Pamela J Carothers (NPI# 1669521415, PAC ID# 3072553460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1669521415 |
| PAC ID by PECOS | 3072553460 |
| Professional Enrollment ID | I20050504001244 |
| Full Name | Pamela J Carothers |
| Organization Legal Name | ABUNDANT HEALTH FAMILY MEDICINE |
| Address |
1720 S Burlington Dr Muncie IN 47302-2771 |
| Phone Number | 7652167620 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4587804554 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150089 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1720 S Burlington Dr, Muncie, IN 47302-2771 | 7652167620 | ABUNDANT HEALTH FAMILY MEDICINE |
| Organization Legal Name | ABUNDANT HEALTH FAMILY MEDICINE |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian L Lumpkin | Family Medicine | Abundant Health Family Medicine | 1720 S Burlington Dr, Muncie, IN 47302-2771 |
| Thomas P Mengelt | General Practice | Abundant Health Family Medicine | 1720 S Burlington Dr, Muncie, IN 47302-2771 |
| Street Address |
1720 S BURLINGTON DR |
| City | MUNCIE |
| State | IN |
| Zip | 47302-2771 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian L Lumpkin | Family Medicine | Abundant Health Family Medicine | 1720 S Burlington Dr, Muncie, IN 47302-2771 |
| Thomas P Mengelt | General Practice | Abundant Health Family Medicine | 1720 S Burlington Dr, Muncie, IN 47302-2771 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abdul Subhan | Psychiatry | Meridian Health Services Corp | 1944 W 8th St, Muncie, IN 47302-2183 |
| Wade A Horn | Optometry | Wh Inc | 3303 E Memorial Dr, Muncie, IN 47302-4857 |
| City | MUNCIE |
| Zip Code | 47302 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MUNCIE + NURSE PRACTITIONER |
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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.