Mitchell Lee Wiatrak (NPI# 1114914900, PAC ID# 9931114295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1114914900 |
| PAC ID by PECOS | 9931114295 |
| Professional Enrollment ID | I20090605000108 |
| Full Name | Mitchell Lee Wiatrak |
| Organization Legal Name | T J SAMSON COMMUNITY HOSPITAL |
| Address |
310 N L Rogers Wells Blvd Glasgow KY 42141-1300 |
| Phone Number | 2706511111 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1986 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 0648182600 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180017 | T J SAMSON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1301 N Race St, Glasgow, KY 42141-3454 | 2706514444 | T J SAMSON COMMUNITY HOSPITAL |
| 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2706511111 | T J SAMSON COMMUNITY HOSPITAL |
| Organization Legal Name | T J SAMSON COMMUNITY HOSPITAL |
| Physicians | 107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Christensen | Nurse Practitioner | T J Samson Community Hospital | 1301 N Race St, Glasgow, KY 42141-3454 |
| Tracy L. Taylor | Nurse Practitioner | T J Samson Community Hospital | 2345 Happy Valley Rd, Glasgow, KY 42141-8076 |
| Carlos E Kummerfeldt Fabian | Pulmonary Disease | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Elizabeth L Combs Royse | Family Medicine | T J Samson Community Hospital | 440 E Happy Valley St, Cave City, KY 42127-8844 |
| Rondal B Wright | Family Medicine | T J Samson Community Hospital | 1325 N Race St, Glasgow, KY 42141-3454 |
| Erica Lynn Gillette | Family Medicine | T J Samson Community Hospital | 1301 N Race St, Glasgow, KY 42141-3454 |
| Sachin Vimal Bahadur | Pain Management | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| David Koury | Neurology | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Kimberly Bowman | Nurse Practitioner | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Melenda K Miller | Family Medicine | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Street Address |
310 N L ROGERS WELLS BLVD |
| City | GLASGOW |
| State | KY |
| Zip | 42141-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos E Kummerfeldt Fabian | Pulmonary Disease | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Sachin Vimal Bahadur | Pain Management | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| David Koury | Neurology | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Kimberly Bowman | Nurse Practitioner | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Melenda K Miller | Family Medicine | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Klark B Turpen | Sleep Medicine | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Angela R Rush | Nurse Practitioner | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Carla J Hale | Physician Assistant | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Yashpal Modi | Hematology/oncology | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Jessica L Miller | Nurse Practitioner | T J Samson Community Hospital | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen Medina | Chiropractic | Barren River Chiropractic, Pllc | 507 S L Rogers Wells Blvd, Suite A, Glasgow, KY 42141-1043 |
| Jamison Heffron | Optometry | 507 S L Rogers Wells Blvd E, Glasgow, KY 42141-1043 | |
| Vivian R Franklin | Nurse Practitioner | 507 S L Rogers Wells Blvd, Suite D, Glasgow, KY 42141-1043 | |
| Nicholas Caine Starnes | Chiropractic | Barren River Chiropractic, Pllc | 507 S L Rogers Wells Blvd, Suite A, Glasgow, KY 42141-1043 |
| Thomas Jeffrey Tank | Chiropractic | 215 N L Rogers Wells Blvd, Glasgow, KY 42141-1174 | |
| Shelly D Champagne | Clinical Social Worker | 104 Reynolds Rd, Glasgow, KY 42141-1177 | |
| Michael L Pendleton Sr. | Nurse Practitioner | 100 Reynolds Rd, A, Glasgow, KY 42141-1177 | |
| Melynda M Amorim | Clinical Social Worker | Alliance Counseling Associates | 104 Reynolds Rd, Glasgow, KY 42141-1177 |
| Heather J Webb | Clinical Social Worker | Alliance Counseling Associates | 104 Reynolds Rd, Glasgow, KY 42141-1177 |
| April L Martin | Clinical Social Worker | Alliance Counseling Associates | 104 Reynolds Rd, Glasgow, KY 42141-1177 |
| Find all physicians in zip 42141 | |||
| City | GLASGOW |
| Zip Code | 42141 |
| Specialty | UROLOGY |
| City + Specialty | GLASGOW + UROLOGY |
Please comment or provide details below to improve the information on Mitchell Lee Wiatrak.
| 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.