Shirley A Tuttle-malone (NPI# 1457441834, PAC ID# 0648305797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457441834 |
| PAC ID by PECOS | 0648305797 |
| Professional Enrollment ID | I20100316000087 |
| Full Name | Shirley A Tuttle-malone |
| Organization Legal Name | LEWIS COUNTY GENERAL HOSPITAL |
| Address |
9559 Main St Beaver Falls NY 13305-0000 |
| Phone Number | 3153466824 |
| Gender | F |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2668463779 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 331317 | LEWIS COUNTY GENERAL HOSPITAL |
| 331318 | CARTHAGE AREA HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 9559 Main St, Beaver Falls, NY 13305-0000 | 3153466824 | LEWIS COUNTY GENERAL HOSPITAL |
| 3926 State Route 12, Lyons Falls, NY 13368-1919 | 3153488407 | LEWIS COUNTY GENERAL HOSPITAL |
| Organization Legal Name | LEWIS COUNTY GENERAL HOSPITAL |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Briana R Metzler | Nurse Practitioner | Lewis County General Hospital | 9559 Main St, Beaver Falls, NY 13305-0000 |
| Martha L Pisaniello | Family Medicine | Lewis County General Hospital | 7785 N State St, Suite 230, Lowville, NY 13367-1229 |
| Vladimir Breslau | Obstetrics/gynecology | Lewis County General Hospital | 7785 N State St, Suite 210, Lowville, NY 13367-1229 |
| Manoj Vora | Internal Medicine | Lewis County General Hospital | 7785 N State St, Suite 250, Lowville, NY 13367-1229 |
| Gregory M Dombroski | Physician Assistant | Lewis County General Hospital | 7785 N State St, Lowville, NY 13367-1229 |
| Monica J Kwicklis | Family Medicine | Lewis County General Hospital | 7785 N State St, 3rd Floor, Lowville, NY 13367-1297 |
| Thomas P Birk | Family Medicine | Lewis County General Hospital | 9559 Main St, Beaver Falls, NY 13305-0000 |
| Kathy H Der | Nurse Practitioner | Lewis County General Hospital | 9559 Main St, Beaver Falls, NY 13305-0000 |
| Kimberly Leibelsperger | Physician Assistant | Lewis County General Hospital | 7785 N State St, Lowville, NY 13367-1229 |
| Amy L Werchinski | Physician Assistant | Lewis County General Hospital | 7785 N State St, Lowville, NY 13367-1229 |
| Street Address |
9559 MAIN ST |
| City | BEAVER FALLS |
| State | NY |
| Zip | 13305-0000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Briana R Metzler | Nurse Practitioner | Lewis County General Hospital | 9559 Main St, Beaver Falls, NY 13305-0000 |
| Thomas P Birk | Family Medicine | Lewis County General Hospital | 9559 Main St, Beaver Falls, NY 13305-0000 |
| Kathy H Der | Nurse Practitioner | Lewis County General Hospital | 9559 Main St, Beaver Falls, NY 13305-0000 |
| John R Leuenberger | Family Medicine | Lewis County General Hospital | 9559 Main St, Beaver Falls, NY 13305-0000 |
| Norman Bruce Scott | Family Practice | County of Lewis | 9559 Main St, Beaver Falls, NY 13305-0000 |
| Melinda A Rosner | Physician Assistant | Lewis County General Hospital | 9559 Main St, Beaver Falls, NY 13305-0000 |
| City | BEAVER FALLS |
| Zip Code | 13305 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BEAVER FALLS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shirley A Tuttle-malone.
| 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.