Tara Sutphin Keith (NPI# 1407396542, PAC ID# 2860763083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1407396542 |
| PAC ID by PECOS | 2860763083 |
| Professional Enrollment ID | I20170818001264 |
| Full Name | Tara Sutphin Keith |
| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Address |
1900 Electric Rd Salem VA 24153-7474 |
| Phone Number | 5619970821 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244269413 |
| Number of Group Practice Members | 248 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490048 | LEWISGALE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1900 Electric Rd, Salem, VA 24153-7474 | 5619970821 | INTENSIVE CARE CONSORTIUM INC |
| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Physicians | 219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soowhan Lah | Critical Care (intensivists) | Intensive Care Consortium Inc | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Disha Awasthi | Pulmonary Disease | Intensive Care Consortium Inc | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Jacklyn Reyes Pancrudo | Internal Medicine | Intensive Care Consortium Inc | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Ali Ashraf | Pulmonary Disease | Intensive Care Consortium Inc | 700 W Oak St, Kissimmee, FL 34741-4996 |
| Christine D Lallos | Anesthesiology | Intensive Care Consortium Inc | 350 Hospital Dr, Macon, GA 31217-3838 |
| Shawn W Blouin | Nurse Practitioner | Intensive Care Consortium Inc | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Gina Marie Iacovella | Critical Care (intensivists) | Intensive Care Consortium Inc | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Rajiv Malhotra | Pulmonary Disease | Intensive Care Consortium Inc | 7101 Jahnke Rd, Richmond, VA 23225-4017 |
| Azzat Abdulghani Ali | Critical Care (intensivists) | Intensive Care Consortium Inc | 9330 State Rd, Suite 54, Trinity, FL 34655-1808 |
| Geoffrey Andrew Loh | Critical Care (intensivists) | Intensive Care Consortium Inc | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Street Address |
1900 ELECTRIC RD |
| City | SALEM |
| State | VA |
| Zip | 24153-7474 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Champ | Emergency Medicine | Lake Spring Emergency Group LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Randall L Woodford | Pathology | Associated Pathologists LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Elizabeth R Marshall | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Stephen O Slattery | Anesthesiology | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Maria D Johnson | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Adam G Guyer | Diagnostic Radiology | Radiology Associates of Roanoke, P. C. | 1900 Electric Rd, Salem, VA 24153-7474 |
| Jennifer L Haney | Internal Medicine | Lake Spring Physician Services, LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Benjamin Todd Freasier | Internal Medicine | Lake Spring Physician Services, LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Michael T Kelly | Physical Medicine and Rehabilitation | 1900 Electric Rd, Salem, VA 24153-7474 | |
| Harry K Daugherty Jr. | Pathology | Associated Pathologists LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deana A Young | Family Medicine | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Amy Foutz | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Taylor Noelle Griffith | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Lauren R Sylvain | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Ijeoma N Okogbue | Cardiovascular Disease (cardiology) | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Puja R Ganjwala | Nurse Practitioner | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Jon Thomas Royall | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Laura Rapp | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Christian A Brickner | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Nicole D Kemp | Nurse Practitioner | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Find all physicians in zip 24153 | |||
| City | SALEM |
| Zip Code | 24153 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALEM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tara Sutphin Keith.
| 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.