Marty Cole (NPI# 1295846681, PAC ID# 8224934765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295846681 |
| PAC ID by PECOS | 8224934765 |
| Professional Enrollment ID | I20031208000469 |
| Full Name | Marty Cole |
| Organization Legal Name | CENTERVILLE CLINICS INC |
| Address |
200 S Arch St Connellsville PA 15425-3519 |
| Phone Number | 7246262630 |
| Gender | M |
| Credential | MD |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7214837202 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390184 | HIGHLANDS HOSPITAL |
| 390041 | UNIONTOWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 S Arch St, Connellsville, PA 15425-3519 | 7246262630 | CENTERVILLE CLINICS INC |
| 208 S Arc St, Connellsville, PA 15425-3519 | 7244835482 | CENTERVILLE CLINICS INC |
| Organization Legal Name | CENTERVILLE CLINICS INC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandria Bakos | Nurse Practitioner | Centerville Clinics Inc | 601 W George St, Carmichaels, PA 15320-1325 |
| Gary G Butler | Nurse Practitioner | Centerville Clinics Inc | 200 Chamber Plz, Charleroi, PA 15022-1605 |
| Kyle Patrick Duff | Family Medicine | Centerville Clinics Inc | 84 W Wheeling St, Centerville Clinics City Mission, Washington, PA 15301-6918 |
| Jill M Miscovich | Nurse Practitioner | Centerville Clinics Inc | 86 Mcclellandtown Rd, Uniontown, PA 15401-5527 |
| Josefina D Paderes | Family Medicine | Centerville Clinics Inc | 93 N Morgantown St, Fairchance, PA 15436-1039 |
| Yong D Cho | Family Medicine | Centerville Clinics Inc | 1070 Old National Pike, Fredericktown, PA 15333-2114 |
| Julie K Derosa | Family Medicine | Centerville Clinics Inc | 37 Highland Ave, Washington, PA 15301-4062 |
| Alvaro N Changco | Family Medicine | Centerville Clinics Inc | 1070 Old National Pike Rd, Fredericktown, PA 15333-2114 |
| Tara Spain Lemaire | Family Medicine | Centerville Clinics Inc | 1070 Old National Pike, Cardiology, Fredericktown, PA 15333-2114 |
| Joseph Ernest Jani | Podiatry | Centerville Clinics Inc | 601 W George St, Carmichaels, PA 15320-1325 |
| Street Address |
200 S ARCH ST |
| City | CONNELLSVILLE |
| State | PA |
| Zip | 15425-3519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn M Bing Nieset | Clinical Social Worker | 200 S Arch St, Fremont, OH 43420-2961 | |
| Jessica Brooks | Nurse Practitioner | Centerville Clinics Inc | 200 S Arch St, Connellsville, PA 15425-3519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Eichmiller | Physical Therapy | Keystone Rehabilitation Systems Inc | 2614 A Memorial Blvd, Connellsville, PA 15425-1405 |
| Greg Hites | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 2614 Memorial Blvd, Suite A, Connellsville, PA 15425-1405 |
| Katina Fetsko | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 2614 Memorial Blvd, Suite A, Connellsville, PA 15425-1405 |
| Jeremiah J Altman | Physician Assistant | Pain and Spine Specialists of Maryland LLC | 2614 Memorial Blvd, Suite A, Connellsville, PA 15425-1405 |
| Jay Cunningham | Podiatry | 2616 D Memorial Blvd, Connellsville, PA 15425-1418 | |
| Richard Alan Conn | Family Medicine | Conn Family Medicine, P.C. | 2616 Memorial Blvd B, Connellsville, PA 15425-1418 |
| Edward J Pohodich | Nurse Practitioner | Conn Family Medicine, P.C. | 2616 Memorial Blvd B, Connellsville, PA 15425-1418 |
| Carla Mcclintock | Nurse Practitioner | Conn Family Medicine, P.C. | 2616 Memorial Blvd B, Connellsville, PA 15425-1418 |
| Jason P Willis | Physician Assistant | Excela Health Physician Practices, Inc | 2618 Memorial Blvd, Suite B, Connellsville, PA 15425-1419 |
| Ralph Passarelli | Orthopedic Surgery | Excela Health Physician Practices, Inc | 2618 Memorial Blvd, Suite B, Connellsville, PA 15425-1419 |
| Find all physicians in zip 15425 | |||
| City | CONNELLSVILLE |
| Zip Code | 15425 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CONNELLSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Marty Cole.
| 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.