Jeremy Fisher (NPI# 1255803144, PAC ID# 1254678048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255803144 |
| PAC ID by PECOS | 1254678048 |
| Professional Enrollment ID | I20190201001369 |
| Full Name | Jeremy Fisher |
| Organization Legal Name | SHAWNEE MENTAL HEALTH CENTER INC |
| Address |
225 Carlton Davidson Ln Coal Grove OH 45638-2924 |
| Phone Number | 7405330648 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012902075 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360008 | SOUTHERN OHIO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 7405330648 | SHAWNEE MENTAL HEALTH CENTER INC |
| 901 Washington St, Portsmouth, OH 45662-3944 | 7403547702 | SHAWNEE MENTAL HEALTH CENTER INC |
| Organization Legal Name | SHAWNEE MENTAL HEALTH CENTER INC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal M Jordan | Nurse Practitioner | Shawnee Mental Health Center Inc | 901 Washington St, Portsmouth, OH 45662-3944 |
| Sunita Agarwal | Psychiatry | Shawnee Mental Health Center Inc | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 |
| Stephanie Hale | Nurse Practitioner | Shawnee Mental Health Center Inc | 901 Washington St, Portsmouth, OH 45662-3944 |
| Andrea L Ryan | Nurse Practitioner | Shawnee Mental Health Center Inc | 901 Washington St, Portsmouth, OH 45662-3944 |
| Jeffrey Hill | Family Medicine | Shawnee Mental Health Center Inc | 901 Washington St, Portsmouth, OH 45662-3944 |
| Alicia Fink | Nurse Practitioner | Shawnee Mental Health Center Inc | 901 Washington St, Portsmouth, OH 45662-3944 |
| Amber Roffe | Nurse Practitioner | Shawnee Mental Health Center Inc | 901 Washington St, Portsmouth, OH 45662-3944 |
| Lisa Poorman | Nurse Practitioner | Shawnee Mental Health Center Inc | 901 Washington St, Portsmouth, OH 45662-3944 |
| Patricia D Sparks | Nurse Practitioner | Shawnee Mental Health Center Inc | 901 Washington St, Portsmouth, OH 45662-3944 |
| Rose Pollard | Clinical Social Worker | Shawnee Mental Health Center Inc | 901 Washington St, Portsmouth, OH 45662-3944 |
| Street Address |
225 CARLTON DAVIDSON LN |
| City | COAL GROVE |
| State | OH |
| Zip | 45638-2924 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Roach | Clinical Social Worker | Shawnee Mental Health Center Inc | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 |
| Natalie Adams | Clinical Social Worker | Shawnee Mental Health Center Inc | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 |
| Brenda K Baldridge | Nurse Practitioner | Shawnee Mental Health Center Inc | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Haney | Clinical Social Worker | 424 Lawrence St, Ironton, OH 45638-1474 | |
| Kathleen F Murray | Family Medicine | Premier Therapy and Health Centers Inc | 209 N 2nd St, Suite A, Ironton, OH 45638-1485 |
| Kristie L Johnson | Nurse Practitioner | Premier Therapy and Health Centers Inc | 209 N 2nd St, Suite A, Ironton, OH 45638-1485 |
| Donald K Lambert | Nurse Practitioner | 700 Park Ave, Ironton, OH 45638-1502 | |
| Deidra Brumfield | Chiropractic | Ironton Park Avenue Chiropractic Center, Inc | 901 Park Ave, Ironton, OH 45638-1529 |
| Jennifer Gibson | Nurse Practitioner | Ironton and Lawrence County Area Community Action Organization | 120 N 3rd St, Ironton, OH 45638-1574 |
| Tiffany A Spears | Nurse Practitioner | Ironton and Lawrence County Area Community Action Organization | 120 N 3rd St, Ironton, OH 45638-1574 |
| Tamela R King | Nurse Practitioner | Ironton and Lawrence County Area Community Action Organization | 120 N 3rd St, Ironton, OH 45638-1574 |
| Jacqueline N Stumbo | Nurse Practitioner | Ironton and Lawrence County Area Community Action Organization | 120 N 3rd St, Ironton, OH 45638-1574 |
| Tonnette D Hoffman | Nurse Practitioner | Ironton and Lawrence County Area Community Action Organization | 120 N 3rd St, Ironton, OH 45638-1574 |
| Find all physicians in zip 45638 | |||
| City | COAL GROVE |
| Zip Code | 45638 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COAL GROVE + NURSE PRACTITIONER |
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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.