Traci Dawn Sambolin (NPI# 1457668295, PAC ID# 8224270897) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457668295 |
| PAC ID by PECOS | 8224270897 |
| Professional Enrollment ID | I20130809000690 |
| Full Name | Traci Dawn Sambolin |
| Organization Legal Name | CAMDEN EMERGENCY GROUP LLC |
| Address |
54 Hospital Dr Osage Beach MO 65065-3050 |
| Phone Number | 5733488000 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961665369 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260141 | UNIVERSITY OF MISSOURI HOSPITAL & CLINICS |
| 260186 | LAKE REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1 Hospital Dr, Columbia, MO 65212-0001 | 5738824141 | THE CURATORS OF THE UNIVERSITY OF MISSOURI |
| 54 Hospital Dr, Osage Beach, MO 65065-3050 | 5733488000 | CAMDEN EMERGENCY GROUP LLC |
| Organization Legal Name | CAMDEN EMERGENCY GROUP LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raina Linn Shanks | Emergency Medicine | Camden Emergency Group LLC | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Meredith Adair Leach | Emergency Medicine | Camden Emergency Group LLC | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Michael P Jones | Family Medicine | Camden Emergency Group LLC | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Amy Hawk | Nurse Practitioner | Camden Emergency Group LLC | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Garrett M Ripoll | Emergency Medicine | Camden Emergency Group LLC | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Tamera J Hix | Nurse Practitioner | Camden Emergency Group LLC | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Angela Colleen Moore Clay | Emergency Medicine | Camden Emergency Group LLC | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Douglas G Wilson | Emergency Medicine | Camden Emergency Group LLC | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| William P Cravens | Family Practice | Camden Emergency Group LLC | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Street Address |
54 HOSPITAL DR |
| City | OSAGE BEACH |
| State | MO |
| Zip | 65065-3050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Jl Neill | Family Medicine | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Laura K Seaman | Nurse Practitioner | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Linda Jabbari | Family Medicine | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Brian Swanson | Physician Assistant | Lake Regional Medical Management, Inc. | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Christopher Eric Vandiver | Certified Registered Nurse Anesthetist (crna) | Lake Ozark Anesthesia and Associates, Inc | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| James R Spieler | Internal Medicine | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Adam Michael Boone | Certified Registered Nurse Anesthetist (crna) | Lake Ozark Anesthesia and Associates, Inc | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Margaret Coplin | Hematology/oncology | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Henry Keiler Bluhm Jr. | Physician Assistant | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Ken V Holt | Obstetrics/gynecology | Lake Regional Health System | 54 Hospital Dr, Suite 201, Osage Beach, MO 65065-3050 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Foster | Chiropractic | 4681 Hwy 54 Kings Plz 6, Osage Beach, MO 65065 | |
| Charles H Pike Iii | Chiropractic | Pike Chiropractic | 4075 Osage Beach Pkwy, Suite 200, Osage Beach, MO 65065-2153 |
| Amy S Pike | Chiropractic | Pike Chiropractic | 4075 Osage Beach Pkwy, Suite 200, Osage Beach, MO 65065-2153 |
| Karen S Hayes | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Jeannie M Carlton | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Christine A Livek | Family Medicine | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Gwendolyn Ann Broyles | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Laura M Thompson | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Kenneth J Fattmann | Psychiatry | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Benny E Thomas | Family Practice | 840 Passover Rd, Osage Beach, MO 65065-2834 | |
| Find all physicians in zip 65065 | |||
| City | OSAGE BEACH |
| Zip Code | 65065 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OSAGE BEACH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Traci Dawn Sambolin.
| 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.