Gerald W Clevenger (NPI# 1083610646, PAC ID# 7012959026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083610646 |
| PAC ID by PECOS | 7012959026 |
| Professional Enrollment ID | I20050531000532 |
| Full Name | Gerald W Clevenger |
| Organization Legal Name | ATCHISON HOSPITAL ASSOCIATION |
| Address |
311 W Locust St Troy KS 66087-5252 |
| Phone Number | 9133677300 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1977 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2466363858 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171382 | ATCHISON HOSPITAL |
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 311 W Locust St, Troy, KS 66087-5252 | 9133677300 | ATCHISON HOSPITAL ASSOCIATION |
| Organization Legal Name | ATCHISON HOSPITAL ASSOCIATION |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie A Tackett | Family Medicine | Atchison Hospital Association | 810 Ravenhill Dr, Atchison, KS 66002-9204 |
| Jessica A Stone | Internal Medicine | Atchison Hospital Association | 800 Ravenhill Dr, Atchison, KS 66002-9204 |
| Lexy J Teeter | Physician Assistant | Atchison Hospital Association | 800 Ravenhill Dr, Atchison, KS 66002-9204 |
| Pamela J Rizza | Sports Medicine | Atchison Hospital Association | 800 Ravenhill Dr, Atchison, KS 66002-9204 |
| John R Eplee | Family Medicine | Atchison Hospital Association | 800 Ravenhill Dr, Atchison, KS 66002-9204 |
| Dina J Seibert | Internal Medicine | Atchison Hospital Association | 800 Ravenhill Dr, Atchison, KS 66002-9204 |
| Jack Neil Parsons | Certified Registered Nurse Anesthetist (crna) | Atchison Hospital Association | 800 Ravenhill Dr, Atchison, KS 66002-9204 |
| Michelle J Pruessner | Physician Assistant | Atchison Hospital Association | 800 Ravenhill Dr, Atchison, KS 66002-9204 |
| Donald P Ables | Emergency Medicine | Atchison Hospital Association | 800 Ravenhill Dr, Atchison, KS 66002-9204 |
| Steven Lee Rovenstine | Emergency Medicine | Atchison Hospital Association | 800 Ravenhill Dr, Atchison, KS 66002-9204 |
| Street Address |
311 W LOCUST ST |
| City | TROY |
| State | KS |
| Zip | 66087-5252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Franken | Optometry | 116 E Walnut St, Franken Eye Clinic, Troy, KS 66087-5006 |
| City | TROY |
| Zip Code | 66087 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TROY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Gerald W Clevenger.
| 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.