Zackary J Whitaker (NPI# 1518204486, PAC ID# 5395980270) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1518204486 |
| PAC ID by PECOS | 5395980270 |
| Professional Enrollment ID | I20130325000424 |
| Full Name | Zackary J Whitaker |
| Organization Legal Name | TIFT REGIONAL HEALTH SYSTEM, INC. |
| Address |
901 E 18th St Tifton GA 31794-3648 |
| Phone Number | 2293827120 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5193619971 |
| Number of Group Practice Members | 254 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 901 E 18th St, Tifton, GA 31794-3648 | 2293827120 | TIFT REGIONAL HEALTH SYSTEM, INC. |
| Organization Legal Name | TIFT REGIONAL HEALTH SYSTEM, INC. |
| Physicians | 217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda K Knight | Urology | Tift Regional Health System, Inc. | 1815 Old Ocilla Rd, Tifton, GA 31794-1617 |
| Nancy Caroline Roe | Nurse Practitioner | Tift Regional Health System, Inc. | 2735 Central Ave S, Tifton, GA 31794-5645 |
| Joshua Clifton Pridemore | Chiropractic | Tift Regional Health System, Inc. | 1602 Madison Ave, Tifton, GA 31794-3756 |
| Anna M Demott Money | Nurse Practitioner | Tift Regional Health System, Inc. | 416 A E Mcpherson Ave, Nashville, GA 31639-2276 |
| Kyle E Fleck | Orthopedic Surgery | Tift Regional Health System, Inc. | 1610 John Orr Dr, Tifton, GA 31794-3682 |
| Christopher David Floyd | Nurse Practitioner | Tift Regional Health System, Inc. | 1623 Old Ocilla Rd, Tifton, GA 31794-4173 |
| Robert D Koester | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Angela Lynn Vannortwick | Nurse Practitioner | Tift Regional Health System, Inc. | 907 18th St E, Suite 490, Tifton, GA 31794-3684 |
| Jason M Allen | Anesthesiology Assistant | Tift Regional Health System, Inc. | 706 N Parrish Ave, Adel, GA 31620-1538 |
| Lindsey Coffee Mcclain | Nurse Practitioner | Tift Regional Health System, Inc. | 103 E James St, Adel, GA 31620-1504 |
| Street Address |
901 E 18TH ST |
| City | TIFTON |
| State | GA |
| Zip | 31794-3648 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Dorough | Anesthesiology Assistant | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31793-3648 |
| Olushesan M Ogundipe | Internal Medicine | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31793-3648 |
| Eric Adjei Afari | Hospitalist | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31794-3648 |
| Keisha C Stevens | Internal Medicine | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31794-3648 |
| Erinn Renee Harris | Internal Medicine | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31793-3648 |
| Jessica W Beier | Pathology | 901 E 18th St, Tifton, GA 31794-3648 | |
| Daniel Eli Penn | Gastroenterology | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31794-3648 |
| James Macdonald | Pathology | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31793-3648 |
| Glenn M Mcalpin | General Surgery | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31794-3648 |
| Dana M Burgio Adams | Anesthesiology Assistant | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31793-3648 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Koester | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Brenda S Reeves | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| David J Zelman | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Carolyn J Felton | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Rebekah Anne Foster | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Amber Nicole Barker | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Joye Christina Ellis | Nurse Practitioner | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Autumn D Griffin | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Hillary D Heitzman | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Grace Anne Reed | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Find all physicians in zip 31794 | |||
| City | TIFTON |
| Zip Code | 31794 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | TIFTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Zackary J Whitaker.
| 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.