Emily Wing (NPI# 1083930903, PAC ID# 6901029263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083930903 |
| PAC ID by PECOS | 6901029263 |
| Professional Enrollment ID | I20140514001682 |
| Full Name | Emily Wing |
| Organization Legal Name | CREEKSIDE FAMILY MEDICINE |
| Address |
2859 State St Suite 103 Medford OR 97504-8495 |
| Phone Number | 5412826580 |
| Gender | F |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5890044960 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2859 State St, Suite 103, Medford, OR 97504-8495 | 5412826580 | CREEKSIDE FAMILY MEDICINE |
| Organization Legal Name | CREEKSIDE FAMILY MEDICINE |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen L Nelson | Family Medicine | Creekside Family Medicine | 2859 State St, Suite 103, Medford, OR 97504-8495 |
| Street Address |
2859 STATE ST SUITE 103 |
| City | MEDFORD |
| State | OR |
| Zip | 97504-8495 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne M Higby | Clinical Social Worker | Asante Physician Partners | 2859 State St, Medford, OR 97504-8495 |
| Michael J Kordus Ii | Family Medicine | Asante Physician Partners | 2859 State St, Medford, OR 97504-8495 |
| John M Malleis | Internal Medicine | Asante Physician Partners | 2859 State St, Suite 102, Medford, OR 97504-8495 |
| Ronald C Ruppert | Family Medicine | Asante Physician Partners | 2859 State St, Suite 102, Medford, OR 97504-8495 |
| Jennifer L Deltour | Nurse Practitioner | Asante Physician Partners | 2859 State St, Suite 102, Medford, OR 97504-8495 |
| Stephen L Nelson | Family Medicine | Creekside Family Medicine | 2859 State St, Suite 103, Medford, OR 97504-8495 |
| Christopher T Key | Physician Assistant | Asante Physician Partners | 2859 State St, Medford, OR 97504-8495 |
| Margaret M Bismarck | Nurse Practitioner | Asante Physician Partners | 2859 State St, Medford, OR 97504-8495 |
| Amy E Brown | Family Medicine | Asante Physician Partners | 2859 State St, Medford, OR 97504-8495 |
| Anne J Ryland | Physician Assistant | Rogue Valley Physicians | 2859 State St, Suite 102, Medford, OR 97504-8495 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Anne Zaslow | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Benjamin Robert Oldson | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Shirley A Malcolm | Osteopathic Manipulative Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Denise M Viss | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Carissa D Scalf | Psychologist, Clinical | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Wesley T Ramoso | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Uzomechine Thabiso Chiedozi | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Grant A Jolliffe | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Travis Adam Day | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Jasmin Williams | Clinical Social Worker | Options for Southern Oregon | 1700 E Barnett Rd, Medford, OR 97504-0052 |
| Find all physicians in zip 97504 | |||
| City | MEDFORD |
| Zip Code | 97504 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MEDFORD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Emily Wing.
| 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.