Mike Tannehill (NPI# 1447307095, PAC ID# 4880888064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1447307095 |
| PAC ID by PECOS | 4880888064 |
| Professional Enrollment ID | I20101102000058 |
| Full Name | Mike Tannehill |
| Address |
138 S George St Mount Ida AR 71957-9421 |
| Phone Number | 8708672814 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1975 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 138 S George St, Mount Ida, AR 71957-9421 | 8708672814 | |
| 2409 E Main, Russellville, AR 72802-9619 | 4799670600 | FAMILY EYE CARE OF RUSSELLVILLE |
| Street Address |
138 S GEORGE ST |
| City | MOUNT IDA |
| State | AR |
| Zip | 71957-9421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia J Crowson | Clinical Social Worker | 506 Hwy 270 E, Mt Ida, AR 71957-9432 | |
| Stephanie L Matthews | Clinical Social Worker | Healthy Connections Inc | 534 Luzerne St, Mount Ida, AR 71957-9449 |
| Jimmy L Barrow | Family Medicine | Healthy Connections Inc | 534 Luzerne St, Mount Ida, AR 71957-9449 |
| Catherine L Coon | Psychologist, Clinical | Deer Oaks Arkansas, LLC | 741 S Dr, Mount Ida, AR 71957-9469 |
| City | MOUNT IDA |
| Zip Code | 71957 |
| Specialty | OPTOMETRY |
| City + Specialty | MOUNT IDA + OPTOMETRY |
Please comment or provide details below to improve the information on Mike Tannehill.
| 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.