Sandra J Tharpe (NPI# 1811385206, PAC ID# 4082932793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811385206 |
| PAC ID by PECOS | 4082932793 |
| Professional Enrollment ID | I20150409000382 |
| Full Name | Sandra J Tharpe |
| Organization Legal Name | CITIZENS OF LAKE COUNTY FOR HEALTH CARE INC |
| Address |
710 Carl Perkins Pkwy Tiptonville TN 38079-1678 |
| Phone Number | 7312536690 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507052073 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440072 | DYERSBURG REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 130 N Main St, Ridgely, TN 38080-1317 | 7312645518 | CITIZENS OF LAKE COUNTY FOR HEALTH CARE INC |
| 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 | 7312536690 | CITIZENS OF LAKE COUNTY FOR HEALTH CARE INC |
| Organization Legal Name | CITIZENS OF LAKE COUNTY FOR HEALTH CARE INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina J Korszoloski | Family Medicine | Citizens of Lake County for Health Care Inc | 317 Cleveland St, Ripley, TN 38063-1205 |
| Fernando C Lagrimas | Family Medicine | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| James Oaks | General Practice | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| Nettie S Hurst | Nurse Practitioner | Citizens of Lake County for Health Care Inc | 317 Cleveland St, Ripley, TN 38063-1205 |
| Carol W Guess | General Practice | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| Kerri A Ervin | Nurse Practitioner | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| Street Address |
710 CARL PERKINS PKWY |
| City | TIPTONVILLE |
| State | TN |
| Zip | 38079-1678 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fernando C Lagrimas | Family Medicine | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| James Oaks | General Practice | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| Carol W Guess | General Practice | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| Kerri A Ervin | Nurse Practitioner | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Misty C Barker | Nurse Practitioner | 211 Church St, Tiptonville, TN 38079-1109 | |
| Daniel W Bruce | General Practice | 507 Cherry St, Tiptonville, TN 38079-1527 | |
| Donna R Rike | Nurse Practitioner | Roberson Rike Clinic | 768 Everett St, Tiptonville, TN 38079-1608 |
| City | TIPTONVILLE |
| Zip Code | 38079 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TIPTONVILLE + 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.