Amy L Black (NPI# 1033424148, PAC ID# 9739374802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1033424148 |
| PAC ID by PECOS | 9739374802 |
| Professional Enrollment ID | I20101115000819 |
| Full Name | Amy L Black |
| Organization Legal Name | HOPEWELL HEALTH CENTERS INC |
| Address |
30381 Chieftain Dr Logan OH 43138-9092 |
| Phone Number | 7403852555 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234049990 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361330 | HOCKING VALLEY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 90 Hospital Dr, Athens, OH 45701-2301 | 7405923091 | HOPEWELL HEALTH CENTERS INC |
| 1049 Western Ave, Chillicothe, OH 45601-1104 | 7407734366 | HOPEWELL HEALTH CENTERS INC |
| 30381 Chieftain Dr, Logan, OH 43138-9092 | 7403852555 | HOPEWELL HEALTH CENTERS INC |
| Organization Legal Name | HOPEWELL HEALTH CENTERS INC |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy Starlin | Clinical Social Worker | Hopewell Health Centers Inc | 1049 Western Ave, Chillicothe, OH 45601-1104 |
| Brett M Wilson | Nurse Practitioner | Hopewell Health Centers Inc | 541 State Route 664 N, Suite C, Logan, OH 43138-8541 |
| Mark Fletcher Mcgee | Psychiatry | Hopewell Health Centers Inc | 90 Hospital Dr, Athens, OH 45701-2301 |
| Martin Hammar | Clinical Social Worker | Hopewell Health Centers Inc | 90 Hospital Dr, Athens, OH 45701-2301 |
| Leeann Nicole Reed | Physician Assistant | Hopewell Health Centers Inc | 90 Hospital Dr, Athens, OH 45701-2301 |
| Andrew J Boyd | Family Medicine | Hopewell Health Centers Inc | 1049 Western Ave, Chillicothe, OH 45601-1104 |
| Christi Roush | Nurse Practitioner | Hopewell Health Centers Inc | 1049 Western Ave, Chillicothe, OH 45601-1104 |
| David Moore | Family Medicine | Hopewell Health Centers Inc | 90 Hospital Dr, Athens, OH 45701-2301 |
| Lue Barnett | Clinical Social Worker | Hopewell Health Centers Inc | 1049 Western Ave, Chillicothe, OH 45601-1104 |
| Bethany Ann Jagers | Nurse Practitioner | Hopewell Health Centers Inc | 30381 Chieftain Dr, Logan, OH 43138-9092 |
| Street Address |
30381 CHIEFTAIN DR |
| City | LOGAN |
| State | OH |
| Zip | 43138-9092 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bethany Ann Jagers | Nurse Practitioner | Hopewell Health Centers Inc | 30381 Chieftain Dr, Logan, OH 43138-9092 |
| Laurel Ann Danes-webb | Nurse Practitioner | Hopewell Health Centers Inc | 30381 Chieftain Dr, Logan, OH 43138-9092 |
| Shivaprakash T Kudlapur | Internal Medicine | Hopewell Health Centers Inc | 30381 Chieftain Dr, Logan, OH 43138-9092 |
| Douglas B Carr | Family Medicine | Hopewell Health Centers Inc | 30381 Chieftain Dr, Logan, OH 43138-9092 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie Ann Burgie | Nurse Practitioner | 1220 W Hunter St, Logan, OH 43138-1012 | |
| Charles R Keller | Family Medicine | Hocking Valley Medical Group, Inc. | 1383 W Hunter St, Logan, OH 43138-1013 |
| Tarek M Aziz | Psychiatry | Hocking Valley Medical Group, Inc. | 1389 W Hunter St, Logan, OH 43138-1013 |
| Pramoda Fatehchand | Physician Assistant | Hocking Valley Medical Group, Inc. | 1383 W Hunter St, Logan, OH 43138-1013 |
| Kimberly N Gregg-cornell | Physical Therapy | First Settlement Physical Therapy | 655 W Hunter St, Logan, OH 43138-1108 |
| Scott J Anzalone | Family Medicine | 225 E Main St, Logan, OH 43138-1305 | |
| Paula Jayne Fortner | Nurse Practitioner | 225 E Main St, Logan, OH 43138-1305 | |
| John D Dewalt | Vascular Surgery | 144 E Main St, Logan, OH 43138-1328 | |
| Keith Allen Taulbee | Chiropractic | 75 W 2nd St, Logan, OH 43138-1886 | |
| Amanda Downs Davis | Nurse Practitioner | Hocking Valley Medical Group, Inc. | 819 State Route 664 N, Logan, OH 43138-8540 |
| Find all physicians in zip 43138 | |||
| City | LOGAN |
| Zip Code | 43138 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOGAN + NURSE PRACTITIONER |
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| 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.