2303 |
| Street Address |
205 TOWER DR |
| City | MONROE |
| State | IN |
| Zip | 46772-9362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda Kaye Dearmond | Nurse Practitioner | Adams County Memorial Hospital | 205 Tower Dr, Monroe, IN 46772-9362 |
| City | MONROE |
| Zip Code | 46772 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MONROE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nicholas L Nussbaum.
| 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.