Harrison Shull (NPI# 1285096891, PAC ID# 6103112453) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1285096891 |
| PAC ID by PECOS | 6103112453 |
| Professional Enrollment ID | I20160913000411 |
| Full Name | Harrison Shull |
| Organization Legal Name | CARILION PROFESSIONAL SERVICES LLC |
| Address |
1906 Belleview Seave Roanoke VA 24014-1838 |
| Phone Number | 5408530222 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2163323999 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490024 | CARILION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1906 Belleview Seave, Roanoke, VA 24014-1838 | 5408530222 | CARILION PROFESSIONAL SERVICES LLC |
| 180 Floyd Ave, Rocky Mount, VA 24151-1318 | 5404896353 | CARILION PROFESSIONAL SERVICES LLC |
| Organization Legal Name | CARILION PROFESSIONAL SERVICES LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eileen G Harper | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 180 Floyd Ave, Rocky Mount, VA 24151-1318 |
| Timothy P Kostura | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Melissa F Henry | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| V Price Brown | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Jonathan M Marshall | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 159 Hartley Way, Pearisburg, VA 24134-2471 |
| Karen C Khuri | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Brian A Fedorchak | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Sherri L Hill | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Mary Holland Newbold | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Laura Hope Montague | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 101 Elm Ave Se, Roanoke, VA 24013-2222 |
| Street Address |
1906 BELLEVIEW SEAVE |
| City | ROANOKE |
| State | VA |
| Zip | 24014-1838 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy P Kostura | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Amanda J Thompson | Physician Assistant | Carilion Medical Center | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Melissa F Henry | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Oriana Cruz | Nurse Practitioner | Carilion Medical Center | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| V Price Brown | Certified Registered Nurse Anesthetist (crna) | Carilion Professional Services LLC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Kathryn M Steele | Emergency Medicine | Carilion Medical Center | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Hayley H Rose-inman | Emergency Medicine | Carilion Medical Center | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Stephanie Ann Lareau | Emergency Medicine | Carilion Medical Center | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Carol A Bernier | Emergency Medicine | Carilion Medical Center | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Kevin E Broyles | Emergency Medicine | Carilion Medical Center | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson Kay Scruggs | Nurse Practitioner | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| David Gregory | Family Medicine | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| Kimberly A Dulaney | Family Medicine | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| Anthony R Stavola | Family Medicine | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| Braden Asher Gregory | Family Medicine | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| Jon M Sweet | Internal Medicine | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| John C Perkins | Emergency Medicine | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| Mitali Bapna | Diagnostic Radiology | Image Guided Pain Management, P.C. | 2923 Franklin Rd Sw, Roanoke, VA 24014-1001 |
| Robert George Zeller | Diagnostic Radiology | Image Guided Pain Management, P.C. | 2923 Franklin Rd Sw, Roanoke, VA 24014-1001 |
| Robert F Obrien | Diagnostic Radiology | Image Guided Pain Management, P.C. | 2923 Franklin Rd Sw, Roanoke, VA 24014-1001 |
| Find all physicians in zip 24014 | |||
| City | ROANOKE |
| Zip Code | 24014 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ROANOKE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Harrison Shull.
| 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.