Jordan D Palmer (NPI# 1285978205, PAC ID# 2567694797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1285978205 |
| PAC ID by PECOS | 2567694797 |
| Professional Enrollment ID | I20140422001090 |
| Full Name | Jordan D Palmer |
| Organization Legal Name | MID STATE ENDO UAP LLC |
| Address |
1115 Dow St Suite A Murfreesboro TN 37130-2487 |
| Phone Number | 6158489234 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3577787431 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440137 | TENNOVA HEALTHCARE-SHELBYVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1115 Dow St, Suite A, Murfreesboro, TN 37130-2487 | 6158489234 | MID STATE ENDO UAP LLC |
| 2835 Hiwy 231, Shelbyville, TN 37160-7327 | 9316855433 | PHYSYNERGY LLC |
| Organization Legal Name | MID STATE ENDO UAP LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles W Dinwiddie | Certified Registered Nurse Anesthetist (crna) | Mid State Endo Uap LLC | 1115 Dow St, Suite A, Murfreesboro, TN 37130-2487 |
| Jerry Lin Sherrill | Certified Registered Nurse Anesthetist (crna) | Mid State Endo Uap LLC | 1115 Dow St, Suite A, Murfreesboro, TN 37130-2487 |
| Street Address |
1115 DOW ST SUITE A |
| City | MURFREESBORO |
| State | TN |
| Zip | 37130-2487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles W Dinwiddie | Certified Registered Nurse Anesthetist (crna) | Mid State Endo Uap LLC | 1115 Dow St, Suite A, Murfreesboro, TN 37130-2487 |
| Jerry Lin Sherrill | Certified Registered Nurse Anesthetist (crna) | Mid State Endo Uap LLC | 1115 Dow St, Suite A, Murfreesboro, TN 37130-2487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay Green | Family Medicine | Saint Thomas Medical Partners | 1020 N Highland, Murfreesboro, TN 37130 |
| Jeffrey Mcclain | Optometry | 1132 W Clark, Suite B, Murfreesboro, TN 37130 | |
| Stephanie Nipper | Nurse Practitioner | Saint Thomas Medical Partners | 1015 N Highland St, Murfreesboro, TN 37130 |
| Noelle Dupont | Nurse Practitioner | Saint Thomas Medical Partners | 1020 N Highland, Murfreesboro, TN 37130 |
| Stephen D Nutt | Chiropractic | 1114 N Tennessee Blvd, Murfreesboro, TN 37130-1621 | |
| Ginger Givens Coley | Optometry | Vision Improvement Professionals Inc | 129 E Clark Blvd, Murfreesboro, TN 37130-2112 |
| Gregory William Coley | Optometry | Vision Improvement Professionals Inc | 129 E Clark Blvd, Murfreesboro, TN 37130-2112 |
| Rebecca Ann Wenig | Optometry | Vision Improvement Professionals Inc | 129 E Clark Blvd, Murfreesboro, TN 37130-2112 |
| Shannon L. Pogue | Physical Therapy | Donnelly Physical Therapy, Inc. | 610 E Clark Blvd, Murfreesboro, TN 37130-2121 |
| Shawn M Lancaster | Qualified Audiologist | 608 E Clark Blvd, Murfreesboro, TN 37130-2121 | |
| Find all physicians in zip 37130 | |||
| City | MURFREESBORO |
| Zip Code | 37130 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MURFREESBORO + 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.