Penny Williams-cordeiro (NPI# 1124422266, PAC ID# 8325365026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1124422266 |
PAC ID by PECOS | 8325365026 |
Professional Enrollment ID | I20150317001994 |
Full Name | Penny Williams-cordeiro |
Organization Legal Name | HOLSTON REGIONAL COMPREHENSIVE MEDICINE |
Address |
1303 E Ctr St Kingsport TN 37664-2444 |
Phone Number | 4233842820 |
Gender | F |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4789989054 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440176 | INDIAN PATH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1303 E Ctr St, Kingsport, TN 37664-2444 | 4233842820 | HOLSTON REGIONAL COMPREHENSIVE MEDICINE |
Organization Legal Name | HOLSTON REGIONAL COMPREHENSIVE MEDICINE |
Physicians | 1 |
Street Address |
1303 E CTR ST |
City | KINGSPORT |
State | TN |
Zip | 37664-2444 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph A Muse | Chiropractic | 1732 N Eastman Rd, Suite 3a, Kingsport, TN 37664-2376 | |
Harold J Webb | Plastic and Reconstructive Surgery | 1880 N Eastman Rd, Suite 310, Kingsport, TN 37664-2382 | |
Bill Gillenwater | Chiropractic | 1392 E Ctr St, Kingsport, TN 37664-2445 | |
Charles A Ross | Family Medicine | 1335 E Ctr St, Suite 1, Kingsport, TN 37664-2489 | |
Matthew Armas Andrews | Clinical Social Worker | Frontier Health | 1570 Waverly Rd, Kingsport, TN 37664-2523 |
Gina Monique Brown | Nurse Practitioner | Frontier Health | 1570 Waverly Rd, Kingsport, TN 37664-2523 |
Paige Noel Reed | Nurse Practitioner | Frontier Health | 1570 Waverly Rd, Kingsport, TN 37664-2523 |
Frank L Oglesby Jr. | Optometry | 1599 Ft Henry Dr, Suite 101, Kingsport, TN 37664-2535 | |
Ava Carter | Chiropractic | 1567 N Eastman Rd, Suite 5, Kingsport, TN 37664-2683 | |
H David Merrill | Chiropractic | 2504 E Ctr St, Kingsport, TN 37664-2706 | |
Find all physicians in zip 37664 |
City | KINGSPORT |
Zip Code | 37664 |
Specialty | NURSE PRACTITIONER |
City + Specialty | KINGSPORT + NURSE PRACTITIONER |
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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.