Jill F Henritze (NPI# 1255376190, PAC ID# 6103812516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1255376190 |
| PAC ID by PECOS | 6103812516 |
| Professional Enrollment ID | I20040421001718 |
| Full Name | Jill F Henritze |
| Organization Legal Name | ASSOCIATED ORTHOPAEDICS OF KINGSPORT PC |
| Address |
430 W Ravine Rd Kingsport TN 37660-3868 |
| Phone Number | 4232453161 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4789846700 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 430 W Ravine Rd, Kingsport, TN 37660-3868 | 4232453161 | ASSOCIATED ORTHOPAEDICS OF KINGSPORT PC |
| Organization Legal Name | ASSOCIATED ORTHOPAEDICS OF KINGSPORT PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Pendola | Neurology | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Jeffrey A Marchessault | Orthopedic Surgery | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Patrick J Riggins | Orthopedic Surgery | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Robert Shaun Austin | Physician Assistant | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Jared Deneil Cordon | Orthopedic Surgery | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Bruce Miller | Orthopedic Surgery | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Kyle J Morgan | Physician Assistant | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Morgan P Edwards | Physician Assistant | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Todd Horton | Orthopedic Surgery | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Galen R Smith | Orthopedic Surgery | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Street Address |
430 W RAVINE RD |
| City | KINGSPORT |
| State | TN |
| Zip | 37660-3868 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Pendola | Neurology | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Jeffrey A Marchessault | Orthopedic Surgery | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Patrick J Riggins | Orthopedic Surgery | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Robert Shaun Austin | Physician Assistant | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Jared Deneil Cordon | Orthopedic Surgery | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Bruce Miller | Orthopedic Surgery | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Kyle J Morgan | Physician Assistant | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Morgan P Edwards | Physician Assistant | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Todd Horton | Orthopedic Surgery | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Galen R Smith | Orthopedic Surgery | Associated Orthopaedics of Kingsport PC | 430 W Ravine Rd, Kingsport, TN 37660-3868 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
| Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Find all physicians in zip 37660 | |||
| City | KINGSPORT |
| Zip Code | 37660 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KINGSPORT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jill F Henritze.
| 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.