Jeremiah Bush (NPI# 1174074033, PAC ID# 7719230606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174074033 |
| PAC ID by PECOS | 7719230606 |
| Professional Enrollment ID | I20181023000788 |
| Full Name | Jeremiah Bush |
| Organization Legal Name | NORTON COMMUNITY PHYSICIAN SERVICES LLC |
| Address |
98 15th Nwst Norton VA 24273-1600 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1557431665 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490001 | NORTON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 15th St Nw, Suite 307, Norton, VA 24273-1616 | 2764391140 | NORTON COMMUNITY PHYSICIAN SERVICES LLC |
| 1490 Park Ave Nw, Suite 4a, Norton, VA 24273-1631 | 2764391385 | NORTON COMMUNITY PHYSICIAN SERVICES LLC |
| 98 15th Nwst, Norton, VA 24273-1600 | NORTON COMMUNITY PHYSICIAN SERVICES LLC | |
| 98 15th St Nw, Norton, VA 24273-1600 | 2764391490 | NORTON COMMUNITY PHYSICIAN SERVICES LLC |
| Organization Legal Name | NORTON COMMUNITY PHYSICIAN SERVICES LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Price | Orthopedic Surgery | Norton Community Physician Services LLC | 1490 Park Ave Nw, Suite 4b, Norton, VA 24273-1602 |
| Brian S Newberry | Internal Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Rubye D Washington-moore | Obstetrics/gynecology | Norton Community Physician Services LLC | 102 15th St Nw, Suite 301, Norton, VA 24273-1627 |
| Kathi L Price | Nurse Practitioner | Norton Community Physician Services LLC | 515 Front St W, Coeburn, VA 24230-3607 |
| Vada Rose | Nurse Practitioner | Norton Community Physician Services LLC | 98 15th Nwst, Suite 208, Norton, VA 24273-1600 |
| Vanessa T Salyer | Nurse Practitioner | Norton Community Physician Services LLC | 98 15th St Nw, Suite 207a, Norton, VA 24273-1600 |
| Jody B Bentley | Internal Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| James Matthew Wilson | Family Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Sierra D Morgan | Physician Assistant | Norton Community Physician Services LLC | 98 15th Nwst, Norton, VA 24273-1600 |
| Ashley Bevins | Internal Medicine | Norton Community Physician Services LLC | 98 15th Nwst, Norton, VA 24273-1600 |
| Street Address |
98 15TH NWST |
| City | NORTON |
| State | VA |
| Zip | 24273-1600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vada Rose | Nurse Practitioner | Norton Community Physician Services LLC | 98 15th Nwst, Suite 208, Norton, VA 24273-1600 |
| Sierra D Morgan | Physician Assistant | Norton Community Physician Services LLC | 98 15th Nwst, Norton, VA 24273-1600 |
| Ashley Bevins | Internal Medicine | Norton Community Physician Services LLC | 98 15th Nwst, Norton, VA 24273-1600 |
| Daryl W Pierce | Hematology/oncology | Norton Community Physician Services LLC | 98 15th Nwst, Suite 202, Norton, VA 24273-1600 |
| Catherine R Lewis | General Surgery | Norton Community Physician Services LLC | 98 15th Nwst, Norton, VA 24273-1600 |
| Vishal Raj | Pulmonary Disease | Norton Community Physician Services LLC | 98 15th Nwst, Suite 208, Norton, VA 24273-1600 |
| Thomas Renfro | Internal Medicine | Norton Community Physician Services LLC | 98 15th Nwst, Suite 208, Norton, VA 24273-1600 |
| Elie Tony Nader | Pulmonary Disease | Norton Community Physician Services LLC | 98 15th Nwst, Suite 202, Norton, VA 24273-1600 |
| Darrell K Blackwell | Family Medicine | Norton Community Physician Services LLC | 98 15th Nwst, Norton, VA 24273-1600 |
| Tiffani M Nichols | Internal Medicine | Norton Community Physician Services LLC | 98 15th Nwst, Norton, VA 24273-1600 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian S Newberry | Internal Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Jody B Bentley | Internal Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| James Matthew Wilson | Family Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Isam T Zibdeh | Obstetrics/gynecology | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Nicanor B Concepcion | Urology | Nicanor B. Concepcion, M.d. P.C. | 624 Park Ave, Norton, VA 24273-0909 |
| Leslie A Davis | Nurse Practitioner | Family Preservation Services Inc | 340 Anderson Hollow Rd, Norton, VA 24273-1100 |
| Revonda C Watts | Nurse Practitioner | Family Preservation Services Inc | 340 Anderson Hollow Rd, Suite 200, Norton, VA 24273-1100 |
| Jonathan M. Hutchins | Nurse Practitioner | Wellmont Medical Associates Inc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Elizabeth C Cooperstein | Family Medicine | App of Tennessee Ed Pllc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Ismael H Tura | Internal Medicine | Wellmont Medical Associates Inc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Find all physicians in zip 24273 | |||
| City | NORTON |
| Zip Code | 24273 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NORTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jeremiah Bush.
| 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.