Asefa K Gebre (NPI# 1700245628, PAC ID# 9436456696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1700245628 |
| PAC ID by PECOS | 9436456696 |
| Professional Enrollment ID | I20160401002059 |
| Full Name | Asefa K Gebre |
| Organization Legal Name | SGOH ACQUISITION INC |
| Address |
104 E Main St Anderson MO 64831-4103 |
| Phone Number | 4178456984 |
| Gender | M |
| Medical School | MISSOURI MEDICAL COLLEGE |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| 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 |
|---|---|---|
| 104 E Main St, Anderson, MO 64831-4103 | 4178456984 | SGOH ACQUISITION INC |
| 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 |
| Tara N Loveland | Nurse Practitioner | Sgoh Acquisition Inc | 155 Village Dr, Sparta, MO 65753-8104 |
| 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 |
| Street Address |
104 E MAIN ST |
| City | ANDERSON |
| State | MO |
| Zip | 64831-4103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather A Berce | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 104 E Main St, Fort Kent, ME 04743-1407 |
| Louise M Nadeau | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 104 E Main St, Fort Kent, ME 04743-1407 |
| James M Staples | Nurse Practitioner | Staples Health Clinic LLC | 104 E Main St, Auburn, KY 42206-5106 |
| Thomas H Nelson | Family Medicine | 104 E Main St, Rutherford, TN 38369-9711 | |
| Coral L Couchenour | Family Medicine | Sgoh Acquisition Inc | 104 E Main St, Anderson, MO 64831-4103 |
| Safwat Attia | Psychiatry | 104 E Main St, Buckhannon, WV 26201-2736 | |
| Jennifer Clark | Nurse Practitioner | Sgoh Acquisition Inc | 104 E Main St, Anderson, MO 64831-4103 |
| Heather A Haynes | Family Medicine | Toledo Clinic Incorporated | 104 E Main St, Woodville, OH 43469-1209 |
| Stacia A Staples | Nurse Practitioner | Staples Health Clinic LLC | 104 E Main St, Auburn, KY 42206-5106 |
| Amanda R Rehmert | Psychologist, Clinical | Sgoh Acquisition Inc | 104 E Main St, Anderson, MO 64831-4103 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill D Rogers | Nurse Practitioner | Elk River Health Services, Inc. | 104 E Main St, Anderson Rural Health Clinic, Anderson, MO 64831-0750 |
| Jerry L Jumper | Family Medicine | Ozark Tri-county Health Care Consortium | 927 N 71 Business Hwy, Anderson, MO 64831-9753 |
| Pamela J Whitlock | Nurse Practitioner | Ozark Tri-county Health Care Consortium | 927 N 71 Business Hwy, Anderson, MO 64831-9753 |
| Patty J Taylor | Certified Nurse Midwife | Ozark Tri County Health Care Consortium Dba Access Family Care | 927 N 71 Business Hwy, Anderson, MO 64831-9753 |
| Dawn L Talbert | Nurse Practitioner | Ozark Tri County Health Care Consortium Dba Access Family Care | 927 N 71 Business Hwy, Anderson, MO 64831-9753 |
| City | ANDERSON |
| Zip Code | 64831 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ANDERSON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Asefa K Gebre.
| 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.