Crystal L Mitchell (NPI# 1053875724, PAC ID# 9739421470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053875724 |
| PAC ID by PECOS | 9739421470 |
| Professional Enrollment ID | I20190430001622 |
| Full Name | Crystal L Mitchell |
| Organization Legal Name | SOUTHEASTERN EMERGENCY SERVICES P C |
| Address |
2501 Kentucky Ave Paducah KY 42003-3813 |
| Phone Number | 2705752100 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204730195 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180104 | BAPTIST HEALTH PADUCAH |
| Address | Phone | Organization |
|---|---|---|
| 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2705752100 | SOUTHEASTERN EMERGENCY SERVICES P C |
| 2501 Kentucky Ave, Fl 5, Paducah, KY 42003-3813 | 2705752598 | PHYSICIANS UNITY |
| Organization Legal Name | SOUTHEASTERN EMERGENCY SERVICES P C |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela H Stang | Nurse Practitioner | Southeastern Emergency Services P C | 225 Falcon Dr, Mount Sterling, KY 40353-9792 |
| Ashlie Camp | Nurse Practitioner | Southeastern Emergency Services P C | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9600 |
| Katherine Louise Nauert | Nurse Practitioner | Southeastern Emergency Services P C | 4305 New Shepherdsville, Bardstown, KY 40004-9019 |
| Donna S Sandlin | Nurse Practitioner | Southeastern Emergency Services P C | 210 Marie Langdon Dr, Manchester, KY 40962-6388 |
| Julie A Poore | Nurse Practitioner | Southeastern Emergency Services P C | 1 Trillium Way, Corbin, KY 40701-8420 |
| Brian H Gaskins | Nurse Practitioner | Southeastern Emergency Services P C | 305 Langdon St, Somerset, KY 42503-2750 |
| Brent Rush | Nurse Practitioner | Southeastern Emergency Services P C | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 |
| Edith C Hensley | Nurse Practitioner | Southeastern Emergency Services P C | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 |
| Timothy M Pruitt | Nurse Practitioner | Southeastern Emergency Services P C | 2100 N 7th St, West Memphis, AR 72301-2017 |
| Angela M Coates | Nurse Practitioner | Southeastern Emergency Services P C | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Street Address |
2501 KENTUCKY AVE |
| City | PADUCAH |
| State | KY |
| Zip | 42003-3813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick C Finney | Internal Medicine | Southeastern Physician Services PC | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Winston C Chua | Hematology/oncology | Baptist Health Medical Group Inc | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Michael Redd | Certified Registered Nurse Anesthetist (crna) | Apex Anesthesia Partners Pllc | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Bradley Mcelroy | Cardiovascular Disease (cardiology) | Baptist Health Medical Group Inc | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Daniel M Riherd | Diagnostic Radiology | Radiology Group of Paducah Psc | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Muhammed S Anwer | Diagnostic Radiology | Radiology Group of Paducah Psc | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Francis J Dillard | Certified Registered Nurse Anesthetist (crna) | Apex Anesthesia Partners Pllc | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Carl Johnson | Thoracic Surgery | Baptist Health Medical Group Inc | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Adrian G Thodoropoulos | Certified Registered Nurse Anesthetist (crna) | Apex Anesthesia Partners Pllc | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Adam S David | Certified Registered Nurse Anesthetist (crna) | Apex Anesthesia Partners Pllc | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Stankewicz | Cardiovascular Disease (cardiology) | Saint Thomas Medical Partners | 2601 Kentucky Dr, Doctors Building 1 Suite 301, Paducah, KY 42003 |
| Mark Zenker | Cardiovascular Disease (cardiology) | Saint Thomas Medical Partners | 2601 Kentucky Dr, Doctors Building 1 Suite 301, Paducah, KY 42003 |
| James H Baker Ii | Cardiovascular Disease (cardiology) | Saint Thomas Medical Partners | 2601 Kentucky Dr, Doctors Building 1 Suite 301, Paducah, KY 42003 |
| Steven D Gamblin | Optometry | 3215 Irvin Cobb Dr, Suite 100, Paducah, KY 42003-0339 | |
| Heath D Schipp | Chiropractic | 3240 Lone Oak Rd C, Paducah, KY 42003-0370 | |
| Travis Wade Kahre | Chiropractic | 3333 Irvin Cobb Dr, Suite 104, Paducah, KY 42003-0526 | |
| Monty C Heisner | Chiropractic | 5649 Benton Rd, Paducah, KY 42003-1003 | |
| David Stewart Chalke | Chiropractic | Chalke Chiropractic Psc | 412 Adams St, Paducah, KY 42003-1537 |
| Stephen Montgomery Stivers | Podiatry | 2000 Kentucky Ave, Paducah, KY 42003-3202 | |
| Theresa Kay Clifton | Clinical Social Worker | 2204 Kentucky Ave, Paducah, KY 42003-3242 | |
| Find all physicians in zip 42003 | |||
| City | PADUCAH |
| Zip Code | 42003 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PADUCAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Crystal L Mitchell.
| 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.