Charles O Famoyin (NPI# 1003807355, PAC ID# 9739173980) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1003807355 |
| PAC ID by PECOS | 9739173980 |
| Professional Enrollment ID | I20070614000122 |
| Full Name | Charles O Famoyin |
| Organization Legal Name | QUALITY OF LIFE HEALTHCARE INC |
| Address |
302 Wesley St Suite 3 Johnson City TN 37601-1741 |
| Phone Number | 4232820561 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1992 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 1759532351 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440063 | JOHNSON CITY MEDICAL CENTER |
| 440018 | SYCAMORE SHOALS HOSPITAL |
| 441304 | JOHNSON COUNTY COMMUNITY HOSPITAL |
| 440001 | UNICOI COUNTY MEMORIAL HOSPITAL |
| 440184 | FRANKLIN WOODS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 302 Wesley St, Suite 3, Johnson City, TN 37601-1741 | 4232820561 | QUALITY OF LIFE HEALTHCARE INC |
| Organization Legal Name | QUALITY OF LIFE HEALTHCARE INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taren A Keebler | Nurse Practitioner | Quality of Life Healthcare Inc | 302 Wesley St, Suite 3, Johnson City, TN 37601-1741 |
| Jordan M Emmert | Nurse Practitioner | Quality of Life Healthcare Inc | 302 Wesley St, Suite 3, Johnson City, TN 37601-1741 |
| Street Address |
302 WESLEY ST SUITE 3 |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37601-1741 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Hammons | Nurse Practitioner | 302 Wesley St, Suite 3, Johnson City, TN 37601-1741 | |
| Taren A Keebler | Nurse Practitioner | Quality of Life Healthcare Inc | 302 Wesley St, Suite 3, Johnson City, TN 37601-1741 |
| Jordan M Emmert | Nurse Practitioner | Quality of Life Healthcare Inc | 302 Wesley St, Suite 3, Johnson City, TN 37601-1741 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Schwichtenberg | Optometry | 2829 E Oakland Av, Suite 1, Johnson City, TN 37601 | |
| Robert W Lawson | Emergency Medicine | 4100 N Roan St, Suite 3, Johnson City, TN 37601-1103 | |
| Kimberly A Costello | Physical Therapy | Blue Ridge Physical Therapy, Inc. | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403 |
| Lisa L Fahn | Physical Therapy | Blue Ridge Physical Therapy, Inc. | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403 |
| Heather Beaudry | Psychologist, Clinical | 3119 Bristol Hwy, Suite 304, Johnson City, TN 37601-1556 | |
| Philip A Hillman | Chiropractic | 3119 Bristol Hwy, Suite 110, Johnson City, TN 37601-1563 | |
| Elaine L Devos | Physical Medicine and Rehabilitation | 2511 Wesley St, Johnson City, TN 37601-1723 | |
| Joseph K Neumann | Psychologist, Clinical | Robert E Roth Psyd | 2511 Wesley St, Johnson City, TN 37601-1723 |
| Amy S Clark | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 2511 Wesley St, Johnson City, TN 37601-1723 |
| Robert E Roth | Psychologist, Clinical | Robert E Roth Psyd | 2511 Wesley St, Johnson City, TN 37601-1723 |
| Find all physicians in zip 37601 | |||
| City | JOHNSON CITY |
| Zip Code | 37601 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | JOHNSON CITY + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Charles O Famoyin.
| 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.