Erica L. Smith (NPI# 1073874095, PAC ID# 3476702952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1073874095 |
PAC ID by PECOS | 3476702952 |
Professional Enrollment ID | I20120926000603 |
Full Name | Erica L. Smith |
Organization Legal Name | WILSON CARE LLC |
Address |
104 Diamond Dr Anna OH 45302-8553 |
Phone Number | 9373942900 |
Gender | F |
Graduation Year | 2012 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4385549666 |
Number of Group Practice Members | 43 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360013 | WILSON MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
104 Diamond Dr, Anna, OH 45302-8553 | 9373942900 | WILSON CARE LLC |
602 W Pike St, Jackson Center, OH 45334-6011 | 9375966123 | WILSON CARE LLC |
915 W Michigan St, Sidney, OH 45365-2491 | WILSON CARE LLC |
Organization Legal Name | WILSON CARE LLC |
Physicians | 44 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen E Justice | Family Medicine | Wilson Care LLC | 602 W Pike St, Jackson Center, OH 45334-6011 |
Trikannad Prashanthkumar | Endocrinology | Wilson Care LLC | 602 W Pike St, Jackson Center, OH 45334-6011 |
Robert J Mcdevitt Jr. | General Surgery | Wilson Care LLC | 915 W Michigan St, Professional Bldg Suite 202, Sidney, OH 45365-2491 |
Barbara Pleiman | Nurse Practitioner | Wilson Care LLC | 602 W Pike St, Jackson Center, OH 45334-6011 |
Rabindra Kitchener | Neurology | Wilson Care LLC | 602 W Pike St, Jackson Center, OH 45334-6011 |
Teresa Mary Trygstad | Family Medicine | Wilson Care LLC | 602 W Pike St, Jackson Center, OH 45334-6011 |
Michael Ballas | Family Medicine | Wilson Care LLC | 602 W Pike St, Jackson Center, OH 45334-6011 |
Dena M Pelletier | Nurse Practitioner | Wilson Care LLC | 602 W Pike St, Jackson Center, OH 45334-6011 |
Joy Ann Hart | Obstetrics/gynecology | Wilson Care LLC | 915 W Michigan St, Sidney, OH 45365-2491 |
Brenda K Wills | Nurse Practitioner | Wilson Care LLC | 602 W Pike St, Jackson Center, OH 45334-6011 |
Street Address |
104 DIAMOND DR |
City | ANNA |
State | OH |
Zip | 45302-8553 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dawn Macke | Nurse Practitioner | Wilson Care LLC | 104 Diamond Dr, Anna, OH 45302-8553 |
Valerie L Schulte | Obstetrics/gynecology | Wilson Care LLC | 104 Diamond Dr, Anna, OH 45302-8553 |
Matthew S Vasko | Family Medicine | Wilson Care LLC | 104 Diamond Dr, Anna, OH 45302-8553 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrew M Schulze | Physical Therapy | Xcel Sports Medicine | 515 E Main St D, Anna, OH 45302-9440 |
A. Gregor C Mackenzie | Physical Therapy | Xcel Sports Medicine | 515 E Main St D, Anna, OH 45302-9440 |
Chad A Otte | Optometry | Mercer In-sight LLC | 515 E Main St, Suite B, Anna, OH 45302-9485 |
City | ANNA |
Zip Code | 45302 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ANNA + NURSE PRACTITIONER |
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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.