Timothy Lloyd Ickes (NPI# 1255585790, PAC ID# 2365506672) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1255585790 |
PAC ID by PECOS | 2365506672 |
Professional Enrollment ID | I20090202000330 |
Full Name | Timothy Lloyd Ickes |
Organization Legal Name | FAMILY CARE BEHAVIORAL SERVICES |
Address |
2447 Maple Ave Zanesville OH 43701-1831 |
Phone Number | 7404549000 |
Gender | M |
Graduation Year | 2008 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 0840435152 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360039 | GENESIS HOSPITAL |
Address | Phone | Organization |
---|---|---|
224 Chestnut St, Coshocton, OH 43812-1164 | 7406222000 | FAMILY CARE BEHAVIORAL SERVICES |
2447 Maple Ave, Zanesville, OH 43701-1831 | 7404549000 | FAMILY CARE BEHAVIORAL SERVICES |
Organization Legal Name | FAMILY CARE BEHAVIORAL SERVICES |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy L Gray | Clinical Social Worker | Family Care Behavioral Services | 224 Chestnut St, Coshocton, OH 43812-1164 |
Denise A Estill | Clinical Social Worker | Family Care Behavioral Services | 224 Chestnut St, Coshocton, OH 43812-1164 |
Street Address |
2447 MAPLE AVE |
City | ZANESVILLE |
State | OH |
Zip | 43701-1831 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kristy Ritchie | Obstetrics/gynecology | Genesis Medical Group, LLC | 945 Bethesda Dr, Zanesville, OH 43701-0801 |
Linda T Swan | Obstetrics/gynecology | Genesis Medical Group, LLC | 945 Bethesda Dr, Zanesville, OH 43701-0801 |
Steven Sutter | Dermatology | Healogics Specialty Physicians of Ohio, LLC | 945 Bethesda Dr, Zanesville, OH 43701-0801 |
Abigail E Davis | Nurse Practitioner | Genesis Medical Group, LLC | 945 Bethesda Dr, Zanesville, OH 43701-0801 |
Tracey A Orr | Clinical Social Worker | Mid-ohio Behavioral Health LLC | 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815 |
Nicole Muscari | Nurse Practitioner | Mid-ohio Behavioral Health LLC | 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815 |
Ajay K Sharma | Psychiatry | Mid-ohio Behavioral Health LLC | 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815 |
Corryn R Christy | Nurse Practitioner | Mid-ohio Behavioral Health LLC | 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815 |
Dauntrica Wallstrum | Nurse Practitioner | Mid-ohio Behavioral Health LLC | 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815 |
Karri A Barlock | Nurse Practitioner | Mid-ohio Behavioral Health LLC | 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815 |
Find all physicians in zip 43701 |
City | ZANESVILLE |
Zip Code | 43701 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | ZANESVILLE + PHYSICIAN ASSISTANT |
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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.