Crystall L Weidle (NPI# 1760874523, PAC ID# 7517264179) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760874523 |
| PAC ID by PECOS | 7517264179 |
| Professional Enrollment ID | I20160324001703 |
| Full Name | Crystall L Weidle |
| Organization Legal Name | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Address |
2217 W Ave Ashtabula OH 44004-3107 |
| Phone Number | 4409648446 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709030133 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2217 W Ave, Ashtabula, OH 44004-3107 | 4409648446 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Organization Legal Name | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina Mercer Ward | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
| Aquita Thomas | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 7054 Veterans Pkwy, Pell City, AL 35125-5117 |
| Irene Mutembei | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 3605 Ratliff Rd, Birmingham, AL 35210-4512 |
| Gina Marie Sumpter | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Janine Gibbs Larry | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 16391 Robinson Rd, Gulfport, MS 39503-4816 |
| Lauren Mcminn | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 101 Villa Dr, Daphne, AL 36526-4653 |
| Dawn Renee Pomaibo | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 601 S Church St, Mount Pleasant, PA 15666-1703 |
| Jacinta Tokeya Stegall | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 405 Briarwood Dr, 103g, Jackson, MS 39206-3029 |
| Mary Elizabeth Maceachern-crain | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 301 S Perimeter Dr, Suite 123, Nashville, TN 37211-4128 |
| Terri Hipp | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 909 W St, Pittsburgh, PA 15221-2833 |
| Street Address |
2217 W AVE |
| City | ASHTABULA |
| State | OH |
| Zip | 44004-3107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Marie Sumpter | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Alicia Sue Angelo | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Heidi Marie Christensen | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Robyn Lynn Keaton | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Caitlin Marie Imhoff | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Tracy L Watson | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Summer Alia Blair | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Daniel M Gauntner | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Joan Elizabeth Williams | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Audrey Ann Miller | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Orlando Antonio Dsilva | Nephrology | Orlando Dsilva Md Inc | 1111 Lake Ave, Ashtabula, OH 44004-2929 |
| Tricia A Williams | Nurse Practitioner | Orlando Dsilva Md Inc | 1111 Lake Ave, Ashtabula, OH 44004-2929 |
| Donald Raymond Farley | Podiatry | 1604 W 19th St, Ashtabula, OH 44004-3036 | |
| Madhavi Saxena | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Stephen Gerald Wychock | Physical Therapy | Wychock Physical Therapy Inc | 607 Lake Ave, Ashtabula, OH 44004-3262 |
| Elizabeth Schlosser | Physical Therapy | Wychock Physical Therapy Inc | 607 Lake Ave, Ashtabula, OH 44004-3262 |
| Bruce P Guido | Dermatology | 420 W 24th St, Ashtabula, OH 44004-3421 | |
| Pelumi Adedayo | Obstetrics/gynecology | Ashtabula County Medical Center | 524 W 24th St, Ashtabula, OH 44004-3423 |
| Dan Lazarescu | Obstetrics/gynecology | Ashtabula County Medical Center | 524 W 24th St, Ashtabula, OH 44004-3423 |
| Jennifer L Walsh | Clinical Social Worker | 2049 Lake Ave, Ashtabula, OH 44004-3433 | |
| Find all physicians in zip 44004 | |||
| City | ASHTABULA |
| Zip Code | 44004 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ASHTABULA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Crystall L Weidle.
| 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.