Corbin S Van De Wege (NPI# 1174713564, PAC ID# 0345395000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174713564 |
| PAC ID by PECOS | 0345395000 |
| Professional Enrollment ID | I20090901000370 |
| Full Name | Corbin S Van De Wege |
| Organization Legal Name | REGIONAL SERVICES |
| Address |
304 E Jackson St 5h Willard MO 65781-9333 |
| Phone Number | 4172692458 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5799787784 |
| Number of Group Practice Members | 183 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260040 | COX MEDICAL CENTERS |
| Address | Phone | Organization |
|---|---|---|
| 2750 S Campbell Ave, Coxhealth Center Campbell, Springfield, MO 65807-3506 | 4172692281 | REGIONAL SERVICES |
| 3801 S National Ave, Springfield, MO 65807-5210 | 4172699460 | REGIONAL SERVICES |
| 3801 S National Ave, Cox Medical Center South, Springfield, MO 65807-5210 | 4172694056 | REGIONAL SERVICES |
| 304 E Jackson St, 5h, Willard, MO 65781-9333 | 4172692458 | REGIONAL SERVICES |
| Organization Legal Name | REGIONAL SERVICES |
| Physicians | 172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tatyana Lehman | Nurse Practitioner | Regional Services | 304 E Jackson St, 5h, Willard, MO 65781-9333 |
| Megan C Rooney Thompson | Obstetrics/gynecology | Regional Services | 3850 S National Ave, Suite 400, Springfield, MO 65807-5287 |
| Monica Freeman | Nurse Practitioner | Regional Services | 2750 S Campbell Ave, Coxhealth Center Campbell, Springfield, MO 65807-3506 |
| Alina Cummins | Physician Assistant | Regional Services | 1720 W Battlefield, Coxhealth Quick Care, Springfield, MO 65807 |
| Belinda Kesterson | Physician Assistant | Regional Services | 3801 S National Ave 9th Fl, Glycemic Mgmt Services, Springfield, MO 65807-5210 |
| Becky A Cumley | Nurse Practitioner | Regional Services | 2900 S National Ave Bldg A, Coxhealth Welcome Clinic, Springfield, MO 65804-3634 |
| Candace C Roland | Nurse Practitioner | Regional Services | 960 E Walnut Lawn, 201 Adult Medicine and Endocrinology Specialists, Springfield, MO 65807-7865 |
| Julie Settle | Family Medicine | Regional Services | 5548 N Farmer Branch Rd, Coxhealth Center Ozark, Ozark, MO 65721-5315 |
| Emily D Kruse | Nurse Practitioner | Regional Services | 3315 S Campbell Ave, Clinic At Walmart Operated By Coxhealth Store 444, Springfield, MO 65807-4914 |
| Cynthia Lynn Hollis-keene | Nurse Practitioner | Regional Services | 2825 N Kansas Expressway, Clinic At Walmart Operated By Coxhealth Store 86, Springfield, MO 65803 |
| Street Address |
304 E JACKSON ST 5H |
| City | WILLARD |
| State | MO |
| Zip | 65781-9333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tatyana Lehman | Nurse Practitioner | Regional Services | 304 E Jackson St, 5h, Willard, MO 65781-9333 |
| Emily Akridge | Nurse Practitioner | Regional Services | 304 E Jackson St, 5h, Willard, MO 65781-9333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devon Paul Jarvis | Optometry | 302 E Proctor Rd, Willard, MO 65781-9144 | |
| Margaret H Welker | Psychologist, Clinical | 400 W Walnut Ln, Willard Care Center, Willard, MO 65781-9432 | |
| Robert Sieve | Chiropractic | 128 Grand Prairie Dr, Willard, MO 65781-9773 |
| City | WILLARD |
| Zip Code | 65781 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WILLARD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Corbin S Van De Wege.
| 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.