Kyle Boren (NPI# 1619256328, PAC ID# 8527340322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1619256328 |
| PAC ID by PECOS | 8527340322 |
| Professional Enrollment ID | I20170130002605 |
| Full Name | Kyle Boren |
| Organization Legal Name | NOLICHUCKEY MANAGEMENT SERVICES, INC |
| Address |
1420 Tusculum Blvd Greeneville TN 37745-4279 |
| Phone Number | 4237835510 |
| Gender | M |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2011 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3476730748 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440050 | TAKOMA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 4237835510 | NOLICHUCKEY MANAGEMENT SERVICES, INC |
| Organization Legal Name | NOLICHUCKEY MANAGEMENT SERVICES, INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Wesley Pectol Jr. | Orthopedic Surgery | Nolichuckey Management Services, Inc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Natalie Renee D Scott | General Surgery | Nolichuckey Management Services, Inc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Aimee M Henley | Nurse Practitioner | Nolichuckey Management Services, Inc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Billy K Parsley | Orthopedic Surgery | Nolichuckey Management Services, Inc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| James S Rodgers | Internal Medicine | Nolichuckey Management Services, Inc | 1410 Tusculum Blvd, Suite 1700, Greeneville, TN 37745-5818 |
| Mark David Patterson | General Surgery | Nolichuckey Management Services, Inc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Ashley Marie Dikis | Podiatry | Nolichuckey Management Services, Inc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Christopher S Castle | Nurse Practitioner | Nolichuckey Management Services, Inc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Robert C Northrop | General Surgery | Nolichuckey Management Services, Inc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Felix L Fernandez | Family Medicine | Nolichuckey Management Services, Inc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Street Address |
1420 TUSCULUM BLVD |
| City | GREENEVILLE |
| State | TN |
| Zip | 37745-4279 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristie L Galloway | Nurse Practitioner | App of Tennessee Ed Pllc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Bruce Daniel Boggs | Family Medicine | App of Tennessee Ed Pllc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Charles D Bray | Nurse Practitioner | App of Tennessee Ed Pllc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Gregory A Gerlock | Emergency Medicine | App of Tennessee Ed Pllc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Michael P Bramati | Emergency Medicine | App of Tennessee Ed Pllc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Richard Wesley Pectol Jr. | Orthopedic Surgery | Nolichuckey Management Services, Inc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Jan A Dewitt | Emergency Medicine | App of Tennessee Ed Pllc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Robert J Gardner | Nurse Practitioner | App of Tennessee Ed Pllc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Natalie Renee D Scott | General Surgery | Nolichuckey Management Services, Inc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Aimee M Henley | Nurse Practitioner | Nolichuckey Management Services, Inc | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor N England | Optometry | Greeneville Vision Center | 204 Emory Rd, Greeneville, TN 37745 |
| James A Yandell | Optometry | Greeneville Vision Center | 204 Emory Rd, Greeneville, TN 37745 |
| Saprina F Fender | Nurse Practitioner | 130 Serral Dr, Greeneville, TN 37745-3074 | |
| Estelle Strydom | Occupational Therapy | State of Tennessee | 4850 E Andrew Johnson Hwy, Greeneville, TN 37745-3098 |
| John K Clement | Optometry | 1539 Industrial Rd, Greeneville, TN 37745-3549 | |
| Marsi S Mullins | Physician Assistant | Health Express | 895 E Andrew Johnson Hwy, Greeneville, TN 37745-3581 |
| Charles Adam Willis | Nurse Practitioner | Health Express | 895 E Andrew Johnson Hwy, Greeneville, TN 37745-3581 |
| Charles L Backus Iii | Emergency Medicine | Health Express | 895 E Andrew Johnson Hwy, Greeneville, TN 37745-3581 |
| Michelle Diane Barefield | Physical Therapy | Greeneville Orthopaedic Clinic, P.C. | 223 N Main St, Greeneville, TN 37745-3815 |
| John Leon Freeman Jr. | Orthopedic Surgery | Greeneville Orthopaedic Clinic, P.C. | 223 N Main St, Greeneville, TN 37745-3815 |
| Find all physicians in zip 37745 | |||
| City | GREENEVILLE |
| Zip Code | 37745 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | GREENEVILLE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Kyle Boren.
| 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.