Courtney Wiseman (NPI# 1912540386, PAC ID# 7012341548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912540386 |
| PAC ID by PECOS | 7012341548 |
| Professional Enrollment ID | I20191216002654 |
| Full Name | Courtney Wiseman |
| Organization Legal Name | HOLZER CLINIC LLC |
| Address |
88 E Memorial Dr Pomeroy OH 45769-9569 |
| Phone Number | 7409920060 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5890606008 |
| Number of Group Practice Members | 247 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360054 | HOLZER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 88 E Memorial Dr, Pomeroy, OH 45769-9569 | 7409920060 | HOLZER CLINIC LLC |
| Organization Legal Name | HOLZER CLINIC LLC |
| Physicians | 257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mittra Esmaeili | Family Medicine | Holzer Clinic LLC | 98 State St, Proctorville, OH 45669-8163 |
| Antony Valentine | Family Medicine | Holzer Clinic LLC | 1051 4th Ave, Gallipolis, OH 45631-1612 |
| Mary Brown | Nurse Practitioner | Holzer Clinic LLC | 88 E Memorial Dr, Pomeroy, OH 45769-9569 |
| Wendi R Hanna | Nurse Practitioner | Holzer Clinic LLC | 170 Jackson Pike, Gallipolis, OH 45631-1539 |
| Rajesh Rajan | Nephrology | Holzer Clinic LLC | 280 Pattonsville Rd, Jackson, OH 45640-9452 |
| Sarah A Leger | Nurse Practitioner | Holzer Clinic LLC | 41861 Pomeroy Pike, Pomeroy, OH 45769-9473 |
| Eugenia Kay Mccoy | Certified Registered Nurse Anesthetist (crna) | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Sirintra Parnichyakorn | Physician Assistant | Holzer Clinic LLC | 204 2nd Ave, Gallipolis, OH 45631-1022 |
| Carlton W Herald | Internal Medicine | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
| Kenneth A Marshall | Pain Management | Holzer Clinic LLC | 2131 E State St, Athens, OH 45701-2138 |
| Street Address |
88 E MEMORIAL DR |
| City | POMEROY |
| State | OH |
| Zip | 45769-9569 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Brown | Nurse Practitioner | Holzer Clinic LLC | 88 E Memorial Dr, Pomeroy, OH 45769-9569 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A Leger | Nurse Practitioner | Holzer Clinic LLC | 41861 Pomeroy Pike, Pomeroy, OH 45769-9473 |
| Kevin R Schmucker | Psychologist, Clinical | 40660 Landaker Rd, Pomeroy, OH 45769-9691 | |
| Bonnie J Williams | Nurse Practitioner | Meigs Family Healthcare | 33101 Hiland Rd, Suite B, Pomeroy, OH 45769-9759 |
| Brenda K Dequasie | Nurse Practitioner | Meigs Family Healthcare | 33101 Hiland Rd, Suite B, Pomeroy, OH 45769-9759 |
| City | POMEROY |
| Zip Code | 45769 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | POMEROY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Courtney Wiseman.
| 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.