Sammy L Radcliff (NPI# 1437674454, PAC ID# 0143594614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1437674454 |
PAC ID by PECOS | 0143594614 |
Professional Enrollment ID | I20170921002361 |
Full Name | Sammy L Radcliff |
Organization Legal Name | PCRMC MEDICAL GROUP, INC |
Address |
1000 Gw Ln Waynesville MO 65583-2339 |
Phone Number | 5737742715 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1557454063 |
Number of Group Practice Members | 104 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1000 Gw Ln, Waynesville, MO 65583-2339 | 5737742715 | PCRMC MEDICAL GROUP, INC |
Organization Legal Name | PCRMC MEDICAL GROUP, INC |
Physicians | 113 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel Amos Leon Becerril | Urology | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Rachel Ann Feeler | Nurse Practitioner | Pcrmc Medical Group, Inc | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 |
Lisa L Smith | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
Amy E Torres | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
Jinna M Lisenbe | Nurse Practitioner | Pcrmc Medical Group, Inc | 1060 W 10th St, Delbert Day Cancer Inst, Rolla, MO 65401-2905 |
Bohdan A Lebedowicz | Internal Medicine | Pcrmc Medical Group, Inc | 1800 White Columns Dr, Rolla Manor Care, Rolla, MO 65401-2044 |
Randee J Feco | Psychologist, Clinical | Pcrmc Medical Group, Inc | 575 Blues Lake Pkwy B, Rolla, MO 65401-8587 |
Alan D Heincker | Orthopedic Surgery | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Miriam L Stricklan | Nurse Practitioner | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Steven R Ballard | Nurse Practitioner | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Street Address |
1000 GW LN |
City | WAYNESVILLE |
State | MO |
Zip | 65583-2339 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa L Smith | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
Kimberly D Bohlmann | Family Practice | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tabitha L Ogle | Chiropractic | Ogle Chiropractic and Rehab Center LLC | 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 |
Shane R Ogle | Chiropractic | Ogle Chiropractic and Rehab Center LLC | 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 |
Amanda F Brumley | Clinical Social Worker | Benton Street Counseling LLC | 119 N Benton St, Waynesville, MO 65583-2501 |
Jerry W Brown | Optometry | 1390 State Route F, Waynesville, MO 65583-2827 | |
Ma Teresa Sison Enciso | Physical Therapy | Ma Teresa Sison Enciso Pt PC Corp | 124 Ichord Ave, Waynesville, MO 65583-5406 |
City | WAYNESVILLE |
Zip Code | 65583 |
Specialty | NURSE PRACTITIONER |
City + Specialty | WAYNESVILLE + 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.