Carolyn Chambers (NPI# 1639151715, PAC ID# 8628975448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1639151715 |
| PAC ID by PECOS | 8628975448 |
| Professional Enrollment ID | I20110901000638 |
| Full Name | Carolyn Chambers |
| Organization Legal Name | THIRD STREET COMMUNITY CLINIC, INC |
| Address |
199 W Main St Fl 2 Shelby OH 44875-1490 |
| Phone Number | 4195256732 |
| Gender | F |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 2365423977 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360118 | OHIOHEALTH MANSFIELD HOSPITAL |
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 770 Balgreen Dr, Suite 207, Mansfield, OH 44906-4106 | 4195266800 | THIRD STREET COMMUNITY CLINIC, INC |
| 199 W Main St, Fl 2, Shelby, OH 44875-1490 | 4195256732 | THIRD STREET COMMUNITY CLINIC, INC |
| Organization Legal Name | THIRD STREET COMMUNITY CLINIC, INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Bowman | Nurse Practitioner | Third Street Community Clinic, Inc | 200 Park Ave W, Mansfield, OH 44902-1608 |
| Courtney L Brooks | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Jessica Rose Brent | Podiatry | Third Street Community Clinic, Inc | 2131 Park Ave W, Suite 200, Ontario, OH 44906-1226 |
| Brett Edward Toward | Family Practice | Third Street Community Clinic, Inc | 600 W 3rd St, Mansfield, OH 44906-2633 |
| Tricia E Giddens | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Joseph Bocka | Emergency Medicine | Third Street Community Clinic, Inc | 200 Park Ave W, Mansfield, OH 44902-1608 |
| Ashley N Wilford | Nurse Practitioner | Third Street Community Clinic, Inc | 270 Sterkel Blvd, Suite A, Mansfield, OH 44907-1508 |
| James Alford | Obstetrics/gynecology | Third Street Community Clinic, Inc | 199 W Main St, Fl 2, Shelby, OH 44875-1490 |
| Brianna K Sampsel | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Ujwala Pagedar | Internal Medicine | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Street Address |
199 W MAIN ST FL 2 |
| City | SHELBY |
| State | OH |
| Zip | 44875-1490 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jagprit Singh Dhillon | Emergency Medicine | Mid Ohio Emergency Physicians LLP | 199 W Main St, Shelby, OH 44875-1490 |
| Edward Enzhong Xie | Family Medicine | Mid-ohio Emergency Group, LLC | 199 W Main St, Shelby, OH 44875-1490 |
| Daniel E Wade | Otolaryngology | Ohiohealth Regional Physician Services LLC | 199 W Main St, Ohiohealth Ear Nose and Throat Physicians, Shelby, OH 44875-1490 |
| Danielle Kanavy Crouse | Nurse Practitioner | Mid Ohio Emergency Physicians LLP | 199 W Main St, Shelby, OH 44875-1490 |
| Janice R Shook | Emergency Medicine | Mid Ohio Emergency Physicians LLP | 199 W Main St, Shelby, OH 44875-1490 |
| Alexandria Ruff | Nurse Practitioner | Mid-state Physicians LLP | 199 W Main St, Shelby, OH 44875-1490 |
| Jacqueline Wunderlich | Anesthesiology | Ohiohealth Regional Physician Services LLC | 199 W Main St, Shelby, OH 44875-1490 |
| Thomas C Holloway | Anesthesiology | Ohiohealth Regional Physician Services LLC | 199 W Main St, Shelby, OH 44875-1490 |
| Melissa Jane Marker | Emergency Medicine | Mid Ohio Emergency Physicians LLP | 199 W Main St, Shelby, OH 44875-1490 |
| Kristen L Fenton | Nurse Practitioner | Mid-state Physicians LLP | 199 W Main St, Shelby, OH 44875-1490 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald B Lash | Chiropractic | 100 N Gamble St, Shelby, OH 44875-1021 | |
| Ajay Chawla | Internal Medicine | 110 Auburn Ave, Suite 2, Shelby, OH 44875-1104 | |
| Marion C Demers | Family Medicine | 24 Morris Rd, Suite 1, Shelby, OH 44875-1152 | |
| Megan A Olson | Nurse Practitioner | Shelby Primary Care LLC | 24 Morris Rd, Shelby, OH 44875-1152 |
| Emily L Exten | Orthopedic Surgery | Ohiohealth Regional Physician Services LLC | 24 Morris Rd, Suite 2, Shelby, OH 44875-1170 |
| Omar F.s. Guimaraes | Obstetrics/gynecology | 24 Morris Rd, Suite 3, Shelby, OH 44875-1170 | |
| Tabitha Dawn Hofer | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 24 Morris Rd, Suite 2, Shelby, OH 44875-1170 |
| Mark C Leeson | Orthopedic Surgery | Ohiohealth Regional Physician Services LLC | 24 Morris Rd, Suite 2, Shelby, OH 44875-1170 |
| Courtney L Brooks | Nurse Practitioner | Third Street Community Clinic, Inc | 31 E Main St, Shelby, OH 44875-1262 |
| Karrie Kay Burriss | Nurse Practitioner | The Center for Individual and Family Services, Inc. | 31 E Main St, Suite 3, Shelby, OH 44875-1262 |
| Find all physicians in zip 44875 | |||
| City | SHELBY |
| Zip Code | 44875 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SHELBY + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Carolyn Chambers.
| 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.