Timothy E O Leary (NPI# 1285657726, PAC ID# 9638083942) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1285657726 |
| PAC ID by PECOS | 9638083942 |
| Professional Enrollment ID | I20031119000277 |
| Full Name | Timothy E O Leary |
| Organization Legal Name | TENNESSEE FAMILY MEDICINE, PLC |
| Address |
1047 Glenbrook Way Suite 120 Hendersonville TN 37075-1231 |
| Phone Number | 6155902020 |
| Gender | M |
| Credential | PA |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7517056716 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440194 | TRISTAR HENDERSONVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1047 Glenbrook Way, Suite 120, Hendersonville, TN 37075-1231 | 6155902020 | TENNESSEE FAMILY MEDICINE, PLC |
| Organization Legal Name | TENNESSEE FAMILY MEDICINE, PLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark T Compton | Physician Assistant | Tennessee Family Medicine, Plc | 1047 Glenbrook Way, Suite 120, Hendersonville, TN 37075-1231 |
| John Millspaugh | Family Medicine | Tennessee Family Medicine, Plc | 1047 Glenbrook Way, Suite 120, Hendersonville, TN 37075-1231 |
| Street Address |
1047 GLENBROOK WAY SUITE 120 |
| City | HENDERSONVILLE |
| State | TN |
| Zip | 37075-1231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark T Compton | Physician Assistant | Tennessee Family Medicine, Plc | 1047 Glenbrook Way, Suite 120, Hendersonville, TN 37075-1231 |
| John Millspaugh | Family Medicine | Tennessee Family Medicine, Plc | 1047 Glenbrook Way, Suite 120, Hendersonville, TN 37075-1231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailu T Kabtimer | Internal Medicine | 919 W Main -, Hendersonville, TN 37075 | |
| Gina Mendoza | Podiatry | Advanced Diagnostic Imaging PC | 353 New Shackle Island, Roasuite 110 A, Hendersonville, TN 37075 |
| Stephanie E Kaelin | Nurse Practitioner | The Little Clinic of Tennessee LLC | 1010 Glenbrook Way, Hendersonville, TN 37075-1230 |
| Kevin Johnson | Optometry | Johnson I-care, LLC | 1024 Glenbrook Way, Hendersonville, TN 37075-1230 |
| Salimah N Jones | Nurse Practitioner | The Little Clinic of Tennessee LLC | 1010 Glenbrook Way, Hendersonville, TN 37075-1230 |
| Brittany Radtke | Nurse Practitioner | The Little Clinic of Tennessee LLC | 1010 Glenbrook Way, Hendersonville, TN 37075-1230 |
| Heather Marie Wood | Nurse Practitioner | The Little Clinic of Tennessee LLC | 1010 Glenbrook Way, Hendersonville, TN 37075-1230 |
| Thomas J Frye | Optometry | Johnson I-care, LLC | 1024 Glenbrook Way, Hendersonville, TN 37075-1230 |
| Rachel Christine Frazier | Nurse Practitioner | Ken Homolya Md LLC | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075-1602 |
| Ashley E Nutt | Nurse Practitioner | Ken Homolya Md LLC | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075-1602 |
| Find all physicians in zip 37075 | |||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HENDERSONVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Timothy E O Leary.
| 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.