Zewdu Lissanu (NPI# 1770556235, PAC ID# 9931178357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1770556235 |
| PAC ID by PECOS | 9931178357 |
| Professional Enrollment ID | I20041001000069 |
| Full Name | Zewdu Lissanu |
| Organization Legal Name | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| Address |
125 Greenbriar Dr Campbellsville KY 42718-9616 |
| Phone Number | 2707899999 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 4880616622 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180087 | TAYLOR REGIONAL HOSPITAL |
| 180024 | SPRING VIEW HOSPITAL |
| 181330 | RUSSELL COUNTY HOSPITAL |
| 180149 | TJ HEALTH COLUMBIA |
| 181325 | JANE TODD CRAWFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 125 Greenbriar Dr, Campbellsville, KY 42718-9616 | 2707899999 | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| Organization Legal Name | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith Angel | Urology | Taylor Regional Medical Group, LLC | 1698 Old Lebanon Rd, 3b, Campbellsville, KY 42718-9662 |
| Meredith H Gilpin | Physician Assistant | Taylor Regional Medical Group, LLC | 325 W Walnut St, Lebanon, KY 40033-1382 |
| Courtney R Bowling | Nurse Practitioner | Taylor Regional Medical Group, LLC | 73 Kingswood Dr, Campbellsville, KY 42718-9604 |
| Ashley P Turner | Physician Assistant | Taylor Regional Medical Group, LLC | 125 Greenbriar Dr, Campbellsville, KY 42718-9616 |
| Jason Alan Wright | Nurse Practitioner | Taylor Regional Medical Group, LLC | 325 N Walnut St, Lebanon, KY 40033-1377 |
| Leslie D Simmons | Nurse Practitioner | Taylor Regional Medical Group, LLC | 105 Greenbriar Dr, Suite B, Campbellsville, KY 42718-9617 |
| Diane L Thiery | Nurse Practitioner | Taylor Regional Medical Group, LLC | 127 Kingswood Dr, Campbellsville, KY 42718-9634 |
| Eugene H Shively | General Surgery | Taylor Regional Medical Group, LLC | 522 N Hoskins Ave, Campbellsville, KY 42718-2117 |
| Jacquelyn Marie Brendel | Nurse Practitioner | Taylor Regional Medical Group, LLC | 67 Kingswood Dr, Campbellsville, KY 42718-9647 |
| Dennis Scott Wooley | Nurse Practitioner | Taylor Regional Medical Group, LLC | 95 Kingswood Dr, Campbellsville, KY 42718-9604 |
| Street Address |
125 GREENBRIAR DR |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip | 42718-9616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley P Turner | Physician Assistant | Taylor Regional Medical Group, LLC | 125 Greenbriar Dr, Campbellsville, KY 42718-9616 |
| Catherine A Feese | Obstetrics/gynecology | Taylor Regional Medical Group, LLC | 125 Greenbriar Dr, Campbellsville, KY 42718-9616 |
| Peter B Hardin | Radiation Oncology | 125 Greenbriar Dr, Campbellsville, KY 42718-9616 | |
| James M Watkins | General Surgery | Taylor Regional Medical Group, LLC | 125 Greenbriar Dr, Campbellsville, KY 42718-9616 |
| Christopher T Doolin | Nurse Practitioner | Taylor Regional Medical Group, LLC | 125 Greenbriar Dr, Campbellsville, KY 42718-9616 |
| Andrea L Skaggs | Family Medicine | Taylor Regional Medical Group, LLC | 125 Greenbriar Dr, Campbellsville, KY 42718-9616 |
| Linda Jewell Hathaway | Radiation Oncology | Taylor Regional Radiation Oncology Pllc | 125 Greenbriar Dr, Campbellsville, KY 42718-9616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellee D Frogge | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
| Summer Raye Tucker | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
| Vicki Lou Van Cleave | Psychologist, Clinical | 112 Roberts Rd, Suite 1, Campbellsville, KY 42718-1593 | |
| Abrielle D Conway | Clinical Psychologist | 112 Roberts Rd, Unit 1, Campbellsville, KY 42718-1593 | |
| Lora D Sztendera | Family Medicine | 407 E 1st St, Campbellsville, KY 42718-1836 | |
| Raymond A Roberts | Chiropractic | 108 Lebanon Ave, Campbellsville, KY 42718-1839 | |
| Eugene H Shively | General Surgery | Taylor Regional Medical Group, LLC | 522 N Hoskins Ave, Campbellsville, KY 42718-2117 |
| Deborah K Gabbert | Qualified Speech Language Pathologist | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
| Kyle B Salsbury | Physical Therapy | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
| Mark A Risen | Podiatry | 1003 Old Greensburg Rd, Campbellsville, KY 42718-2571 | |
| Find all physicians in zip 42718 | |||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | CAMPBELLSVILLE + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Zewdu Lissanu.
| 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.