Michael C Allan (NPI# 1124035571, PAC ID# 4688766041) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1124035571 |
| PAC ID by PECOS | 4688766041 |
| Professional Enrollment ID | I20070815000664 |
| Full Name | Michael C Allan |
| Organization Legal Name | DIAGNOSTIC CARDIOLOGY GROUP |
| Address |
102 Gross Crescent Cir Suite 205 Fort Oglethorpe GA 30742-3698 |
| Phone Number | 7068581195 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1052387495 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440156 | PARKRIDGE MEDICAL CENTER |
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| Address | Phone | Organization |
|---|---|---|
| 2341 Mccallie Ave, Chattanooga, TN 37404-3239 | 4236294106 | DIAGNOSTIC CARDIOLOGY GROUP |
| 102 Gross Crescent Cir, Suite 205, Fort Oglethorpe, GA 30742-3698 | 7068581195 | DIAGNOSTIC CARDIOLOGY GROUP |
| Organization Legal Name | DIAGNOSTIC CARDIOLOGY GROUP |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erynn M Richardson | Nurse Practitioner | Diagnostic Cardiology Group | 132 Battlefield Crossing Ct, Ringgold, GA 30736-5176 |
| Angela H Sullivan-bowman | Nurse Practitioner | Diagnostic Cardiology Group | 2341 Mccallie Ave, Chattanooga, TN 37404-3239 |
| Dannis E Hood Jr. | Interventional Cardiology | Diagnostic Cardiology Group | 2341 Mccallie Ave, Chattanooga, TN 37404-3239 |
| Selcuk A Tombul | Cardiovascular Disease (cardiology) | Diagnostic Cardiology Group | 2341 Mccallie Ave, Chattanooga, TN 37404-3239 |
| Tabetha M Ewton | Nurse Practitioner | Diagnostic Cardiology Group | 2341 Mccallie Ave, Chattanooga, TN 37404-3239 |
| Lana Elliott | Nurse Practitioner | Diagnostic Cardiology Group | 2341 Mccallie Ave, Chattanooga, TN 37404-3239 |
| Timothy M Talbert | Cardiovascular Disease (cardiology) | Diagnostic Cardiology Group | 2341 Mccallie Ave, Chattanooga, TN 37404-3239 |
| Theodore D Richards | Interventional Cardiology | Diagnostic Cardiology Group | 2341 Mccallie Ave, Chattanooga, TN 37404-3239 |
| Melissa G Hixson | Nurse Practitioner | Diagnostic Cardiology Group | 132 Battlefield Crossing Ct, Ringgold, GA 30736-5176 |
| Lora E Hailey | Nurse Practitioner | Diagnostic Cardiology Group | 2341 Mccallie Ave, Chattanooga, TN 37404-3239 |
| Street Address |
102 GROSS CRESCENT CIR SUITE 205 |
| City | FORT OGLETHORPE |
| State | GA |
| Zip | 30742-3698 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George T Gilmore | General Surgery | Surgical Specialists, P.C. | 102 Gross Crescent Cir, Fort Oglethorpe, GA 30742-6600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregg A Willis | Obstetrics/gynecology | Chattanooga Womens Specialists PC | 2009 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 |
| Thomas D Weldon | Obstetrics/gynecology | Chattanooga Womens Specialists PC | 2009 Old Lafayette Rd, Ft Oglethorpe, GA 30742-3510 |
| Amanda J Davenport | Nurse Practitioner | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Jennifer Burke Johnson | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Jesse Miller Epps Iii | Anesthesiology | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Derek L Duran | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Kenneth M Watson | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Jeremy D Johnston | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Michael C Preston | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Shannon Heath Trowell | Internal Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Find all physicians in zip 30742 | |||
| City | FORT OGLETHORPE |
| Zip Code | 30742 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | FORT OGLETHORPE + INTERVENTIONAL CARDIOLOGY |
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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.