Jacob A Gulley (NPI# 1902304736, PAC ID# 5698022606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1902304736 |
| PAC ID by PECOS | 5698022606 |
| Professional Enrollment ID | I20180723001595 |
| Full Name | Jacob A Gulley |
| Organization Legal Name | AERO ANESTHESIA, PLLC |
| Address |
401 Sewell Dr Sparta TN 38583-1223 |
| Phone Number | 9317382164 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3577552553 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440120 | PHYSICIANS REGIONAL MEDICAL CENTER |
| 440192 | SAINT THOMAS HIGHLANDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 E Oak Hill Ave, Knoxville, TN 37917-4505 | 8655468040 | AMERICAN ANESTHESIOLOGY OF TENNESSEE PC |
| 7565 Dannaher Way, Powell, TN 37849-4029 | 8655468040 | AMERICAN ANESTHESIOLOGY OF TENNESSEE PC |
| 401 Sewell Dr, Sparta, TN 38583-1223 | 9317382164 | AERO ANESTHESIA, PLLC |
| Organization Legal Name | AERO ANESTHESIA, PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward M Demaree | Certified Registered Nurse Anesthetist (crna) | Aero Anesthesia, Pllc | 401 Sewell Dr, Sparta, TN 38583-1223 |
| Hampton E Bisalski | Certified Registered Nurse Anesthetist (crna) | Aero Anesthesia, Pllc | 401 Sewell Dr, Sparta, TN 38583-1223 |
| Kevin W Crawford | Certified Registered Nurse Anesthetist (crna) | Aero Anesthesia, Pllc | 401 Sewell Dr, Sparta, TN 38583-1223 |
| Raleigh Dustin Todd | Certified Registered Nurse Anesthetist (crna) | Aero Anesthesia, Pllc | 401 Sewell Dr, Sparta, TN 38583-1223 |
| Robert A Hamilton Jr. | Certified Registered Nurse Anesthetist | Aero Anesthesia, Pllc | 401 Sewell Dr, Sparta, TN 38583-1223 |
| Street Address |
401 SEWELL DR |
| City | SPARTA |
| State | TN |
| Zip | 38583-1223 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward M Demaree | Certified Registered Nurse Anesthetist (crna) | Aero Anesthesia, Pllc | 401 Sewell Dr, Sparta, TN 38583-1223 |
| Gary A Militana | Diagnostic Radiology | 401 Sewell Dr, Sparta, TN 38583-1223 | |
| Hampton E Bisalski | Certified Registered Nurse Anesthetist (crna) | Aero Anesthesia, Pllc | 401 Sewell Dr, Sparta, TN 38583-1223 |
| Kevin W Crawford | Certified Registered Nurse Anesthetist (crna) | Aero Anesthesia, Pllc | 401 Sewell Dr, Sparta, TN 38583-1223 |
| Raleigh Dustin Todd | Certified Registered Nurse Anesthetist (crna) | Aero Anesthesia, Pllc | 401 Sewell Dr, Sparta, TN 38583-1223 |
| Robert A Hamilton Jr. | Certified Registered Nurse Anesthetist | Aero Anesthesia, Pllc | 401 Sewell Dr, Sparta, TN 38583-1223 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B. Knowles | Internal Medicine | Saint Thomas Medical Partners | 435 Sewell Rd, Sparta, TN 38583 |
| Lanny M Leftwich Jr. | Psychiatry | Saint Thomas Medical Partners | 401 Sewell Rd, Sparta, TN 38583 |
| Kimerly A Neal | Nurse Practitioner | Saint Thomas Medical Partners | 401 Sewell Rd, Sparta, TN 38583 |
| Jeanne Thompson | Nurse Practitioner | Tlc Family Care PC | 705 Howell St, Sparta, TN 38583-1008 |
| Linda B Stover | Nurse Practitioner | Tlc Family Care PC | 705 Howell St, Sparta, TN 38583-1008 |
| Geneth K Wolfer | Internal Medicine | 1060 Golden Mountain Rd, Sparta, TN 38583-1120 | |
| Abhay G Kemkar | Internal Medicine | 441 Sewell Dr, Sparta, TN 38583-1223 | |
| Anna V Benningfield | Nurse Practitioner | Cornerstone Family Medicine LLC | 433 Sewell Dr, Sparta, TN 38583-1223 |
| Jeffrey D Loveland | Podiatry | 401 Sewell Rd, Sparta, TN 38583-1223 | |
| Kelly L Lyons | Nurse Practitioner | Cornerstone Family Medicine LLC | 433 Sewell Dr, Sparta, TN 38583-1223 |
| Find all physicians in zip 38583 | |||
| City | SPARTA |
| Zip Code | 38583 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SPARTA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.