Amanda Chism (NPI# 1295050672, PAC ID# 8224200159) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1295050672 |
| PAC ID by PECOS | 8224200159 |
| Professional Enrollment ID | I20111018000697 |
| Full Name | Amanda Chism |
| Organization Legal Name | HARDIN PROFESSIONAL SERVICES, LLC |
| Address |
1360 Rogersville Rd Radcliff KY 40160-9344 |
| Phone Number | 2703511150 |
| Gender | F |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9739191628 |
| Number of Group Practice Members | 186 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180012 | HARDIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2707371212 | HARDIN PROFESSIONAL SERVICES, LLC |
| 1360 Rogersville Rd, Radcliff, KY 40160-9344 | 2703511150 | HARDIN PROFESSIONAL SERVICES, LLC |
| 1370 Rogersville Rd, Radcliff, KY 40160-9344 | 2703512323 | HARDIN PROFESSIONAL SERVICES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_046_overall | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% |
| Organization Legal Name | HARDIN PROFESSIONAL SERVICES, LLC |
| Physicians | 134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Dylan Murphy | Internal Medicine | Hardin Professional Services, LLC | 2411 Ring Rd, Suite 114, Elizabethtown, KY 42701-5930 |
| Stephen R. Toothaker | Hematology/oncology | Hardin Professional Services, LLC | 521 Robinbrooke Blvd, Elizabethtown, KY 42701-5906 |
| Wesley E. Moore | Family Medicine | Hardin Professional Services, LLC | 11969 S Dixie Hwy, Sonora, KY 42776-9739 |
| Douglas Ansert Jr. | Internal Medicine | Hardin Professional Services, LLC | 75 Nature Trl, Suite 3, Radcliff, KY 40160-9187 |
| Jennifer M. Whitsell | Nurse Practitioner | Hardin Professional Services, LLC | 1310 Woodland Dr, Elizabethtown, KY 42701-2651 |
| John M Pendleton | General Surgery | Hardin Professional Services, LLC | 1700 Ring Rd, Elizabethtown, KY 42701-9497 |
| David Rodriguez | Diagnostic Radiology | Hardin Professional Services, LLC | 201 S 5th St, Bardstown, KY 40004-1142 |
| Sarada Krishnamurthy | Hematology/oncology | Hardin Professional Services, LLC | 1010 Woodland Dr, Suite 104, Elizabethtown, KY 42701-2788 |
| Kelli D Mathew | Pulmonary Disease | Hardin Professional Services, LLC | 2407 Ring Rd, Suite 108, Elizabethtown, KY 42701-5938 |
| Ramona N Coffie | Family Medicine | Hardin Professional Services, LLC | 1679 N Wilson Rd, Suite 110, Radcliff, KY 40160-1569 |
| Street Address |
1360 ROGERSVILLE RD |
| City | RADCLIFF |
| State | KY |
| Zip | 40160-9344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mujahid A Nasir | Family Medicine | Carefirst Urgent Care Center LLC | 1360 Rogersville Rd, Radcliff, KY 40160-9344 |
| Dawn M Shelby | Nurse Practitioner | Carefirst Urgent Care Center LLC | 1360 Rogersville Rd, Radcliff, KY 40160-9344 |
| Paul H Christensen | Emergency Medicine | Carefirst Urgent Care Center LLC | 1360 Rogersville Rd, Radcliff, KY 40160-9344 |
| Kelcie D. Cobb | Physician Assistant | Hardin Professional Services, LLC | 1360 Rogersville Rd, Radcliff, KY 40160-9344 |
| William Hagan | Family Medicine | Carefirst Urgent Care Center LLC | 1360 Rogersville Rd, Radcliff, KY 40160-9344 |
| Robert E Smith | Family Medicine | Carefirst Urgent Care Center LLC | 1360 Rogersville Rd, Radcliff, KY 40160-9344 |
| Timothy Murphy | Family Medicine | Carefirst Urgent Care Center LLC | 1360 Rogersville Rd, Radcliff, KY 40160-9344 |
| Lida M Oxnard | Family Medicine | Carefirst Urgent Care Center LLC | 1360 Rogersville Rd, Radcliff, KY 40160-9344 |
| Janette S Yingling | Physician Assistant | Carefirst Urgent Care Center LLC | 1360 Rogersville Rd, Radcliff, KY 40160-9344 |
| Mark E Demuth | Family Medicine | Carefirst Urgent Care Center LLC | 1360 Rogersville Rd, Radcliff, KY 40160-9344 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Busbey | Clinical Social Worker | Communicare Inc | 1072 S Dixie Blvd, Radcliff, KY 40160-1103 |
| Carmen V Pinto | Psychiatry | Communicare Inc | 1072 S Dixie Blvd, Radcliff, KY 40160-1103 |
| Cindy L Petzke | Nurse Practitioner | Communicare Inc | 1072 S Dixie Blvd, Radcliff, KY 40160-1103 |
| Maxwell Eriksen | Chiropractic | William C. Eriksen, Psc | 624 N Dixie Blvd, Radcliff, KY 40160-1311 |
| David K Moore | Optometry | 1165 Walmart Way, Radcliff, KY 40160-1471 | |
| Derrek W Studer | Chiropractic | 1003 N Wilson Rd, Suite A, Radcliff, KY 40160-1475 | |
| James K Burke | Psychologist, Clinical | 1460 N Dixie Blvd, Suite B, Radcliff, KY 40160-1476 | |
| Ramona N Coffie | Family Medicine | Hardin Professional Services, LLC | 1679 N Wilson Rd, Suite 110, Radcliff, KY 40160-1569 |
| Rennatta Kiper White | Nurse Practitioner | Hardin Professional Services, LLC | 1679 N Wilson Rd, Suite 110, Radcliff, KY 40160-1569 |
| Bradley Brent Lowder | Nurse Practitioner | Hardin Professional Services, LLC | 1679 N Wilson Rd, Suite 110, Radcliff, KY 40160-1569 |
| Find all physicians in zip 40160 | |||
| City | RADCLIFF |
| Zip Code | 40160 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | RADCLIFF + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Amanda Chism.
| 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.