Karen A Tidmore (NPI# 1457459562, PAC ID# 0840281135) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1457459562 |
PAC ID by PECOS | 0840281135 |
Professional Enrollment ID | I20040525000540 |
Full Name | Karen A Tidmore |
Address |
1811 Sharp Springs Rd Winchester TN 37398-4659 |
Phone Number | 9319677716 |
Gender | F |
Credential | DO |
Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1978 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440058 | SOUTHERN TENNESSEE REGIONAL HLTH SYSTEM WINCHESTER |
440144 | TENNOVA HEALTHCARE-HARTON |
Address | Phone | Organization |
---|---|---|
1811 Sharp Springs Rd, Winchester, TN 37398-4659 | 9319677716 |
Street Address |
1811 SHARP SPRINGS RD |
City | WINCHESTER |
State | TN |
Zip | 37398-4659 |
Name | Specialty | Organization | Address |
---|---|---|---|
Zachary Cole Riddle | Physician Assistant | Complete Express Care, LLC | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 |
Sherry S Lee | Nurse Practitioner | Complete Express Care, LLC | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 |
Melissa Irene Watson | Nurse Practitioner | Complete Express Care, LLC | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 |
Jason C Jackson | Physician Assistant | Complete Express Care, LLC | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 |
Jason A. Martin | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 2401 Decherd Blvd, Winchester, TN 37398-1164 |
Lacey K Thompson | Physician Assistant | Fast Pace Medical Clinic Pllc | 2401 Decherd Blvd, Winchester, TN 37398-1164 |
Gregory S. Wamack | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 2401 Decherd Blvd, Winchester, TN 37398-1164 |
Susan J Laws | Optometry | 731 Dinah Shore Blvd, Winchester, TN 37398-1424 | |
Ephraim B Gammada | Internal Medicine | Pinnacle Internal Medicine Pllc | 1509 Old Cowan Rd, Winchester, TN 37398-1913 |
Elizabeth D Gammada | Nurse Practitioner | Pinnacle Internal Medicine Pllc | 1509 Old Cowan Rd, Winchester, TN 37398-1913 |
Find all physicians in zip 37398 |
City | WINCHESTER |
Zip Code | 37398 |
Specialty | FAMILY MEDICINE |
City + Specialty | WINCHESTER + FAMILY MEDICINE |
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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.