Connie A Chandler (NPI# 1215977129, PAC ID# 2769532373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215977129 |
| PAC ID by PECOS | 2769532373 |
| Professional Enrollment ID | I20090602000444 |
| Full Name | Connie A Chandler |
| Organization Legal Name | DALE MEDICAL CENTER |
| Address |
145 Katherine Ave Ozark AL 36360-1976 |
| Phone Number | 3347745116 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE, INTERNAL MEDICINE |
| Group Practice PAC ID | 3476466327 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010021 | DALE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 145 Katherine Ave, Ozark, AL 36360-1976 | 3347745116 | DALE MEDICAL CENTER |
| 218 Hospital Ave, Ozark, AL 36360-2072 | DALE MEDICAL CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_047_overall | Care Plan | 100% |
| Organization Legal Name | DALE MEDICAL CENTER |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hunter K Clark | Nurse Practitioner | Dale Medical Center | 633 S Union Ave, Ozark, AL 36360-1836 |
| Radu Constantine | General Surgery | Dale Medical Center | 218 Hospital Ave, Ozark, AL 36360-2072 |
| Chris S Fox | Certified Registered Nurse Anesthetist (crna) | Dale Medical Center | 126 Hospital Ave, Ozark, AL 36360-2018 |
| Robert J Kreutzmann | Family Medicine | Dale Medical Center | 808 Donnell Blvd, Suite B, Daleville, AL 36322-2119 |
| Mark B Ellis | Family Medicine | Dale Medical Center | 1519 Andrews Ave, Ozark, AL 36360-3719 |
| Sheryl A Jernigan | Nurse Practitioner | Dale Medical Center | 808 Donnell Blvd, Suite B, Daleville, AL 36322-2119 |
| Oliver W Crawford Jr. | Internal Medicine | Dale Medical Center | 218 Hospital Ave, B, Ozark, AL 36360-2072 |
| Rifat Parwaiz | Family Medicine | Dale Medical Center | 1519 Andrews Ave, Ozark, AL 36360-3719 |
| Margaret J Hughes | Nurse Practitioner | Dale Medical Center | 1519 Andrews Ave, Ozark, AL 36360-3719 |
| April Tate | Nurse Practitioner | Dale Medical Center | 218 Hospital Ave, Ozark, AL 36360-2072 |
| Street Address |
145 KATHERINE AVE |
| City | OZARK |
| State | AL |
| Zip | 36360-1976 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas A Hutchinson | Optometry | 1537 Hwy 231 S, Ozark, AL 36360 | |
| Luna U Sy | Internal Medicine | 324 White Ave, Ozark, AL 36360-0908 | |
| Hunter K Clark | Nurse Practitioner | Dale Medical Center | 633 S Union Ave, Ozark, AL 36360-1836 |
| Jeffrey A Dixon | Nurse Practitioner | Dale Medical Center | 633 S Union Ave, Ozark, AL 36360-1836 |
| Ronald D Alfano | Cardiovascular Disease (cardiology) | 179 Katherine Ave, Ozark, AL 36360-1976 | |
| Taylor D Caffey | Family Medicine | 370 James St, Suite 101, Ozark, AL 36360-2015 | |
| Chris S Fox | Certified Registered Nurse Anesthetist (crna) | Dale Medical Center | 126 Hospital Ave, Ozark, AL 36360-2018 |
| Trey S Burg | Certified Registered Nurse Anesthetist (crna) | Dale Medical Center | 100 Hospital Ave, Ozark, AL 36360-2018 |
| Richard E Lucky | Certified Registered Nurse Anesthetist (crna) | Dale Medical Center | 100 Hospital Ave, Ozark, AL 36360-2018 |
| Radu Constantine | General Surgery | Dale Medical Center | 218 Hospital Ave, Ozark, AL 36360-2072 |
| Find all physicians in zip 36360 | |||
| City | OZARK |
| Zip Code | 36360 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OZARK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Connie A Chandler.
| 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.