Tammy Micco (NPI# 1265835102, PAC ID# 1951604339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265835102 |
| PAC ID by PECOS | 1951604339 |
| Professional Enrollment ID | I20160119000764 |
| Full Name | Tammy Micco |
| Organization Legal Name | KIDNEY AND HYPERTENSION CONSULTANTS INC |
| Address |
4650 Hills and Dales Rd Nw Fl 1 Canton OH 44708-6220 |
| Phone Number | 3306499400 |
| Gender | F |
| Medical School | OHIO MEDICAL UNIVERSITY |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1951206085 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360084 | AULTMAN HOSPITAL |
| 360070 | MERCY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 | 3306499400 | KIDNEY AND HYPERTENSION CONSULTANTS INC |
| Organization Legal Name | KIDNEY AND HYPERTENSION CONSULTANTS INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bhavnish Bucktowarsing | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Pramod A Bhargava | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Amy Lynette Hazel | Nurse Practitioner | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Jehad Asfoura | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Dayanand Makey | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Anthony J Degenhard | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| John Garton | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| James Melvin Rajan | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Kevin J Kelley | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Luis F Soto | Nephrology | Kidney and Hypertension Consultants Inc | 270 E State St, Suite 100, Alliance, OH 44601-4300 |
| Street Address |
4650 HILLS AND DALES RD NW FL 1 |
| City | CANTON |
| State | OH |
| Zip | 44708-6220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bhavnish Bucktowarsing | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Pramod A Bhargava | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Amy Lynette Hazel | Nurse Practitioner | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Jehad Asfoura | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Dayanand Makey | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Anthony J Degenhard | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| John Garton | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| James Melvin Rajan | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Kevin J Kelley | Nephrology | Kidney and Hypertension Consultants Inc | 4650 Hills and Dales Rd Nw, Fl 1, Canton, OH 44708-6220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaleel J Shaheen | Optometry | Hills and Dales Vision Inc | 4555 Hills and Dales Rd Nw, Canton, OH 44708 |
| Michael K Shaheen | Optometry | Hills and Dales Vision Inc | 4555 Hills and Dales Rd Nw, Canton, OH 44708 |
| Kaleel J Shaheen Ii | Optometry | Hills and Dales Vision Inc | 4555 Hills and Dales Rd Nw, Canton, OH 44708 |
| Fredrick C Hayek | Emergency Medicine | 3411 Cornwall Dr Nw, Canton, OH 44708-1155 | |
| Christine L Scott | Clinical Social Worker | Aultman Hospital | 2821 Woodlawn Ave, Nw, Canton, OH 44708-1423 |
| Irina B Korableva | Endocrinology | Northeast Ohio Endocrinology | 4634 Hills and Dales Nwrd, Canton, OH 44708-1510 |
| Kathryn Fritz | Nurse Practitioner | Northeast Ohio Endocrinology | 4634 Hills and Dales Nwrd, Canton, OH 44708-1510 |
| Autumn Campbell | Physician Assistant | Northeast Ohio Endocrinology | 4634 Hills and Dales Nwrd, Canton, OH 44708-1510 |
| Suzanne Michelle Harold | Endocrinology | Northeast Ohio Endocrinology | 4634 Hills and Dales Nwrd, Canton, OH 44708-1510 |
| Melissa J Thomas | Nurse Practitioner | Northeast Ohio Endocrinology | 4634 Hills and Dales Nwrd, Canton, OH 44708-1510 |
| Find all physicians in zip 44708 | |||
| City | CANTON |
| Zip Code | 44708 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tammy Micco.
| 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.