Susan L Vergot (NPI# 1669413415, PAC ID# 3476527037) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1669413415 |
| PAC ID by PECOS | 3476527037 |
| Professional Enrollment ID | I20070629000495 |
| Full Name | Susan L Vergot |
| Organization Legal Name | MAIN STREET MEDICAL, PLLC |
| Address |
1667 Ooltewah Ringgold Rd Suite 111 Ooltewah TN 37363-9831 |
| Phone Number | 4238254881 |
| Gender | F |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1658539168 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1667 Ooltewah Ringgold Rd, Suite 111, Ooltewah, TN 37363-9831 | 4238254881 | MAIN STREET MEDICAL, PLLC |
| Organization Legal Name | MAIN STREET MEDICAL, PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl A Lindblad | Emergency Medicine | Main Street Medical, Pllc | 1667 Ooltewah Ringgold Rd, Suite 111, Ooltewah, TN 37363-9831 |
| Street Address |
1667 OOLTEWAH RINGGOLD RD SUITE 111 |
| City | OOLTEWAH |
| State | TN |
| Zip | 37363-9831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl A Lindblad | Emergency Medicine | Main Street Medical, Pllc | 1667 Ooltewah Ringgold Rd, Suite 111, Ooltewah, TN 37363-9831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Haag | Podiatry | 9325 Apison Pike, Suite 137, Ooltewah, TN 37363-3805 | |
| Lester T Haag | Podiatry | Haag Foot and Ankle Pllc | 9325 Apison Pike, Suite 137, Ooltewah, TN 37363-3805 |
| Brian S Cooper | Cardiovascular Disease (cardiology) | 5243 Little Debbie Pkwy, Suite 111, Ooltewah, TN 37363-4310 | |
| James E Jolley Ii | Orthopedic Surgery | Southeastern Spine Pllc | 9309 Apison Pike, Ooltewah, TN 37363-4340 |
| Heather Nicole Dunn | Nurse Practitioner | Galen Medical Group, PC | 9309 Apison Pike, Ooltewah, TN 37363-4340 |
| Rebecca J Payne | Nurse Practitioner | Southeastern Spine Pllc | 9309 Apison Pike, Ooltewah, TN 37363-4340 |
| Nathan S Woody | Nurse Practitioner | Southeastern Spine Pllc | 9309 Apison Pike, Ooltewah, TN 37363-4340 |
| Jason C Eck | Orthopedic Surgery | Southeastern Spine Pllc | 9309 Apison Pike, Ooltewah, TN 37363-4340 |
| Amanda Joy Wood | Nurse Practitioner | Medvest Urgent Care LLC | 5545 Little Debbie Pkwy, Ooltewah, TN 37363-4357 |
| Yasmine M Swistek | Nurse Practitioner | Medvest Urgent Care LLC | 5545 Little Debbie Pkwy, Ooltewah, TN 37363-4357 |
| Find all physicians in zip 37363 | |||
| City | OOLTEWAH |
| Zip Code | 37363 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | OOLTEWAH + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Susan L Vergot.
| 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.