John Welborn (NPI# 1427496835, PAC ID# 6507093309) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427496835 |
| PAC ID by PECOS | 6507093309 |
| Professional Enrollment ID | I20131227000901 |
| Full Name | John Welborn |
| Organization Legal Name | GOUVERNEUR HOSPITAL |
| Address |
8 Church St Edwards NY 13635 |
| Phone Number | 3155621055 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931336724 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 331315 | GOUVERNEUR HOSPITAL |
| 330197 | CANTON-POTSDAM HOSPITAL |
| 330211 | CLAXTON-HEPBURN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8 Church St, Edwards, NY 13635 | 3155621055 | GOUVERNEUR HOSPITAL |
| Organization Legal Name | GOUVERNEUR HOSPITAL |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald Calabrese | Internal Medicine | Gouverneur Hospital | 6 Lexington Ave, Antwerp, NY 13608-4165 |
| Cynthia L Simpson | Nurse Practitioner | Gouverneur Hospital | 77 W Barnes St, Gouverneur, NY 13642-1132 |
| Brittani L Bickel | Physician Assistant | Gouverneur Hospital | 2924 County Route 17, De Kalb Junction, NY 13630-3136 |
| Alice V Loving | Anesthesiology | Gouverneur Hospital | 77 W Barnes St, Gouverneur, NY 13642-1132 |
| Matthew D Zegil | Nurse Practitioner | Gouverneur Hospital | 77 W Barnes St, Gouverneur, NY 13642-1132 |
| Mona L Giffin | Nurse Practitioner | Gouverneur Hospital | 8 Church St, Edwards, NY 13635 |
| Rachel I Raven | Nurse Practitioner | Gouverneur Hospital | 2924 County Route 17, De Kalb Junction, NY 13630-3136 |
| Street Address |
8 CHURCH ST |
| City | EDWARDS |
| State | NY |
| Zip | 13635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Nicholas Burns | Addiction Medicine | Geisinger Clinic | 8 Church St, Wilkes Barre, PA 18765-3542 |
| Kathleen J Oconnell | Podiatry | Adirondack Foot Clinic | 8 Church St, Saranac Lake, NY 12983-1864 |
| Steven Joseph Craig | Psychologist, Clinical | Geisinger Clinic | 8 Church St, Wilkes Barre, PA 18765-3542 |
| Mona L Giffin | Nurse Practitioner | Gouverneur Hospital | 8 Church St, Edwards, NY 13635 |
| David P Russo | General Surgery | Geisinger Clinic | 8 Church St, Wilkes Barre, PA 18765-3542 |
| City | EDWARDS |
| Zip Code | 13635 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EDWARDS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on John Welborn.
| 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.