Lajon D Addison (NPI# 1104871854, PAC ID# 0244205805) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1104871854 |
| PAC ID by PECOS | 0244205805 |
| Professional Enrollment ID | I20160211000614 |
| Full Name | Lajon D Addison |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| Address |
250 Park St Bowling Green KY 42101-1795 |
| Phone Number | 2707451000 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2466364997 |
| Number of Group Practice Members | 226 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440137 | TENNOVA HEALTHCARE-SHELBYVILLE |
| 180019 | MEADOWVIEW REGIONAL MEDICAL CENTER |
| 440111 | METRO NASHVILLE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 250 Park St, Bowling Green, KY 42101-1795 | 2707451000 | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Mayer Romain Khafi | Emergency Medicine | Southeastern Emergency Physicians LLC | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 |
| Thomas C Damhoff | Emergency Medicine | Southeastern Emergency Physicians LLC | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Daren William Cox | Emergency Medicine | Southeastern Emergency Physicians LLC | 990 Oak Ridge Turnpike, Oak Ridge, TN 37830-6976 |
| Andrew Hunter Wheeler | Emergency Medicine | Southeastern Emergency Physicians LLC | 456 Burnley Rd, Scottsville, KY 42164-6355 |
| Mary E Harkleroad | Family Medicine | Southeastern Emergency Physicians LLC | 1 Trillium Way, Corbin, KY 40701-8420 |
| Lamin Bangura | Family Medicine | Southeastern Emergency Physicians LLC | 1080 Ellington Pkwy, Lewisburg, TN 37091-2227 |
| William J Mcintyre | Emergency Medicine | Southeastern Emergency Physicians LLC | 55 Foundation Dr, Flemingsburg, KY 41041-9815 |
| Robert A Hill | Family Medicine | Southeastern Emergency Physicians LLC | 1260 University Ave, Sewanee, TN 37375-2303 |
| Shirley K Catron | Family Medicine | Southeastern Emergency Physicians LLC | 723 Old Burkesville Rd, Albany, KY 42602-1654 |
| James L Fritzsche | Emergency Medicine | Southeastern Emergency Physicians LLC | 9352 Park W Blvd, Knoxville, TN 37923-4325 |
| Street Address |
250 PARK ST |
| City | BOWLING GREEN |
| State | KY |
| Zip | 42101-1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian M Kranz | Certified Registered Nurse Anesthetist (crna) | Commonwealth Health Corporation Inc | 250 Park St, Bowling Green, KY 42101-1760 |
| Shane Damien Okeeffe | Vascular Surgery | Commonwealth Health Corporation Inc | 250 Park St, Bowling Green, KY 42101-1760 |
| Rima R Desai | Internal Medicine | Commonwealth Health Corporation Inc | 250 Park St, Bowling Green, KY 42101-1760 |
| Paula M Devore | Nurse Practitioner | Anesthesia and Pain Specialists of Bowling Green Plc | 250 Park St, Bowling Green, KY 42101-1760 |
| Matthew D Harmon | Certified Registered Nurse Anesthetist (crna) | Commonwealth Health Corporation Inc | 250 Park St, Bowling Green, KY 42101-1760 |
| Shellie D Hardcastle | Nurse Practitioner | Commonwealth Health Corporation Inc | 250 Park St, Bowling Green, KY 42101-1760 |
| Eric T Vessels | Anesthesiology | Anesthesia and Pain Specialists of Bowling Green Plc | 250 Park St, Bowling Green, KY 42101-1760 |
| Todd J Bohling | Certified Registered Nurse Anesthetist (crna) | Commonwealth Health Corporation Inc | 250 Park St, Bowling Green, KY 42101-1760 |
| Samrat Patel | Internal Medicine | Commonwealth Health Corporation Inc | 250 Park St, Suite 204, Bowling Green, KY 42101-1760 |
| Dana A Osborne | Nurse Practitioner | Commonwealth Health Corporation Inc | 250 Park St, Bowling Green, KY 42101-1760 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie R Steff | Nurse Practitioner | Gilbert Barbee Moore and Mcilvoy Psc | 1681 Normal Dr, Bowling Green, KY 42101 |
| Jaime L. Duvall | Nurse Practitioner | Gilbert Barbee Moore and Mcilvoy Psc | 1681 Normal Dr, Bowling Green, KY 42101 |
| Lindsay M Mcgehee | Nurse Practitioner | Gilbert Barbee Moore and Mcilvoy Psc | 1681 Normal Dr, Bowling Green, KY 42101 |
| Kelly Q White | Physical Therapy | Gilbert Barbee Moore and Mcilvoy Psc | 1681 Normal Dr, Bowling Green, KY 42101 |
| Mark R Woodward | Chiropractic | 1048 31 W By-pass, Bowling Green, KY 42101-0001 | |
| James S Isenberg | Nurse Practitioner | Vein Center At Allure Medical Spa Pllc | 427 Us 31w Byp, Bowling Green, KY 42101-1703 |
| Chad A Folk | Chiropractic | 427 -w Bypass, Suite 203, Bowling Green, KY 42101-1703 | |
| Glenda R Phillips | Nurse Practitioner | Vein Center At Allure Medical Spa Pllc | 427 Us 31w Byp, Bowling Green, KY 42101-1703 |
| Michelle R Black | Nurse Practitioner | K G Sahetya Psc | 427 Us 31w Byp, Bowling Green, KY 42101-1703 |
| Tommy Lee Bratcher | Nurse Practitioner | Physician Management Services Psc | 427 Us 31w Byp, Bowling Green, KY 42101-1703 |
| Find all physicians in zip 42101 | |||
| City | BOWLING GREEN |
| Zip Code | 42101 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BOWLING GREEN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Lajon D Addison.
| 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.