Emily L Exten (NPI# 1205051141, PAC ID# 2567627623) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1205051141 |
| PAC ID by PECOS | 2567627623 |
| Professional Enrollment ID | I20170601002692 |
| Full Name | Emily L Exten |
| Organization Legal Name | OHIOHEALTH REGIONAL PHYSICIAN SERVICES LLC |
| Address |
24 Morris Rd Suite 2 Shelby OH 44875-1170 |
| Phone Number | 4193474177 |
| Gender | F |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9739496902 |
| Number of Group Practice Members | 119 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360118 | OHIOHEALTH MANSFIELD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 335 Glessner Ave, Mansfield, OH 44903-2269 | 4195220320 | OHIOHEALTH REGIONAL PHYSICIAN SERVICES LLC |
| 24 Morris Rd, Suite 2, Shelby, OH 44875-1170 | 4193474177 | OHIOHEALTH REGIONAL PHYSICIAN SERVICES LLC |
| Organization Legal Name | OHIOHEALTH REGIONAL PHYSICIAN SERVICES LLC |
| Physicians | 110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yohannes Bayissa | Interventional Cardiology | Ohiohealth Regional Physician Services LLC | 330 Glessner Ave, Mansfield, OH 44903-2226 |
| Elizabeth A Miller | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 375 W Main St, Ohiohealth Primary Care and Sports Medicine Physicians, Lexington, OH 44904-9770 |
| Ryan C Kamp | Internal Medicine | Ohiohealth Regional Physician Services LLC | 199 W Main St 3rd Floor, Ohiohealth Heart and Vascular Physicians, Shelby, OH 44875-1490 |
| Jenny L Mckee | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 215 Wood St, Ohiohealth Surgical Specialists, Mansfield, OH 44903-2260 |
| Stella E Elder | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 248 Blymyer Ave, Mansfield, OH 44903-2306 |
| Mary E Alton | Cardiovascular Disease (cardiology) | Ohiohealth Regional Physician Services LLC | 335 Glessner Ave, Mansfield, OH 44903-2269 |
| Annette Welker | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 558 S Trimble Rd, Mansfield, OH 44906-3418 |
| Stephen A Yoder | Orthopedic Surgery | Ohiohealth Regional Physician Services LLC | 45 Amberwood Pkwy, Ashland, OH 44805-9765 |
| Elizabeth A Brown | Pulmonary Disease | Ohiohealth Regional Physician Services LLC | 770 Balgreen Dr, Suite 107, Mansfield, OH 44906-4106 |
| Prity S Vaidya | Infectious Disease | Ohiohealth Regional Physician Services LLC | 335 Glessner Ave, Mansfield, OH 44903-2269 |
| Street Address |
24 MORRIS RD SUITE 2 |
| City | SHELBY |
| State | OH |
| Zip | 44875-1170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omar F.s. Guimaraes | Obstetrics/gynecology | 24 Morris Rd, Suite 3, Shelby, OH 44875-1170 | |
| Tabitha Dawn Hofer | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 24 Morris Rd, Suite 2, Shelby, OH 44875-1170 |
| Marion C Demers | Family Medicine | 24 Morris Rd, Suite 1, Shelby, OH 44875-1152 | |
| Mark C Leeson | Orthopedic Surgery | Ohiohealth Regional Physician Services LLC | 24 Morris Rd, Suite 2, Shelby, OH 44875-1170 |
| Megan A Olson | Nurse Practitioner | Shelby Primary Care LLC | 24 Morris Rd, Shelby, OH 44875-1152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald B Lash | Chiropractic | 100 N Gamble St, Shelby, OH 44875-1021 | |
| Ajay Chawla | Internal Medicine | 110 Auburn Ave, Suite 2, Shelby, OH 44875-1104 | |
| Courtney L Brooks | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Karrie Kay Burriss | Nurse Practitioner | The Center for Individual and Family Services, Inc. | 31 E Main St, Suite 3, Shelby, OH 44875-1262 |
| Tricia E Giddens | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Virgilio Millado Tongson | General Surgery | 31 E Main St, Suite 4, Shelby, OH 44875-1262 | |
| Brianna K Sampsel | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Ujwala Pagedar | Internal Medicine | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Jennifer A Schroeder | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| David J Etzel | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Find all physicians in zip 44875 | |||
| City | SHELBY |
| Zip Code | 44875 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SHELBY + ORTHOPEDIC SURGERY |
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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.