Thomas Edwin Young (NPI# 1083694665, PAC ID# 3072558683) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1083694665 |
| PAC ID by PECOS | 3072558683 |
| Professional Enrollment ID | I20110216000931 |
| Full Name | Thomas Edwin Young |
| Organization Legal Name | SOUTHEAST CARDIOLOGY CLINIC INC. |
| Address |
1146 Ross Clark Cir Dothan AL 36301-3022 |
| Phone Number | 3347121929 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1977 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 9234111899 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010001 | SOUTHEAST ALABAMA MEDICAL CENTER |
| 100142 | JACKSON HOSPITAL |
| 110194 | DONALSONVILLE HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 508 E Three Notch St, Andalusia, AL 36420-3128 | 3347121929 | SOUTHEAST CARDIOLOGY CLINIC INC. |
| 849 S Three Notch St, Andalusia, AL 36420-3128 | 3347121929 | SOUTHEAST CARDIOLOGY CLINIC INC. |
| 760 Columbia Rd, Suite A, Blakely, GA 39823-9796 | 3347121929 | SOUTHEAST CARDIOLOGY CLINIC INC. |
| 102 Hospital Cir, Donalsonville, GA 39845-1100 | 2295245217 | DONALSONVILLE HOSPITAL INC |
| 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 3347938087 | HOUSTON COUNTY HEALTHCARE AUTHORITY |
| 1146 Ross Clark Cir, Dothan, AL 36301-3022 | 3347121929 | SOUTHEAST CARDIOLOGY CLINIC INC. |
| 3700 Williams Dr, Marianna, FL 32446-7973 | 8504829488 | SOUTHEAST CARDIOLOGY CLINIC INC. |
| 1001 N Main St, Opp, AL 36467-1623 | 3344933541 | SOUTHEAST CARDIOLOGY CLINIC INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 69% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 71% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 71% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 71% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 25% |
| Organization Legal Name | SOUTHEAST CARDIOLOGY CLINIC INC. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey S Cook | Nurse Practitioner | Southeast Cardiology Clinic Inc. | 3700 Williams Dr, Marianna, FL 32446-7973 |
| Erin Harrell | Nurse Practitioner | Southeast Cardiology Clinic Inc. | 1340 Hwy 231 S 2, Troy, AL 36081-3012 |
| Andreas Muench | Cardiovascular Disease (cardiology) | Southeast Cardiology Clinic Inc. | 1330 Hwy 231 S, Troy, AL 36081-3058 |
| Christopher David Centafont | Cardiovascular Disease (cardiology) | Southeast Cardiology Clinic Inc. | 1146 Ross Clark Cir, Dothan, AL 36301-3022 |
| Kelli Anderson | Nurse Practitioner | Southeast Cardiology Clinic Inc. | 1146 Ross Clark Cir, Dothan, AL 36301-3022 |
| Nelson Smith Gwinn Iii | Cardiovascular Disease (cardiology) | Southeast Cardiology Clinic Inc. | 1330 Hwy 231 S, Troy, AL 36081-3058 |
| Street Address |
1146 ROSS CLARK CIR |
| City | DOTHAN |
| State | AL |
| Zip | 36301-3022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher David Centafont | Cardiovascular Disease (cardiology) | Southeast Cardiology Clinic Inc. | 1146 Ross Clark Cir, Dothan, AL 36301-3022 |
| Kelli Anderson | Nurse Practitioner | Southeast Cardiology Clinic Inc. | 1146 Ross Clark Cir, Dothan, AL 36301-3022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracey Carter | Nurse Practitioner | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| David D Gayle | Cardiac Electrophysiology | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Melissa Watkins | Nurse Practitioner | Pulmonary Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Brittney H Edge | Nurse Practitioner | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Sylvia J Rushing | Interventional Cardiology | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Michael E. Pinson | Cardiovascular Disease (cardiology) | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Magan B Parker | Nurse Practitioner | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Emmalyn A Bady-mcdowell | Psychiatry | 4300 Main St W, Suite 102, Dothan, AL 36301-1051 | |
| Faye E Rao | Cardiovascular Disease (cardiology) | Cardiology Associates, Pa | 4300 W Main St, Suite 102, Dothan, AL 36301-1051 |
| Simon R Brooks | Interventional Cardiology | Cardiology Associates, Pa | 4300 W Main St, Suite 102, Dothan, AL 36301-1051 |
| Find all physicians in zip 36301 | |||
| City | DOTHAN |
| Zip Code | 36301 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | DOTHAN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.