Izzuddin A Mansur (NPI# 1508828344, PAC ID# 3375630890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1508828344 |
| PAC ID by PECOS | 3375630890 |
| Professional Enrollment ID | I20071031000345 |
| Full Name | Izzuddin A Mansur |
| Address |
49 Cleveland St Suite 220 Crossville TN 38555-2854 |
| Phone Number | 9317078050 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | UROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440009 | CUMBERLAND MEDICAL CENTER |
| 441306 | ERLANGER BLEDSOE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 49 Cleveland St, Suite 220, Crossville, TN 38555-2854 | 9317078050 |
| Street Address |
49 CLEVELAND ST SUITE 220 |
| City | CROSSVILLE |
| State | TN |
| Zip | 38555-2854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reynaldo A Olaechea | General Surgery | Cumberland Physician Group, LLC | 49 Cleveland St, Suite 320, Crossville, TN 38555-2854 |
| Andrew T Szaflarski | Obstetrics/gynecology | Covenant Medical Group Inc | 49 Cleveland St, Suite 330, Crossville, TN 38555-2854 |
| Rebekah Suzanne Hillis | Nurse Practitioner | Tennessee Plateau Oncology Pllc | 49 Cleveland St, Suite 270, Crossville, TN 38555-2856 |
| Samuel Wisco Ong | Cardiovascular Disease (cardiology) | 49 Cleveland St, Suite 250, Crossville, TN 38555-2856 | |
| James Barnawell | Pathology | Cumberland Physician Group, LLC | 49 Cleveland St, Crossville, TN 38555-2898 |
| Thomas E Nesbitt | Urology | Cumberland Physician Group, LLC | 49 Cleveland St, Suite 350, Crossville, TN 38555-2898 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Arehart | Anesthesiology | 181 Matherly St, Crossville, TN 38555-1001 | |
| Brittany Hill Slatton | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Douglas R Carpenter | Family Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| John M Lewis | Internal Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Carissa Beth Cooper | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Julie Fossett | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Michael C Good | Obstetrics/gynecology | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Julie L Livesay | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Lia C Boyanton | Family Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Robert E Nichols | Internal Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Find all physicians in zip 38555 | |||
| City | CROSSVILLE |
| Zip Code | 38555 |
| Specialty | UROLOGY |
| City + Specialty | CROSSVILLE + UROLOGY |
Please comment or provide details below to improve the information on Izzuddin A Mansur.
| 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.