Tara N Loveland (NPI# 1003389941, PAC ID# 8729325204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1003389941 |
PAC ID by PECOS | 8729325204 |
Professional Enrollment ID | I20190122001729 |
Full Name | Tara N Loveland |
Organization Legal Name | SGOH ACQUISITION INC |
Address |
155 Village Dr Sparta MO 65753-8104 |
Phone Number | 4176344203 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5092616276 |
Number of Group Practice Members | 72 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
041331 | OZARKS COMMUNITY HOSPITAL OF GRAVETTE |
Address | Phone | Organization |
---|---|---|
155 Village Dr, Sparta, MO 65753-8104 | 4176344203 | SGOH ACQUISITION INC |
1000 E Primrose St, Suite 400, Springfield, MO 65807-5179 | 4172697900 | FERRELL-DUNCAN CLINIC |
Organization Legal Name | SGOH ACQUISITION INC |
Physicians | 74 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary Kristina Chance | Clinical Social Worker | Sgoh Acquisition Inc | 2485 N Main St, Och Jay Family Clinic, Jay, OK 74346-2201 |
Audrey Anne Hubler | Nurse Practitioner | Sgoh Acquisition Inc | 109 N Broadway St, South West City, MO 64863-9417 |
Amberlyn Casie Logan | Nurse Practitioner | Sgoh Acquisition Inc | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 |
Thomas E Dahlberg | Family Medicine | Sgoh Acquisition Inc | 101 S Main St, Rogersville, MO 65742-9357 |
William J Howitt | Family Medicine | Sgoh Acquisition Inc | 1540 E Evergreen St, Springfield, MO 65803-4300 |
William Mckay | Family Medicine | Sgoh Acquisition Inc | 108 S Hickory St, Mount Vernon, MO 65712-1407 |
Charles Watt | Geriatric Medicine | Sgoh Acquisition Inc | 106 S Hickory St, Mount Vernon, MO 65712-1407 |
Dennis Dobard | Psychiatry | Sgoh Acquisition Inc | 2828 N National Ave, Springfield, MO 65803-4306 |
Jackie S Beene | Family Medicine | Sgoh Acquisition Inc | 112 N Webb St, Webb City, MO 64870-1916 |
David Tucker | Family Medicine | Sgoh Acquisition Inc | 1101 Jackson St Sw, Gravette, AR 72736-9121 |
Street Address |
155 VILLAGE DR |
City | SPARTA |
State | MO |
Zip | 65753-8104 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katrina Lea Selsor | Nurse Practitioner | Sgoh Acquisition Inc | 155 Village Dr, Sparta, MO 65753-8104 |
John S Carpenter | Clinical Social Worker | Sgoh Acquisition Inc | 155 Village Dr, Sparta, MO 65753-8104 |
Janiece R Bridges | General Practice | Sgoh Acquisition Inc | 155 Village Dr, Sparta, MO 65753-8104 |
City | SPARTA |
Zip Code | 65753 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SPARTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tara N Loveland.
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.