Jeffrey A Tichenor (NPI# 1629154851, PAC ID# 0648165001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1629154851 |
| PAC ID by PECOS | 0648165001 |
| Professional Enrollment ID | I20040216001163 |
| Full Name | Jeffrey A Tichenor |
| Organization Legal Name | SPRINGFIELD FAMILY MEDICAL WALK-IN CLINICS INC |
| Address |
4049 S Campbell Ave Springfield MO 65807-5303 |
| Phone Number | 4178905550 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2365339405 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4049 S Campbell Ave, Springfield, MO 65807-5303 | 4178905550 | SPRINGFIELD FAMILY MEDICAL WALK-IN CLINICS INC |
| Organization Legal Name | SPRINGFIELD FAMILY MEDICAL WALK-IN CLINICS INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura L Miller | Nurse Practitioner | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Anita M Purvis | Nurse Practitioner | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Charnell S Allan | Nurse Practitioner | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Susan W Coonce | Nurse Practitioner | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| William A Baird | Internal Medicine | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Daniel J Burke | Emergency Medicine | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| James T Shaeffer | Orthopedic Surgery | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Jeanene K Kennett | Nurse Practitioner | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Jason A Daniels | Nurse Practitioner | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Kevin J Kelly | Physician Assistant | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Street Address |
4049 S CAMPBELL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip | 65807-5303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura L Miller | Nurse Practitioner | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Anita M Purvis | Nurse Practitioner | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Charnell S Allan | Nurse Practitioner | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Susan W Coonce | Nurse Practitioner | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| William A Baird | Internal Medicine | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Daniel J Burke | Emergency Medicine | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| James T Shaeffer | Orthopedic Surgery | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Jeanene K Kennett | Nurse Practitioner | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Jason A Daniels | Nurse Practitioner | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Kevin J Kelly | Physician Assistant | Springfield Family Medical Walk-in Clinics Inc | 4049 S Campbell Ave, Springfield, MO 65807-5303 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alina Cummins | Physician Assistant | Regional Services | 1720 W Battlefield, Coxhealth Quick Care, Springfield, MO 65807 |
| Tonya Mcmillen Boone | Clinical Social Worker | 1644 W Elfindale St, Springfield, MO 65807-1286 | |
| Carol L Scott | Optometry | Vision Rehabilitation Center of The Ozarks | 1661 W Elfindale St, Springfield, MO 65807-1287 |
| Christopher Boschen | Optometry | Vision Rehabilitation Center of The Ozarks | 1661 W Elfindale St, Springfield, MO 65807-1287 |
| Tara L Boehne | Occupational Therapy | Vision Rehabilitation Center of The Ozarks | 1661 W Elfindale St, Springfield, MO 65807-1287 |
| Elizabeth A Tyner | Psychologist, Clinical | Arc of The Ozarks | 1721 W Elfindale St, Springfield, MO 65807-1295 |
| Kayette M Glass | Psychologist, Clinical | Arc of The Ozarks | 1721 W Elfindale St, Springfield, MO 65807-1295 |
| Wanda Miller | Psychologist, Clinical | Arc of The Ozarks | 1721 W Elfindale St, Springfield, MO 65807-1295 |
| James Neptune | Chiropractic | Neptune Chiropractic Clinic PC | 1525 W Sunshine St, Suite A, Springfield, MO 65807-2311 |
| Michael L Langenberg | Chiropractic | 1525 W Sunshine St, Suite A, Springfield, MO 65807-2311 | |
| Find all physicians in zip 65807 | |||
| City | SPRINGFIELD |
| Zip Code | 65807 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPRINGFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jeffrey A Tichenor.
| 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.