Carol Nyman (NPI# 1225129448, PAC ID# 0143498311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225129448 |
| PAC ID by PECOS | 0143498311 |
| Professional Enrollment ID | I20110714000661 |
| Full Name | Carol Nyman |
| Organization Legal Name | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS |
| Address |
36745 Aiken Rd Bayfield WI 54814-4579 |
| Phone Number | 71577937072258 |
| Gender | F |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1984 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284537580 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521359 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 36745 Aiken Rd, Bayfield, WI 54814-4579 | 71577937072258 | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS |
| Organization Legal Name | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan T Degerstrom | Physical Therapy | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Ann E Reitz | Family Medicine | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Corwin J Sateren | Optometry | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Tiffany A Darling | General Practice | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Street Address |
36745 AIKEN RD |
| City | BAYFIELD |
| State | WI |
| Zip | 54814-4579 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan T Degerstrom | Physical Therapy | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Ann E Reitz | Family Medicine | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Corwin J Sateren | Optometry | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| Tiffany A Darling | General Practice | Red Cliff Band of Lake Superior Chippewa Indians | 36745 Aiken Rd, Bayfield, WI 54814-4579 |
| City | BAYFIELD |
| Zip Code | 54814 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BAYFIELD + 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.