John P. Kristofich (NPI# 1336237916, PAC ID# 3476515149) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1336237916 |
| PAC ID by PECOS | 3476515149 |
| Professional Enrollment ID | I20180705003000 |
| Full Name | John P. Kristofich |
| Organization Legal Name | AMG-CROCKETT, LLC |
| Address |
1611 S Locust Ave Suite 200b Lawrenceburg TN 38464-4055 |
| Phone Number | 9317663684 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 4789770199 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440175 | SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE |
| 440020 | SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI |
| 440073 | MAURY REGIONAL HOSPITAL |
| 440039 | VANDERBILT UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1611 S Locust Ave, Suite 200b, Lawrenceburg, TN 38464-4055 | 9317663684 | AMG-CROCKETT, LLC |
| 106 S Military St, B, Loretto, TN 38469-2100 | 9318534622 | AMG-CROCKETT, LLC |
| 1265 E College St, Pulaski, TN 38478-4541 | 9317664560 | AMG-CROCKETT, LLC |
| 200 Hillside Dr, Pulaski, TN 38478-4566 | 9317660850 | AMG-CROCKETT, LLC |
| 206 Hillside Dr, Pulaski, TN 38478-4566 | 9317863637 | AMG-CROCKETT, LLC |
| Organization Legal Name | AMG-CROCKETT, LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Racheal M Kightlinger | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Alvin Matthew Maliakal | Internal Medicine | Amg-crockett, LLC | 184 Prosser Rd, Lawrenceburg, TN 38464-4233 |
| Katrina M. Dial | Certified Nurse Midwife (cnm) | Amg-crockett, LLC | 1605 S Locust Ave, Suite 101, Lawrenceburg, TN 38464-4053 |
| Tracey K Williams | Nurse Practitioner | Amg-crockett, LLC | 4955d Hwy 43 N, Mount Pleasant, TN 38474-5010 |
| Norman Mcnulty | Neurology | Amg-crockett, LLC | 1321 S Locust Ave, Lawrenceburg, TN 38464-4040 |
| Elbert G Warren | Obstetrics/gynecology | Amg-crockett, LLC | 106 S Military St, B, Loretto, TN 38469-2100 |
| Haley Beecham Phillips | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Amanda D Haneline | Obstetrics/gynecology | Amg-crockett, LLC | 1605 S Locust Ave, Lawrenceburg, TN 38464-4053 |
| Brooke Huffsmith | Obstetrics/gynecology | Amg-crockett, LLC | 1605 S Locust Ave, Lawrenceburg, TN 38464-4053 |
| Michael Quang-minh Huynh | General Surgery | Amg-crockett, LLC | 192 Prosser Rd, Lawrenceburg, TN 38464-4233 |
| Street Address |
1611 S LOCUST AVE SUITE 200B |
| City | LAWRENCEBURG |
| State | TN |
| Zip | 38464-4055 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth L Will | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1607s Locust Ave Hwy 43, Lawrenceburg, TN 38464 |
| Jason Arden Mccawley | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1607s Locust Ave Hwy 43, Lawrenceburg, TN 38464 |
| Shonda Danielle Morris | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Kellie D Coffey | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Richard D Kennedy | Family Medicine | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Wanda Moore | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Racheal M Kightlinger | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Haley Beecham Phillips | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Leslie N Bedford | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Christopher Chase Davis | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Find all physicians in zip 38464 | |||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LAWRENCEBURG + 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.