Mary Jo Koller (NPI# 1124055686, PAC ID# 3870785603) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1124055686 |
PAC ID by PECOS | 3870785603 |
Professional Enrollment ID | I20130402000177 |
Full Name | Mary Jo Koller |
Organization Legal Name | HARBIN CLINIC HEMATOLOGY ONCOLOGY |
Address |
504 Redmond Rd Rome GA 30165-1416 |
Phone Number | 7062353855 |
Gender | F |
Graduation Year | 1997 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 0446154231 |
Number of Group Practice Members | 246 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1825 Martha Berry Blvd, Rome, GA 30165-1625 | 7062955331 | HARBIN CLINIC HEMATOLOGY ONCOLOGY |
504 Redmond Rd, Rome, GA 30165-1416 | 7062353855 | HARBIN CLINIC HEMATOLOGY ONCOLOGY |
550 Redmond Nw Rd, Rome, GA 30165-1416 | 7062955331 | HARBIN CLINIC HEMATOLOGY ONCOLOGY |
Organization Legal Name | HARBIN CLINIC HEMATOLOGY ONCOLOGY |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Susanna Grace Krouse | Physical Therapy | Harbin Clinic Hematology Oncology | 208 Redmond Rd, Rome, GA 30165-1538 |
Amanda Jeannine Thornton | Nurse Practitioner | Harbin Clinic Hematology Oncology | 19 Redmond Nwrd, Rome, GA 30165-1533 |
Donna M Bonk | Nurse Practitioner | Harbin Clinic Hematology Oncology | 1825 Martha Berry Blvd, Rome, GA 30165-1625 |
Valerie Braden Smith | Certified Nurse Midwife | Harbin Clinic Hematology Oncology | 150 Gentilly Blvd, Cartersville, GA 30120-8522 |
Zachary B Martin Jr. | Diagnostic Radiology | Harbin Clinic Hematology Oncology | 1825 Martha Berry Blvd, Rome, GA 30165-1625 |
Latoya Ann Simon | Nurse Practitioner | Harbin Clinic Hematology Oncology | 150 Gentilly Blvd, Cartersville, GA 30120-8522 |
Cathryn B Grant | Audiologist | Harbin Clinic Hematology Oncology | 1825 Martha Berry Blvd, Rome, GA 30165-1625 |
Candice N Claiborne | Clinical Psychologist | Harbin Clinic Hematology Oncology | 701 Broad St, Suite 350, Rome, GA 30161-3092 |
Thomas A Simpson Jr. | Hematology/oncology | Harbin Clinic Hematology Oncology | 1825 Martha Berry Blvd, Rome, GA 30165-1625 |
Trammell Starr Iii | Pulmonary Disease | Harbin Clinic Hematology Oncology | 14 A Legacy Way, Adairsville, GA 30103-2455 |
Street Address |
504 REDMOND RD |
City | ROME |
State | GA |
Zip | 30165-1416 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lori Leonard | Nurse Practitioner | Highland Rivers Community Service Board | 6 Mathis Dr Nw, Suite B, Rome, GA 30165-1242 |
Nicole S Wright | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
Shola Adewunmi | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
Tresselyn Douglas Adams | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
Ephi J Betan | Psychologist, Clinical | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
Cathleen Ann Hulbert | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
Nurah J Walton | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
Catherine L Hoover | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
Tina R. Folden | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
Willie James Campbell | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
Find all physicians in zip 30165 |
City | ROME |
Zip Code | 30165 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ROME + 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.