Shanna Nicole Harville (NPI# 1174909568, PAC ID# 1355642711) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174909568 |
| PAC ID by PECOS | 1355642711 |
| Professional Enrollment ID | I20151209001986 |
| Full Name | Shanna Nicole Harville |
| Organization Legal Name | GULF COAST OCCUPATIONAL SPORTS AND PAIN MEDICINE LLC |
| Address |
1615 N Alston St Foley AL 36535-2208 |
| Phone Number | 2519232050 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6406074905 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010083 | SOUTH BALDWIN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1615 N Alston St, Foley, AL 36535-2208 | 2519232050 | GULF COAST OCCUPATIONAL SPORTS AND PAIN MEDICINE LLC |
| Organization Legal Name | GULF COAST OCCUPATIONAL SPORTS AND PAIN MEDICINE LLC |
| Physicians | 1 |
| Street Address |
1615 N ALSTON ST |
| City | FOLEY |
| State | AL |
| Zip | 36535-2208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rony R Lee | Family Medicine | 1615 N Alston St, Foley, AL 36535-2208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Aliment | Chiropractic | Family Tree Chiropractic LLC | 8158 Hwy 59 106, Foley, AL 36535 |
| Charles V Buckmaster | General Practice | 8158 Hwy 59 107, Foley, AL 36535 | |
| Michael G Waters | Urology | 102 Greentree Lane, Foley, AL 36535 | |
| Christopher S Aliment | Chiropractic | Family Tree Chiropractic LLC | 8158 Hwy 59 106, Foley, AL 36535 |
| Jimmy Steven Hankins | Family Medicine | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
| Gregory T Bonds | Physical Therapy | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
| Sandra R Alexander | General Practice | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
| Amanda R Brantley | Nurse Practitioner | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
| Howard D Salter | Physical Therapy | 780 W Laurel Ave, Foley, AL 36535-1348 | |
| Jason Presley | Physician Assistant | Immediate Care Foley, LLC | 1265 S Mckenzie St, Foley, AL 36535-1818 |
| Find all physicians in zip 36535 | |||
| City | FOLEY |
| Zip Code | 36535 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FOLEY + 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.