Justin D Nolen (NPI# 1366743569, PAC ID# 8022291301) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366743569 |
| PAC ID by PECOS | 8022291301 |
| Professional Enrollment ID | I20110323001003 |
| Full Name | Justin D Nolen |
| Organization Legal Name | SOMC MEDICAL CARE FOUNDATION, INC. |
| Address |
10 Thomas Hollow Rd Lucasville OH 45648-8889 |
| Phone Number | 7402595699 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9436061645 |
| Number of Group Practice Members | 175 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360008 | SOUTHERN OHIO MEDICAL CENTER |
| 360361 | KINGS DAUGHTERS MEDICAL CENTER OHIO |
| Address | Phone | Organization |
|---|---|---|
| 10 Thomas Hollow Rd, Lucasville, OH 45648-8889 | 7402595699 | SOMC MEDICAL CARE FOUNDATION, INC. |
| 1248 Kinneys Ln, Portsmouth, OH 45662-2927 | 7403567290 | SOMC MEDICAL CARE FOUNDATION, INC. |
| 1735 27th St, Portsmouth, OH 45662-2679 | SOMC MEDICAL CARE FOUNDATION, INC. | |
| 1805 27th St, Portsmouth, OH 45662-2640 | 7403568681 | SOMC MEDICAL CARE FOUNDATION, INC. |
| Organization Legal Name | SOMC MEDICAL CARE FOUNDATION, INC. |
| Physicians | 164 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rahat S Azfar | Dermatology | Somc Medical Care Foundation, Inc. | 1735 27th St, Suite 308, Portsmouth, OH 45662-2679 |
| Jonathan Ballard | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 835 W Emmitt Ave, Waverly, OH 45690-1190 |
| Natosha L Staggs | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 90 Cic Blvd, West Union, OH 45693-8024 |
| Christopher C Wiler | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 952 State Route 2, Greenup, KY 41144-7999 |
| Geoffrey V Martin | Radiation Oncology | Somc Medical Care Foundation, Inc. | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 |
| Nicholas Toppins | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 835 Emmitt Ave, Waverly, OH 45690-1190 |
| Brandy Jo Branham | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 15888a Us 52 Hwy, West Portsmouth, OH 45663 |
| David K Byers | Infectious Disease | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Paul D Rase | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 8792 State Route 335, Minford, OH 45653-8698 |
| Suzann M Bonzo | Internal Medicine | Somc Medical Care Foundation, Inc. | 1611 27th St, Portsmouth, OH 45662-6931 |
| Street Address |
10 THOMAS HOLLOW RD |
| City | LUCASVILLE |
| State | OH |
| Zip | 45648-8889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew S Schwamburger | Anesthesiology | Somc Medical Care Foundation, Inc. | 10 Thomas Hollow Rd, Lucasville, OH 45648-8889 |
| Nathan E Rider | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 10 Thomas Hollow Rd, Lucasville, OH 45648-8889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duane Marchyn | Orthopedic Surgery | Premier Therapy and Health Centers Inc | 10606 Us Route 23, Lucasville, OH 45648-0747 |
| Roy Aaron Adams | Family Medicine | Premier Therapy and Health Centers Inc | 10606 Us Route 23, Lucasville, OH 45648-0747 |
| Jennifer Atkins | Physician Assistant | Premier Therapy and Health Centers Inc | 10606 Us Route 23, Lucasville, OH 45648-0747 |
| Evan D Yates | Physician Assistant | Premier Therapy and Health Centers Inc | 10606 Us Route 23, Lucasville, OH 45648-0747 |
| Jerod C Walker | Family Medicine | Premier Therapy and Health Centers Inc | 10606 Us Route 23, Lucasville, OH 45648-0747 |
| Hillard Patrick Brown | Nurse Practitioner | David G Provaznik Do Inc | 10098 Big Bear Creek Rd, Lucasville, OH 45648-9168 |
| City | LUCASVILLE |
| Zip Code | 45648 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LUCASVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Justin D Nolen.
| 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.