Corey Cudzilo (NPI# 1003012022, PAC ID# 5092946087) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1003012022 |
| PAC ID by PECOS | 5092946087 |
| Professional Enrollment ID | I20140626002201 |
| Full Name | Corey Cudzilo |
| Organization Legal Name | STATCARE OUTPATIENT LLC |
| Address |
2240 Sutherland Ave Suite 103 Knoxville TN 37919-2333 |
| Phone Number | 8655888831 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PULMONARY DISEASE |
| Group Practice PAC ID | 2264704055 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440125 | FORT SANDERS REGIONAL MEDICAL CENTER |
| 440173 | PARKWEST MEDICAL CENTER |
| 440081 | LECONTE MEDICAL CENTER |
| 440068 | STARR REGIONAL MEDICAL CENTER ATHENS |
| Address | Phone | Organization |
|---|---|---|
| 10904 Kingston Pike, Suite 102, Knoxville, TN 37934-2952 | 8655888831 | STATCARE OUTPATIENT LLC |
| 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 8655411111 | STATCARE INPATIENT LLC |
| 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 | 8655888831 | STATCARE OUTPATIENT LLC |
| Organization Legal Name | STATCARE OUTPATIENT LLC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cherish Ann Chambers | Physician Assistant | Statcare Outpatient LLC | 944 Oak Ridge Tpke, Oak Ridge, TN 37830-6917 |
| Allen C Smith | Pulmonary Disease | Statcare Outpatient LLC | 10904 Kingston Pike, Suite 102, Knoxville, TN 37934-2952 |
| Christian L Stauber | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Amber L Burns | Physician Assistant | Statcare Outpatient LLC | 944 Oak Ridge Tpke, Oak Ridge, TN 37830-6917 |
| John William Swisher | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Scott Luchsinger | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Danielle Mote | Nurse Practitioner | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Jennifer W Butler | Nurse Practitioner | Statcare Outpatient LLC | 944 Oak Ridge Tpke, Oak Ridge, TN 37830-6917 |
| Virginia L Brown | Nurse Practitioner | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Shannon L Byrd | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Street Address |
2240 SUTHERLAND AVE SUITE 103 |
| City | KNOXVILLE |
| State | TN |
| Zip | 37919-2333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian L Stauber | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| John William Swisher | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Scott Luchsinger | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Danielle Mote | Nurse Practitioner | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Virginia L Brown | Nurse Practitioner | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Shannon L Byrd | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Eric M Weaver | Internal Medicine | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Jeffrey A Shehane | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Katherine M Johnson | Nurse Practitioner | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Stacy H Gunnoe | Nurse Practitioner | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan F Carter | Clinical Social Worker | Susan Carter and Associates, Inc. | 4645 Newcome Ave, Knoxville, TN 37919 |
| Anne Whitney | Psychologist, Clinical | 1111 Northshore Dr, Suite S 490, Knoxville, TN 37919 | |
| Barbara J Godfrey | Clinical Social Worker | 1111 Northshore Dr, Knoxville, TN 37919 | |
| Elaine S Erickson | Clinical Psychologist | 515 Booth St, Knoxville, TN 37919-2306 | |
| Ronald J Estes | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Matthew M Reichert | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Inderpal S. Thethi | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Holly B Byrd | Nurse Practitioner | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Lou Anne P Zibas | Internal Medicine | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| James D Pharaoh | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Find all physicians in zip 37919 | |||
| City | KNOXVILLE |
| Zip Code | 37919 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | KNOXVILLE + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Corey Cudzilo.
| 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.