Elyse Marie Hardesty (NPI# 1740752450, PAC ID# 5991043135) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740752450 |
| PAC ID by PECOS | 5991043135 |
| Professional Enrollment ID | I20190213000501 |
| Full Name | Elyse Marie Hardesty |
| Organization Legal Name | CENTRAL MEDICAL ASSOCIATES PLLC |
| Address |
700 W Lincoln Trail Blvd Radcliff KY 40160-2604 |
| Phone Number | 2703513192 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012226301 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180012 | HARDIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 700 W Lincoln Trail Blvd, Radcliff, KY 40160-2604 | 2703513192 | CENTRAL MEDICAL ASSOCIATES PLLC |
| Organization Legal Name | CENTRAL MEDICAL ASSOCIATES PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Anne Baumgardner | Nurse Practitioner | Central Medical Associates Pllc | 800 W Lincoln Trail Blvd, Suite 102, Radcliff, KY 40160-2671 |
| Samantha Jane Baker | Nurse Practitioner | Central Medical Associates Pllc | 700 W Lincoln Trail Blvd, Radcliff, KY 40160-2604 |
| Shelley L Roby | Nurse Practitioner | Central Medical Associates Pllc | 1311 Ring Rd, Elizabethtown, KY 42701-8968 |
| Ayaz Ahmed | Internal Medicine | Central Medical Associates Pllc | 1321 Ring Rd, Suite 107, Elizabethtown, KY 42701-8968 |
| Beth F Morrow | Physician Assistant | Central Medical Associates Pllc | 800 W Lincoln Trail Blvd, Suite 102, Radcliff, KY 40160-2671 |
| Shayne Kirk Ferguson | Physical Therapy | Central Medical Associates Pllc | 800 W Lincoln Trail Blvd, Suite 102, Radcliff, KY 40160-2671 |
| Jawed M Movania | Internal Medicine | Central Medical Associates Pllc | 700 W Lincoln Trail Blvd, Radcliff, KY 40160-2604 |
| Bridget Mckinley | Nurse Practitioner | Central Medical Associates Pllc | 1321 Ring Rd, Suite 107, Elizabethtown, KY 42701-8968 |
| Syed R P Quadri | Internal Medicine | Central Medical Associates Pllc | 1311 Ring Rd, Suite 105, Elizabethtown, KY 42701-8968 |
| Nancy E Allen | Nurse Practitioner | Central Medical Associates Pllc | 1311 Ring Rd, Suite 105, Elizabethtown, KY 42701-8968 |
| Street Address |
700 W LINCOLN TRAIL BLVD |
| City | RADCLIFF |
| State | KY |
| Zip | 40160-2604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Jane Baker | Nurse Practitioner | Central Medical Associates Pllc | 700 W Lincoln Trail Blvd, Radcliff, KY 40160-2604 |
| Jawed M Movania | Internal Medicine | Central Medical Associates Pllc | 700 W Lincoln Trail Blvd, Radcliff, KY 40160-2604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Busbey | Clinical Social Worker | Communicare Inc | 1072 S Dixie Blvd, Radcliff, KY 40160-1103 |
| Carmen V Pinto | Psychiatry | Communicare Inc | 1072 S Dixie Blvd, Radcliff, KY 40160-1103 |
| Cindy L Petzke | Nurse Practitioner | Communicare Inc | 1072 S Dixie Blvd, Radcliff, KY 40160-1103 |
| Maxwell Eriksen | Chiropractic | William C. Eriksen, Psc | 624 N Dixie Blvd, Radcliff, KY 40160-1311 |
| David K Moore | Optometry | 1165 Walmart Way, Radcliff, KY 40160-1471 | |
| Derrek W Studer | Chiropractic | 1003 N Wilson Rd, Suite A, Radcliff, KY 40160-1475 | |
| James K Burke | Psychologist, Clinical | 1460 N Dixie Blvd, Suite B, Radcliff, KY 40160-1476 | |
| Ramona N Coffie | Family Medicine | Hardin Professional Services, LLC | 1679 N Wilson Rd, Suite 110, Radcliff, KY 40160-1569 |
| Rennatta Kiper White | Nurse Practitioner | Hardin Professional Services, LLC | 1679 N Wilson Rd, Suite 110, Radcliff, KY 40160-1569 |
| Bradley Brent Lowder | Nurse Practitioner | Hardin Professional Services, LLC | 1679 N Wilson Rd, Suite 110, Radcliff, KY 40160-1569 |
| Find all physicians in zip 40160 | |||
| City | RADCLIFF |
| Zip Code | 40160 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RADCLIFF + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Elyse Marie Hardesty.
| 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.