Michael P Kauzlarich (NPI# 1477539542, PAC ID# 0042380073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1477539542 |
| PAC ID by PECOS | 0042380073 |
| Professional Enrollment ID | I20080603000581 |
| Full Name | Michael P Kauzlarich |
| Organization Legal Name | REVIDA RECOVERY CENTERS PC |
| Address |
3114 Browns Mill Rd Johnson City TN 37604-1417 |
| Phone Number | 4236310432 |
| Gender | M |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153657473 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| 440176 | INDIAN PATH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 4236310432 | REVIDA RECOVERY CENTERS PC |
| 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 | 4232302100 | MOUNTAIN REGION FAMILY MEDICINE P C |
| Organization Legal Name | REVIDA RECOVERY CENTERS PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neal Ray Sanders | Pediatric Medicine | Revida Recovery Centers PC | 198 Ross Carter Blvd, Duffield, VA 24244-5117 |
| Marianne E Filka | Addiction Medicine | Revida Recovery Centers PC | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 |
| Andrew Waller | Addiction Medicine | Revida Recovery Centers PC | 300 Valley St Ne, Abingdon, VA 24210-2912 |
| Craig M Haire | Internal Medicine | Revida Recovery Centers PC | 1369 W Andrew Johnson Hwy, Morristown, TN 37814-3725 |
| Guy D Clark | Emergency Medicine | Revida Recovery Centers PC | 2001 Highland Ave, Knoxville, TN 37916-1217 |
| Pamela Beaver Wells | Nurse Practitioner | Revida Recovery Centers PC | 300 Valley St Ne, Abingdon, VA 24210-2912 |
| Hannah Ellen Ratliff | Family Medicine | Revida Recovery Centers PC | 198 Ross Carter Blvd, Duffield, VA 24244-5117 |
| Kelly C Cooper | Preventative Medicine | Revida Recovery Centers PC | 2001 Highland Ave, Knoxville, TN 37916-1217 |
| Jennifer C Wisdom-schepers | Psychiatry | Revida Recovery Centers PC | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 |
| Melanie L Skeen | Addiction Medicine | Revida Recovery Centers PC | 300 Valley St Ne, Abingdon, VA 24210-2912 |
| Street Address |
3114 BROWNS MILL RD |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37604-1417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marianne E Filka | Addiction Medicine | Revida Recovery Centers PC | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 |
| Jennifer C Wisdom-schepers | Psychiatry | Revida Recovery Centers PC | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 |
| Robert J. Ferretti | Addiction Medicine | Revida Recovery Centers PC | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elnora Spradling | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Stephen A Cradic | Chiropractic | 206 Headtown Rd, Suite 100, Jonesbourough, TN 37604 | |
| Shweta Kharalkar | Hospitalist | Blue Ridge Medical Management Corporation | 408 N State of Franklin, Suite 24, Johnson City, TN 37604 |
| Devapiran Jaishankar | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jamie E Carnell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Sakshi Singal | Hematology/oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Selma Zukic Kominek | Neurosurgery | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Kanishka Chakraborty | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Adam Horn | Nurse Practitioner | Blue Ridge Medical Management Corporation | 403 N State of Franklin Rd, Johnson City, TN 37604-0000 |
| Find all physicians in zip 37604 | |||
| City | JOHNSON CITY |
| Zip Code | 37604 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JOHNSON CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael P Kauzlarich.
| 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.