Louis E Koella (NPI# 1740250471, PAC ID# 3870634587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1740250471 |
| PAC ID by PECOS | 3870634587 |
| Professional Enrollment ID | I20101019000369 |
| Full Name | Louis E Koella |
| Organization Legal Name | SEWANEE FAMILY PRACTICE PLLC |
| Address |
1314 University Ave Sewanee TN 37375-2336 |
| Phone Number | 9315985650 |
| Gender | M |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1951627900 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440058 | SOUTHERN TENNESSEE REGIONAL HLTH SYSTEM WINCHESTER |
| Address | Phone | Organization |
|---|---|---|
| 1314 University Ave, Sewanee, TN 37375-2336 | 9315985650 | SEWANEE FAMILY PRACTICE PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SEWANEE FAMILY PRACTICE PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew James Petrilla | Family Medicine | Sewanee Family Practice Pllc | 1314 University Ave, Sewanee, TN 37375-2336 |
| David C Martin | Family Medicine | Sewanee Family Practice Pllc | 1314 University Ave, Sewanee, TN 37375-2336 |
| Street Address |
1314 UNIVERSITY AVE |
| City | SEWANEE |
| State | TN |
| Zip | 37375-2336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew James Petrilla | Family Medicine | Sewanee Family Practice Pllc | 1314 University Ave, Sewanee, TN 37375-2336 |
| David C Martin | Family Medicine | Sewanee Family Practice Pllc | 1314 University Ave, Sewanee, TN 37375-2336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Hill | Family Medicine | Southeastern Emergency Physicians LLC | 1260 University Ave, Sewanee, TN 37375-2303 |
| Tesfaye Guyassa | Hospitalist | Apogee Medical Group Tennessee PC | 1260 University Ave, Sewanee, TN 37375-2303 |
| Tamara Renee Hughes | Family Medicine | Southeastern Emergency Physicians LLC | 1260 University Ave, Sewanee, TN 37375-2303 |
| Karen M Gilson | Emergency Medicine | Amg - Southern Tennessee, LLC | 1260 University Ave, Sewanee, TN 37375-2303 |
| Clifford Louis Huffman Jr. | Nurse Practitioner | Apogee Medical Group Tennessee PC | 1260 University Ave, Sewanee, TN 37375-2303 |
| Mary Pate-bennett | Registered Dietitian Or Nutrition Professional | 1310 University Ave, Sewanee, TN 37375-2336 | |
| Leslie D Jones | Psychologist, Clinical | 82 Kirby Smith Rd, Sewanee, TN 37375-2420 |
| City | SEWANEE |
| Zip Code | 37375 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SEWANEE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Louis E Koella.
| 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.