John C Pezold (NPI# 1245272806, PAC ID# 5890708754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1245272806 |
| PAC ID by PECOS | 5890708754 |
| Professional Enrollment ID | I20060718000088 |
| Full Name | John C Pezold |
| Organization Legal Name | CARROLLTON EAR NOSE AND THROAT PC |
| Address |
150 Clinic Ave Suite 201 Carrollton GA 30117-4402 |
| Phone Number | 7708321488 |
| Gender | M |
| Credential | MD |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3577558931 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110011 | TANNER MEDICAL CENTER - CARROLLTON |
| 110015 | TANNER MEDICAL CENTER VILLA RICA |
| Address | Phone | Organization |
|---|---|---|
| 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4402 | 7708321488 | CARROLLTON EAR NOSE AND THROAT PC |
| Organization Legal Name | CARROLLTON EAR NOSE AND THROAT PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Gambrell | Otolaryngology | Carrollton Ear Nose and Throat PC | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4402 |
| Leland M Gustafson | Otolaryngology | Carrollton Ear Nose and Throat PC | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4402 |
| Robert B Pitts | Otolaryngology | Carrollton Ear Nose and Throat PC | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4402 |
| Emily Marshall | Audiologist | Carrollton Ear Nose and Throat PC | 150 Clinic Ave, Carrollton, GA 30117-4402 |
| Street Address |
150 CLINIC AVE SUITE 201 |
| City | CARROLLTON |
| State | GA |
| Zip | 30117-4402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Gambrell | Otolaryngology | Carrollton Ear Nose and Throat PC | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4402 |
| Richard Herman | Orthopedic Surgery | Carrollton Orthopaedic Clinic PC | 150 Clinic Ave, Carrollton, GA 30117-4498 |
| Leland M Gustafson | Otolaryngology | Carrollton Ear Nose and Throat PC | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4402 |
| Shomari A Ruffin | Orthopedic Surgery | Carrollton Orthopaedic Clinic PC | 150 Clinic Ave, Carrollton, GA 30117-4498 |
| Alisha Schuchman | Nurse Practitioner | Carrollton Orthopaedic Clinic PC | 150 Clinic Ave, Carrollton, GA 30117-4498 |
| Lindsay Capps | Nurse Practitioner | West Georgia Urology Associates, P.C. | 150 Clinic Ave, Suite 202, Carrollton, GA 30117-4402 |
| Gregory S Slappey | Orthopedic Surgery | Carrollton Orthopaedic Clinic PC | 150 Clinic Ave, Carrollton, GA 30117-4498 |
| James W Cullison | Urology | West Georgia Urology Associates, P.C. | 150 Clinic Ave, Suite 202, Carrollton, GA 30117-4402 |
| Daniel Lee Maxwell | Orthopedic Surgery | Carrollton Orthopaedic Clinic PC | 150 Clinic Ave, Carrollton, GA 30117-4498 |
| Christopher Lee Powell | Urology | West Georgia Urology Associates, P.C. | 150 Clinic Ave, Carrollton, GA 30117-4402 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hermogenes B Pagsisihan | Family Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Lindsey B Roenigk | Critical Care (intensivists) | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Lauren Holcombe | Nurse Practitioner | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Savannah Bryanna Jackson | Nurse Practitioner | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Jeffrey S Reid | Internal Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Joseph M Jellicorse | Family Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Elizabeth K Scholl | Physician Assistant | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Mandi C Fowler | Physician Assistant | Primary Care Group of West Georgia | 100 Professional Park, Carrollton, GA 30117 |
| James C Huff | Optometry | 702 Bankhead Hwy, Carrollton, GA 30117-1962 | |
| James Charnitski | Chiropractic | 1223 N Park St, Carrollton, GA 30117-2261 | |
| Find all physicians in zip 30117 | |||
| City | CARROLLTON |
| Zip Code | 30117 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | CARROLLTON + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on John C Pezold.
| 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.