Ehren M Gleckler (NPI# 1164958484, PAC ID# 3375814379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164958484 |
| PAC ID by PECOS | 3375814379 |
| Professional Enrollment ID | I20170809003983 |
| Full Name | Ehren M Gleckler |
| Organization Legal Name | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| Address |
12 7th St Auburn GA 30011-3202 |
| Phone Number | 7708489320 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901898386 |
| Number of Group Practice Members | 418 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| 110045 | BARROW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12 7th St, Auburn, GA 30011-3202 | 7708489320 | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| Organization Legal Name | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| Physicians | 403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Huckle | Sports Medicine | Northeast Georgia Physicians Group Inc | 1404 River Pl, Suite 401, Braselton, GA 30517-5600 |
| Cinandra Sweatman | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 200 Wisteria Dr, Gainesville, GA 30501-3827 |
| Jennifer B Cobernus | Family Medicine | Northeast Georgia Physicians Group Inc | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Rishita Patel | Family Medicine | Northeast Georgia Physicians Group Inc | 2825 Keith Bridge Rd, Suite 100, Cumming, GA 30041-4304 |
| Lorraine Laura Laplace | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Christopher William Soika | General Surgery | Northeast Georgia Physicians Group Inc | 1400 River Pl, Braselton, GA 30517-5600 |
| Shaakira A Ford | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 4919 Atlanta Hwy, Flowery Branch, GA 30542-3328 |
| James Gregory Hamilton Iii | Family Medicine | Northeast Georgia Physicians Group Inc | 95 Morrison Moore Pkwy W, Dahlonega, GA 30533-1588 |
| Brandi Michelle Ricks | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 3931 Mundy Mill Rd A, Oakwood, GA 30566-3431 |
| Amy B. Freeman | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 12192 Augusta Rd, Lavonia, GA 30553-1209 |
| Street Address |
12 7TH ST |
| City | AUBURN |
| State | GA |
| Zip | 30011-3202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Schlossberg | Family Medicine | Northeast Georgia Physicians Group Inc | 12 7th St, Auburn, GA 30011-3202 |
| City | AUBURN |
| Zip Code | 30011 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | AUBURN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ehren M Gleckler.
| 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.