Michael R Wenslow (NPI# 1376857078, PAC ID# 2264624162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1376857078 |
| PAC ID by PECOS | 2264624162 |
| Professional Enrollment ID | I20101011000853 |
| Full Name | Michael R Wenslow |
| Organization Legal Name | FANNIN REGIONAL ORTHOPAEDIC CENTER, INC |
| Address |
2855 Old Hwy 5 Blue Ridge GA 30513-6248 |
| Phone Number | 7066323711 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0547543787 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110189 | FANNIN REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 | 7066323711 | FANNIN REGIONAL ORTHOPAEDIC CENTER, INC |
| Organization Legal Name | FANNIN REGIONAL ORTHOPAEDIC CENTER, INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney A Craine | Certified Registered Nurse Anesthetist (crna) | Fannin Regional Orthopaedic Center, Inc | 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 |
| Mark Brandon Dietrich | Certified Registered Nurse Anesthetist (crna) | Fannin Regional Orthopaedic Center, Inc | 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 |
| Fernando Omar Abad | Anesthesiology | Fannin Regional Orthopaedic Center, Inc | 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 |
| Janice Meeks | Certified Registered Nurse Anesthetist (crna) | Fannin Regional Orthopaedic Center, Inc | 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 |
| Street Address |
2855 OLD HWY 5 |
| City | BLUE RIDGE |
| State | GA |
| Zip | 30513-6248 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Ratchford | Emergency Medicine | Fannin Emergency Group LLC | 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 |
| Courtney A Craine | Certified Registered Nurse Anesthetist (crna) | Fannin Regional Orthopaedic Center, Inc | 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 |
| Kevin Erik Nesbit | Family Medicine | Fannin Emergency Group LLC | 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 |
| Brittany M Newberry | Nurse Practitioner | Fannin Emergency Group LLC | 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 |
| Mark Brandon Dietrich | Certified Registered Nurse Anesthetist (crna) | Fannin Regional Orthopaedic Center, Inc | 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 |
| Fernando Omar Abad | Anesthesiology | Fannin Regional Orthopaedic Center, Inc | 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 |
| Dillon D Miller | Family Medicine | Hidden Valley Medical Center Inc | 2855 Old Hwy 5, Suite 106, Blue Ridge, GA 30513-6239 |
| Janice Meeks | Certified Registered Nurse Anesthetist (crna) | Fannin Regional Orthopaedic Center, Inc | 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 |
| Walter F Watkins | Emergency Medicine | Fannin Emergency Group LLC | 2855 Old Hwy 5, Blue Ridge, GA 30513-6248 |
| Norman Anthony Palmeri | Orthopedic Surgery | Hidden Valley Medical Center Inc | 2855 Old Hwy 5, Suite 106, Blue Ridge, GA 30513-6239 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Andrew Krout | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Renee S Rimmer | Optometry | 3831 E 1st St, Blue Ridge, GA 30513 | |
| Angela Mundy Swartz | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Brittany Northcutt | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Michael W Darnell | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Kristen Farist | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Ronald T Jabaley Ii | Internal Medicine | 6 Elm St, Blue Ridge, GA 30513-2906 | |
| Kenney S Atkins | General Practice | 4799 Blue Ridge Dr, Suite 100, Blue Ridge, GA 30513-3240 | |
| Nancy E Chancey | Clinical Social Worker | 4528 Lickskillet Rd, Blue Ridge, GA 30513-3446 | |
| Joel Yagoda | Optometry | Jumpstart Fitness | 97 Commerce Dr, Blue Ridge, GA 30513-3677 |
| Find all physicians in zip 30513 | |||
| City | BLUE RIDGE |
| Zip Code | 30513 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BLUE RIDGE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.