John W Tracy (NPI# 1265409288, PAC ID# 9032160940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265409288 |
| PAC ID by PECOS | 9032160940 |
| Professional Enrollment ID | I20050208001072 |
| Full Name | John W Tracy |
| Address |
1205 Stone Mountain Rd Laurel Fork VA 24352-4058 |
| Phone Number | 2763982532 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490115 | TWIN COUNTY REGIONAL HOSPITAL |
| 340003 | NORTHERN HOSPITAL OF SURRY COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 1205 Stone Mountain Rd, Laurel Fork, VA 24352-4058 | 2763982532 |
| Street Address |
1205 STONE MOUNTAIN RD |
| City | LAUREL FORK |
| State | VA |
| Zip | 24352-4058 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna Gibson | Nurse Practitioner | Tri Area Community Health | 14558 Danville Pike, Suite 9, Laurel Fork, VA 24352-3982 |
| Dinah P Perdue | Nurse Practitioner | Tri Area Community Health | 14558 Danville Pike, Suite 9, Laurel Fork, VA 24352-3982 |
| William R Bess Jr. | Emergency Medicine | Tri Area Community Health | 14558 Danville Pike, Suite 9, Laurel Fork, VA 24352-3982 |
| Joshua M Bradley | Psychologist, Clinical | Tri Area Community Health | 14558 Danville Pike, Suite 9, Laurel Fork, VA 24352-3982 |
| City | LAUREL FORK |
| Zip Code | 24352 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAUREL FORK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John W Tracy.
| 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.