Thomas M Braxton Jr. (NPI# 1578539672, PAC ID# 3870681158) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1578539672 |
PAC ID by PECOS | 3870681158 |
Professional Enrollment ID | I20101230000299 |
Full Name | Thomas M Braxton Jr. |
Organization Legal Name | APP OF KENTUCKY ED, PLLC |
Address |
320 W 18th St Hopkinsville KY 42240-1965 |
Phone Number | 2708870100 |
Gender | M |
Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
Graduation Year | 1999 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | EMERGENCY MEDICINE |
Group Practice PAC ID | 0749502862 |
Number of Group Practice Members | 22 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180051 | JENNIE STUART MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
320 W 18th St, Hopkinsville, KY 42240-1965 | 2708870100 | APP OF KENTUCKY ED, PLLC |
100 Medical Ctr Dr, Princeton, KY 42445-2430 | 2703650300 | APP OF KENTUCKY ED, PLLC |
Organization Legal Name | APP OF KENTUCKY ED, PLLC |
Physicians | 17 |
Name | Specialty | Organization | Address |
---|---|---|---|
Adam Duley | Emergency Medicine | App of Kentucky Ed, Pllc | 100 Medical Ctr Dr, Princeton, KY 42445-2430 |
Brett F Bechtel | Emergency Medicine | App of Kentucky Ed, Pllc | 100 Medical Ctr Dr, Princeton, KY 42445-2430 |
Tracey Bullard | Nurse Practitioner | App of Kentucky Ed, Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Jonathan F Thomas | Emergency Medicine | App of Kentucky Ed, Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Erin M Brumley | Emergency Medicine | App of Kentucky Ed, Pllc | 100 Medical Ctr Dr, Princeton, KY 42445-2430 |
Christian G Jensen | Emergency Medicine | App of Kentucky Ed, Pllc | 100 Medical Ctr Dr, Princeton, KY 42445-2430 |
Tonya D Johnson | Nurse Practitioner | App of Kentucky Ed, Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Joshua B Allen | Nurse Practitioner | App of Kentucky Ed, Pllc | 100 Medical Ctr Dr, Princeton, KY 42445-2430 |
Robert L Mitchell | Emergency Medicine | App of Kentucky Ed, Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
John E Pierce Jr. | Emergency Medicine | App of Kentucky Ed, Pllc | 100 Medical Ctr Dr, Princeton, KY 42445-2430 |
Street Address |
320 W 18TH ST |
City | HOPKINSVILLE |
State | KY |
Zip | 42240-1965 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joshua M Lemay | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Joseph T Fuqua | Internal Medicine | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Tracey Bullard | Nurse Practitioner | App of Kentucky Ed, Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Jonathan F Thomas | Emergency Medicine | App of Kentucky Ed, Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Pankajkumar C Shah | Internal Medicine | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Daniel L Etheridge | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Mark Owusu | Internal Medicine | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Adam D Kuzma | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Melissa A Patton | Pathology | Associated Pathologists LLC | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Leesa L Segler | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Autumn Lee Triplett | Nurse Practitioner | 111 Derrick Pl, Hopkinsville, KY 42240-1325 | |
Theresa S Clark | Registered Dietitian Or Nutrition Professional | 530 Noel Ave, Hopkinsville, KY 42240-1386 | |
Travis N Calhoun | Internal Medicine | 538 B Noel Ave, Hopkinsville, KY 42240-1386 | |
Mark J Edmunds | Podiatry | 101 N Dr, Hopkinsville, KY 42240-1603 | |
Charles W Bosch | Otolaryngology | 1830 High St, Suite B, Hopkinsville, KY 42240-1746 | |
Vinna D Denison | Family Medicine | 320 N Dr, Hopkinsville, KY 42240-1806 | |
Christina Marie Polete | Nurse Practitioner | Hopkinsville Family Care Psc | 315 A W 16th St, Hopkinsville, KY 42240-1903 |
Michelle Lynn Ross | Physician Assistant | Fairview Physicians Network LLC | 219 W 17th St, Hopkinsville, KY 42240-1911 |
Cyrus C Chapman Iii | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
James M Clark | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
Find all physicians in zip 42240 |
City | HOPKINSVILLE |
Zip Code | 42240 |
Specialty | FAMILY MEDICINE |
City + Specialty | HOPKINSVILLE + FAMILY MEDICINE |
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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.