Charles L Backus Iii (NPI# 1801856414, PAC ID# 8729070107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1801856414 |
| PAC ID by PECOS | 8729070107 |
| Professional Enrollment ID | I20040402001281 |
| Full Name | Charles L Backus Iii |
| Organization Legal Name | HEALTH EXPRESS |
| Address |
895 E Andrew Johnson Hwy Greeneville TN 37745-3581 |
| Phone Number | 4235885774 |
| Gender | M |
| Credential | DO |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1998 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 5799072963 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| 440032 | WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1990 Holton Ave E, Big Stone Gap, VA 24219-3350 | 2765233111 | APP OF TENNESSEE ED PLLC |
| 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 4237875000 | APP OF TENNESSEE ED PLLC |
| 895 E Andrew Johnson Hwy, Greeneville, TN 37745-3581 | 4235885774 | HEALTH EXPRESS |
| 310 3rd St Ne, Norton, VA 24273-1137 | 2766799100 | APP OF TENNESSEE ED PLLC |
| Organization Legal Name | HEALTH EXPRESS |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Street Address |
895 E ANDREW JOHNSON HWY |
| City | GREENEVILLE |
| State | TN |
| Zip | 37745-3581 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| 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 | |
| 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 |
| Kenneth Clark Susong | General Practice | 110 Spencer St, Greeneville, TN 37745-3822 | |
| Heather Olson | Nurse Practitioner | 318 Tusculum Blvd, Greeneville, TN 37745-3926 | |
| Bryon K Snelson | Chiropractic | 510 Tusculum Blvd, Greenville, TN 37745-3929 | |
| Find all physicians in zip 37745 | |||
| City | GREENEVILLE |
| Zip Code | 37745 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | GREENEVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Charles L Backus Iii.
| 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.