Parrisa Bauker Rupe (NPI# 1326486572, PAC ID# 9739313107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1326486572 |
| PAC ID by PECOS | 9739313107 |
| Professional Enrollment ID | I20131018000610 |
| Full Name | Parrisa Bauker Rupe |
| Organization Legal Name | WYTHE COUNTY PHYSICIAN PRACTICES LLC |
| Address |
791 Fort Chiswell Rd Suite A Max Meadows VA 24360-4139 |
| Phone Number | 2762270460 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7517972789 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490111 | WYTHE COUNTY COMMUNITY HOSPITAL |
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 | 2762270460 | WYTHE COUNTY PHYSICIAN PRACTICES LLC |
| 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2762280200 | WYTHE COUNTY PHYSICIAN PRACTICES LLC |
| Organization Legal Name | WYTHE COUNTY PHYSICIAN PRACTICES LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annabelle Lee Pannell | Nurse Practitioner | Wythe County Physician Practices LLC | 245 Holston Rd, Suite B, Wytheville, VA 24382-4486 |
| Erin Elizabeth Justice | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Christopher G Palmer | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Joseph Terry | Obstetrics/gynecology | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
| Paul J Roberto | Urology | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Catherine D Harrington | Nurse Practitioner | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
| Scotty G Dove | Family Medicine | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
| Norman Paul Morin Ii | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Gwendolyn F Sechrest | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Derek C Gardner | Urology | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Street Address |
791 FORT CHISWELL RD SUITE A |
| City | MAX MEADOWS |
| State | VA |
| Zip | 24360-4139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Terry | Obstetrics/gynecology | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
| Catherine D Harrington | Nurse Practitioner | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
| Scotty G Dove | Family Medicine | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Williams | Family Practice | Family Medicine of Our Mountains PC | 245 Fort Chiswell Rd, Suite D, Max Meadows, VA 24360-3987 |
| City | MAX MEADOWS |
| Zip Code | 24360 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MAX MEADOWS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Parrisa Bauker Rupe.
| 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.