Nicole Payne (NPI# 1477712453, PAC ID# 2567622939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1477712453 |
| PAC ID by PECOS | 2567622939 |
| Professional Enrollment ID | I20120321000642 |
| Full Name | Nicole Payne |
| Organization Legal Name | RIVERWOOD EMERGENCY SERVICES INC |
| Address |
1404 E 2nd St Defiance OH 43512-2440 |
| Phone Number | 5673681008 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1153225669 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360270 | MERCY HOSPITAL OF DEFIANCE |
| Address | Phone | Organization |
|---|---|---|
| 1404 E 2nd St, Defiance, OH 43512-2440 | 5673681008 | RIVERWOOD EMERGENCY SERVICES INC |
| Organization Legal Name | RIVERWOOD EMERGENCY SERVICES INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Kay Amonette | Emergency Medicine | Riverwood Emergency Services Inc | 12621 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Bryan K Miksanek | Emergency Medicine | Riverwood Emergency Services Inc | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Jennifer L Pfleghaar | Emergency Medicine | Riverwood Emergency Services Inc | 12621 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Nael Osama Bahhur | Emergency Medicine | Riverwood Emergency Services Inc | 12621 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Todd Adam Helfman | Emergency Medicine | Riverwood Emergency Services Inc | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Timothy M Scott | Emergency Medicine | Riverwood Emergency Services Inc | 1404 E 2nd St, Defiance, OH 43512-2440 |
| James Edward Young Iii | Emergency Medicine | Riverwood Emergency Services Inc | 12621 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Brandy M Secory | Nurse Practitioner | Riverwood Emergency Services Inc | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Clarivel Tull | Nurse Practitioner | Riverwood Emergency Services Inc | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Alexandra Murray | Emergency Medicine | Riverwood Emergency Services Inc | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Street Address |
1404 E 2ND ST |
| City | DEFIANCE |
| State | OH |
| Zip | 43512-2440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Nasser | Diagnostic Radiology | Columbus Radiology Corp | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Bryan K Miksanek | Emergency Medicine | Riverwood Emergency Services Inc | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Mary J Wall | Diagnostic Radiology | Columbus Radiology Corp | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Todd Adam Helfman | Emergency Medicine | Riverwood Emergency Services Inc | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Timothy M Scott | Emergency Medicine | Riverwood Emergency Services Inc | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Andrew Michael Rabin | Diagnostic Radiology | Columbus Radiology Corp | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Brandy M Secory | Nurse Practitioner | Riverwood Emergency Services Inc | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Clarivel Tull | Nurse Practitioner | Riverwood Emergency Services Inc | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Alexandra Murray | Emergency Medicine | Riverwood Emergency Services Inc | 1404 E 2nd St, Defiance, OH 43512-2440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C Deal | Psychologist, Clinical | 1450 S Clinton, Defiance, OH 43512 | |
| Melissa R Davies | Psychologist, Clinical | 1125 Ralston Ave, Defiance, OH 43512-1336 | |
| Thomas L Flanigan | Plastic and Reconstructive Surgery | Promedica Central Physicians LLC | 1200 Ralston Ave, Defiance, OH 43512-1396 |
| Brenda M Brady | Psychiatry | Defiance Hospital Inc. | 1200 Ralston Ave, Defiance, OH 43512-1396 |
| Randal D Martin | Certified Registered Nurse Anesthetist (crna) | Promedica Central Physicians LLC | 1200 Ralston Ave, Defiance, OH 43512-1396 |
| Matthew M Reiner | Podiatry | Promedica Central Physicians LLC | 1200 Ralston Ave, Defiance, OH 43512-1396 |
| Jessica Lynn Saunders | Nurse Practitioner | Omni Health Services, Ltd | 1200 Ralston Ave, Defiance, OH 43512-1396 |
| Trisha K Davis | Nurse Practitioner | Promedica Central Physicians LLC | 1200 Ralston Ave, Defiance, OH 43512-1396 |
| Truman F Weigand Jr. | General Surgery | Promedica Central Physicians LLC | 1200 Ralston Ave, Defiance, OH 43512-1396 |
| Aban A Affan | Anesthesiology | Promedica Central Physicians LLC | 1200 Ralston Ave, Defiance, OH 43512-1396 |
| Find all physicians in zip 43512 | |||
| City | DEFIANCE |
| Zip Code | 43512 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DEFIANCE + EMERGENCY MEDICINE |
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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.