Joseph E Carruth (NPI# 1972581452, PAC ID# 4789727173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1972581452 |
| PAC ID by PECOS | 4789727173 |
| Professional Enrollment ID | I20100208000346 |
| Full Name | Joseph E Carruth |
| Organization Legal Name | DIM PHYSICIANS LLC |
| Address |
124 W Madison St Suite D Dublin GA 31021-5180 |
| Phone Number | 4784103500 |
| Gender | M |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 9133372782 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 124 W Madison St, Suite D, Dublin, GA 31021-5180 | 4784103500 | DIM PHYSICIANS LLC |
| 124 W Madison St, Dublin, GA 31021-5180 | 4784103500 | DIM PHYSICIANS LLC |
| Organization Legal Name | DIM PHYSICIANS LLC |
| Physicians | 1 |
| Street Address |
124 W MADISON ST SUITE D |
| City | DUBLIN |
| State | GA |
| Zip | 31021-5180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D Taylor | Geriatric Medicine | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Chaquita M Moore | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Amanda K Smith | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Shelley H Pool | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Laura D Mullis | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Jane B Holleman | Physical Therapy | 612 Country Club Rd, Dublin, GA 31021-0112 | |
| William Alfred Cox | Optometry | 2423 Us Hwy 80 W, C/o The Vision Center, Dublin, GA 31021-0930 | |
| Melissa F Gay | Qualified Audiologist | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Matthew B Grundfast | Gastroenterology | Gastroenterology Associates of Dublin LLC | 104 Fairview Park Dr, Dublin, GA 31021-2500 |
| Thomas Corbin Mullis | Otolaryngology | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Find all physicians in zip 31021 | |||
| City | DUBLIN |
| Zip Code | 31021 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | DUBLIN + CARDIOVASCULAR DISEASE (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.