Timothy M Pruitt (NPI# 1295738706, PAC ID# 9931131943) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295738706 |
| PAC ID by PECOS | 9931131943 |
| Professional Enrollment ID | I20050912000344 |
| Full Name | Timothy M Pruitt |
| Organization Legal Name | SOUTHEASTERN EMERGENCY SERVICES P C |
| Address |
2100 N 7th St West Memphis AR 72301-2017 |
| Phone Number | 8703947800 |
| Gender | M |
| Credential | NP |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204730195 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2100 N 7th St, West Memphis, AR 72301-2017 | 8703947800 | SOUTHEASTERN EMERGENCY SERVICES P C |
| 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 |
| Crystal L Mitchell | Nurse Practitioner | Southeastern Emergency Services P C | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| 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 |
| Angela M Coates | Nurse Practitioner | Southeastern Emergency Services P C | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Street Address |
2100 N 7TH ST |
| City | WEST MEMPHIS |
| State | AR |
| Zip | 72301-2017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sohail A Minhas | Hematology/oncology | 2100 N 7th St, West Memphis, AR 72301-2017 | |
| Goda Damera | Internal Medicine | Southeastern Intensivist Services PC | 2100 N 7th St, Baptist Memorial Hospital, West Memphis, AR 72301-2017 |
| Praveen C. Kanneganti | Internal Medicine | Southeastern Intensivist Services PC | 2100 N 7th St, Baptist Memorial Hospital, West Memphis, AR 72301-2017 |
| William G Byrd | Emergency Medicine | Southeastern Emergency Physicians LLC | 2100 N 7th St, West Memphis, AR 72301-2017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glen E Bryant Jr. | Ophthalmology | 303 W Polk St, West Memphis, AR 72301 | |
| Mary E Tolleson | Physical Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Candace M Wright | Physical Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Kevin Holt | Physical Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Kelly M Key | Physical Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Beverly Anne Vaughn | Occupational Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Sharon B Goode | Speech Language Pathologist | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Oscar Ramos | Optometry | 798 W Service Rd, West Memphis, AR 72301-1727 | |
| Lydia Margarita Makapugay | Pathology | Poplar Healthcare Pllc | 260 Shoppingway Blvd, Suite 7, West Memphis, AR 72301-1736 |
| Devonda Yvonne Reimonenq | Clinical Social Worker | 310 Mid Continent Plz, Suite 400, West Memphis, AR 72301-1760 | |
| Find all physicians in zip 72301 | |||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST MEMPHIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Timothy M Pruitt.
| 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.