Misty L Hawk (NPI# 1720543457, PAC ID# 1658604541) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720543457 |
| PAC ID by PECOS | 1658604541 |
| Professional Enrollment ID | I20190607001596 |
| Full Name | Misty L Hawk |
| Organization Legal Name | SOMC MEDICAL CARE FOUNDATION, INC. |
| Address |
8792 State Route 335 Minford OH 45653-8698 |
| Phone Number | 7408202141 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9436061645 |
| Number of Group Practice Members | 175 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360008 | SOUTHERN OHIO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8792 State Route 335, Minford, OH 45653-8698 | 7408202141 | SOMC MEDICAL CARE FOUNDATION, INC. |
| Organization Legal Name | SOMC MEDICAL CARE FOUNDATION, INC. |
| Physicians | 164 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rahat S Azfar | Dermatology | Somc Medical Care Foundation, Inc. | 1735 27th St, Suite 308, Portsmouth, OH 45662-2679 |
| Jonathan Ballard | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 835 W Emmitt Ave, Waverly, OH 45690-1190 |
| Natosha L Staggs | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 90 Cic Blvd, West Union, OH 45693-8024 |
| Christopher C Wiler | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 952 State Route 2, Greenup, KY 41144-7999 |
| Geoffrey V Martin | Radiation Oncology | Somc Medical Care Foundation, Inc. | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 |
| Nicholas Toppins | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 835 Emmitt Ave, Waverly, OH 45690-1190 |
| Brandy Jo Branham | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 15888a Us 52 Hwy, West Portsmouth, OH 45663 |
| David K Byers | Infectious Disease | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Paul D Rase | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 8792 State Route 335, Minford, OH 45653-8698 |
| Justin D Nolen | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 10 Thomas Hollow Rd, Lucasville, OH 45648-8889 |
| Street Address |
8792 STATE ROUTE 335 |
| City | MINFORD |
| State | OH |
| Zip | 45653-8698 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul D Rase | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 8792 State Route 335, Minford, OH 45653-8698 |
| Audrey Phillips | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 8792 State Route 335, Minford, OH 45653-8698 |
| Cynthia G Hamm | Family Practice | Somc Medical Care Foundation, Inc. | 8792 State Route 335, Minford, OH 45653-8698 |
| City | MINFORD |
| Zip Code | 45653 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MINFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Misty L Hawk.
| 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.