Phillip D Kirkland (NPI# 1275720492, PAC ID# 0840374559) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1275720492 |
| PAC ID by PECOS | 0840374559 |
| Professional Enrollment ID | I20080219000752 |
| Full Name | Phillip D Kirkland |
| Organization Legal Name | EASTLAKE MEDICAL, LLC |
| Address |
2500 Jacksboro Pike Suite 6 Jacksboro TN 37757-2818 |
| Phone Number | 4233526500 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6901174788 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2500 Jacksboro Pike, Suite 6, Jacksboro, TN 37757-2818 | 4233526500 | EASTLAKE MEDICAL, LLC |
| Organization Legal Name | EASTLAKE MEDICAL, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara Jean Mccullah | Nurse Practitioner | Eastlake Medical, LLC | 2500 Jacksboro Pike, Suite 6, Jacksboro, TN 37757-2818 |
| Laura Kayleigh Mundy | Nurse Practitioner | Eastlake Medical, LLC | 2500 Jacksboro Pike, Suite 6, Jacksboro, TN 37757-2818 |
| Street Address |
2500 JACKSBORO PIKE SUITE 6 |
| City | JACKSBORO |
| State | TN |
| Zip | 37757-2818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara Jean Mccullah | Nurse Practitioner | Eastlake Medical, LLC | 2500 Jacksboro Pike, Suite 6, Jacksboro, TN 37757-2818 |
| Laura Kayleigh Mundy | Nurse Practitioner | Eastlake Medical, LLC | 2500 Jacksboro Pike, Suite 6, Jacksboro, TN 37757-2818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra R Bond | Nurse Practitioner | Renovation Health and Wellness | 2707 Jacksboro Pike, 1a, Jacksboro, TN 37757-2752 |
| Patricia A Eberharter | Nurse Practitioner | Renovation Health and Wellness | 2707 Jacksboro Pike, 1a, Jacksboro, TN 37757-2752 |
| Jill Browning | Optometry | 2824 Appalachian Hwy, Jacksboro, TN 37757-2829 | |
| Charles A Isham Jr. | Internal Medicine | Summit Medical Group, Pllc | 163 Perkins Ln, Jacksboro, TN 37757-2833 |
| John Cleveland Redus Jr. | Chiropractic | 302 Main St, Jacksboro, TN 37757-2935 | |
| Anthony M Kingsley | Nurse Practitioner | Summit Medical Group, Pllc | 2545 Jacksboro Pike, Jacksboro, TN 37757-4847 |
| Gurpreet Narula | Internal Medicine | Lafollette Health Clinic Inc | 2503 Jacksboro Pike, Jacksboro, TN 37757-4847 |
| Andrew Wade Howard | Optometry | Andrew W Howard, Od, Pllc | 2561 Jacksboro Pike, Jacksboro, TN 37757-4847 |
| Kevin Anthony Mysliwiec | Optometry | Associates In Eye Care, Inc. | 2523 Jacksboro Pike, Jacksboro, TN 37757-4847 |
| Elizabeth Thompson Howard | Optometry | Andrew W Howard, Od, Pllc | 2561 Jacksboro Pike, Jacksboro, TN 37757-4847 |
| Find all physicians in zip 37757 | |||
| City | JACKSBORO |
| Zip Code | 37757 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSBORO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Phillip D Kirkland.
| 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.