Elizabeth Ann Conkling (NPI# 1740762673, PAC ID# 5698027514) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1740762673 |
PAC ID by PECOS | 5698027514 |
Professional Enrollment ID | I20181004000200 |
Full Name | Elizabeth Ann Conkling |
Organization Legal Name | ST MARYS MEDICAL GROUP LLC |
Address |
3277 Liberty Blvd A Boonville IN 47601-9659 |
Phone Number | 8128978500 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 1153493341 |
Number of Group Practice Members | 216 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150100 | ST. MARY'S HEALTH, INC. |
151325 | ST. MARY'S WARRICK HOSPITAL INC |
Address | Phone | Organization |
---|---|---|
3277 Liberty Blvd, A, Boonville, IN 47601-9659 | 8128978500 | ST MARYS MEDICAL GROUP LLC |
14020 Old State Rd, Suite A100, Evansville, IN 47725-1121 | 8124694700 | ST MARYS MEDICAL GROUP LLC |
801 Saint Marys Dr, 505e, Evansville, IN 47714-0528 | 8124913236 | ST MARYS MEDICAL GROUP LLC |
100 St Marys Epworth Xing, Newburgh, IN 47630-9497 | 8124698170 | ST MARYS MEDICAL GROUP LLC |
Organization Legal Name | ST MARYS MEDICAL GROUP LLC |
Physicians | 226 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joan Yunfang Hou | Physical Medicine and Rehabilitation | St Marys Medical Group LLC | 516 Court St, A, Evansville, IN 47708-1340 |
Blaine Christine Campbell | Obstetrics/gynecology | St Marys Medical Group LLC | 100 S Rosenberger Ave, Suite B300, Evansville, IN 47712-6508 |
Katherine Naomi Lazet | Family Medicine | St Marys Medical Group LLC | 8077 Rose Hill Dr, Newburgh, IN 47630-2811 |
Kirby Ann Schmahlenberger | Nurse Practitioner | St Marys Medical Group LLC | 2345 W Franklin St, Suite 201, Evansville, IN 47712-5104 |
Sarah M Voelkel | Podiatry | St Marys Medical Group LLC | 3801 Bellemeade Ave, Suite 110, Evansville, IN 47714-0111 |
Amy N Shelton | Nurse Practitioner | St Marys Medical Group LLC | 920 S Hebron Ave, Evansville, IN 47714-4086 |
Susan Lynn Greenwell | Nurse Practitioner | St Marys Medical Group LLC | 151 N Gardenmile Rd, Henderson, KY 42420-5543 |
Jennifer Renee Broshears | Nurse Practitioner | St Marys Medical Group LLC | 12067 Spurgeon Rd, Lynnville, IN 47619-8015 |
Suzanne Mk Bersch | Nurse Practitioner | St Marys Medical Group LLC | 1332 Lincoln Ave, Evansville, IN 47714-1516 |
David E Utley | Family Medicine | St Marys Medical Group LLC | 835 S 9th Ave, Haubstadt, IN 47639-8244 |
Street Address |
3277 LIBERTY BLVD A |
City | BOONVILLE |
State | IN |
Zip | 47601-9659 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward P Lagunzad | Family Medicine | St Marys Medical Group LLC | 3277 Liberty Blvd, A, Boonville, IN 47601-9659 |
Brianna A Miller | Physician Assistant | St Marys Medical Group LLC | 3277 Liberty Blvd, A, Boonville, IN 47601-9659 |
Micki Wheeler | Physician Assistant | St Marys Medical Group LLC | 3277 Liberty Blvd, A, Boonville, IN 47601-9659 |
Jennifer Ann Sims | Nurse Practitioner | St Marys Medical Group LLC | 3277 Liberty Blvd, A, Boonville, IN 47601-9659 |
Malea Dawn Wolfe | Nurse Practitioner | St Marys Medical Group LLC | 3277 Liberty Blvd, A, Boonville, IN 47601-9659 |
Megan Ann Armstrong | Nurse Practitioner | St Marys Medical Group LLC | 3277 Liberty Blvd, A, Boonville, IN 47601-9659 |
Shawna E Haywood | Nurse Practitioner | St Marys Medical Group LLC | 3277 Liberty Blvd, A, Boonville, IN 47601-9659 |
Curtis Andrew Brown | Nurse Practitioner | St Marys Medical Group LLC | 3277 Liberty Blvd, A, Boonville, IN 47601-9659 |
Gary D Riddle | Family Medicine | St Marys Medical Group LLC | 3277 Liberty Blvd, A, Boonville, IN 47601-9659 |
Pennie Sue Bell | Nurse Practitioner | St Marys Medical Group LLC | 3277 Liberty Blvd, A, Boonville, IN 47601-9659 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles Mitchell Hayman | Chiropractic | 423 W Locust St, Boonville, IN 47601-1525 | |
Jennifer L Singleton | Clinical Social Worker | Southwestern Behavioral Healthcare, Inc. | 315 S 3rd St, Boonville, IN 47601-1723 |
Laura Alcock | Clinical Social Worker | Southwestern Behavioral Healthcare, Inc. | 315 S 3rd St, Boonville, IN 47601-1723 |
Cheryl Hanou | Clinical Social Worker | Southwestern Behavioral Healthcare, Inc. | 315 S 3rd St, Boonville, IN 47601-1723 |
Matrika Brown | Nurse Practitioner | Southwestern Behavioral Healthcare, Inc. | 315 S 3rd St, Boonville, IN 47601-1723 |
Kristina Lynn Groves | Clinical Social Worker | Southwestern Behavioral Healthcare, Inc. | 315 S 3rd St, Boonville, IN 47601-1723 |
Amanda Grothouse | Clinical Social Worker | Southwestern Behavioral Healthcare, Inc. | 315 S 3rd St, Boonville, IN 47601-1723 |
Dennis P Tieman | Chiropractic | 202 S 4th St, Boonville, IN 47601-1806 | |
Roseanna Linn Parkhurst Gatewood | Nurse Practitioner | 1116 Millis Ave, Boonville, IN 47601-2204 | |
Maria R Bolisay | Family Medicine | St Marys Medical Group LLC | 1116 Millis Ave, Boonville, IN 47601-2204 |
Find all physicians in zip 47601 |
City | BOONVILLE |
Zip Code | 47601 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | BOONVILLE + PHYSICIAN ASSISTANT |
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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.