Joshua Stauffer (NPI# 1427027325, PAC ID# 5092851345) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1427027325 |
PAC ID by PECOS | 5092851345 |
Professional Enrollment ID | I20151116001442 |
Full Name | Joshua Stauffer |
Organization Legal Name | WILLS MEMORIAL EMERGENCY MEDICAL SERVICES, LLC |
Address |
120 Gordon St Washington GA 30673-1602 |
Phone Number | 7066782151 |
Gender | M |
Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2003 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9335419563 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
111325 | WILLS MEMORIAL HOSPITAL |
111312 | OPTIM MEDICAL CENTER - SCREVEN |
111311 | JENKINS COUNTY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
120 Gordon St, Washington, GA 30673-1602 | 7066782151 | WILLS MEMORIAL EMERGENCY MEDICAL SERVICES, LLC |
Organization Legal Name | WILLS MEMORIAL EMERGENCY MEDICAL SERVICES, LLC |
Physicians | 1 |
Street Address |
120 GORDON ST |
City | WASHINGTON |
State | GA |
Zip | 30673-1602 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward J Kruse | Surgical Oncology | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
Haitham Mahmoud Hreibe | Cardiac Electrophysiology | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
Gyanendra Kumar Sharma | Cardiovascular Disease (cardiology) | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
Deepak Kapoor | Interventional Cardiology | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
Zachary William Abraham Klaassen | Urology | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
Barry M Parker | Diagnostic Radiology | South Georgia Radiology Associates LLC | 120 Gordon St, Washington, GA 30673-1602 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jorge Francisco Perezvelasco | Optometry | Wilkes Eye Care | 23 E Square, Washington, GA 30673-1517 |
Dilip A Thomas | Ophthalmology | Au Medical Associates Inc | 23 E Square, Washington, GA 30673-1517 |
William W Robinson | Optometry | Wilkes Eye Care | 23 E Square, Washington, GA 30673-1517 |
Kirkland T Dodson | Internal Medicine | 119 Gordon St, Washington, GA 30673-1601 | |
Katherine W Sanders | General Practice | 124 Gordon St, Washington, GA 30673-1602 | |
Kevin W Townsend | Chiropractic | 21 W Robert Toombs Ave, Washington, GA 30673-1661 | |
Lester T Johnston Jr. | Internal Medicine | Hospital Authority of Wilkes County | 212 Hospital Dr, Washington, GA 30673-5619 |
David Kirk | Family Medicine | 206 Hospital Dr, Washington, GA 30673-5619 | |
Michael G Molitor | Emergency Medicine | Hospital Authority of Wilkes County | 212 Hospital Dr, Washington, GA 30673-5619 |
City | WASHINGTON |
Zip Code | 30673 |
Specialty | NURSE PRACTITIONER |
City + Specialty | WASHINGTON + 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.