Zachary Cole Riddle (NPI# 1013454834, PAC ID# 0143505073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1013454834 |
| PAC ID by PECOS | 0143505073 |
| Professional Enrollment ID | I20190607001601 |
| Full Name | Zachary Cole Riddle |
| Organization Legal Name | COMPLETE EXPRESS CARE, LLC |
| Address |
1211 Dinah Shore Blvd Winchester TN 37398-1107 |
| Phone Number | 9319676669 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5294904017 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440058 | SOUTHERN TENNESSEE REGIONAL HLTH SYSTEM WINCHESTER |
| Address | Phone | Organization |
|---|---|---|
| 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 | 9319676669 | COMPLETE EXPRESS CARE, LLC |
| Organization Legal Name | COMPLETE EXPRESS CARE, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry S Lee | Nurse Practitioner | Complete Express Care, LLC | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 |
| Melissa Irene Watson | Nurse Practitioner | Complete Express Care, LLC | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 |
| Jason C Jackson | Physician Assistant | Complete Express Care, LLC | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 |
| Street Address |
1211 DINAH SHORE BLVD |
| City | WINCHESTER |
| State | TN |
| Zip | 37398-1107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry S Lee | Nurse Practitioner | Complete Express Care, LLC | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 |
| Melissa Irene Watson | Nurse Practitioner | Complete Express Care, LLC | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 |
| Jason C Jackson | Physician Assistant | Complete Express Care, LLC | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A. Martin | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 2401 Decherd Blvd, Winchester, TN 37398-1164 |
| Lacey K Thompson | Physician Assistant | Fast Pace Medical Clinic Pllc | 2401 Decherd Blvd, Winchester, TN 37398-1164 |
| Gregory S. Wamack | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 2401 Decherd Blvd, Winchester, TN 37398-1164 |
| Susan J Laws | Optometry | 731 Dinah Shore Blvd, Winchester, TN 37398-1424 | |
| Ephraim B Gammada | Internal Medicine | Pinnacle Internal Medicine Pllc | 1509 Old Cowan Rd, Winchester, TN 37398-1913 |
| Elizabeth D Gammada | Nurse Practitioner | Pinnacle Internal Medicine Pllc | 1509 Old Cowan Rd, Winchester, TN 37398-1913 |
| William E. Eichenberger | Optometry | 411 S Jefferson St, Winchester, TN 37398-2121 | |
| Kurt Anthony Shull | Chiropractic | 1025 S College St, Winchester, TN 37398-2236 | |
| Ashley Michelle Dewitt | Obstetrics/gynecology | 161 Shirley Dr, Winchester, TN 37398-2256 | |
| Courtney Jeannine Murray | Obstetrics/gynecology | 161 Shirley Dr, Winchester, TN 37398-2256 | |
| Find all physicians in zip 37398 | |||
| City | WINCHESTER |
| Zip Code | 37398 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WINCHESTER + 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.