Itoro Bassey Edet Daniels (NPI# 1508202995, PAC ID# 9931471232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508202995 |
| PAC ID by PECOS | 9931471232 |
| Professional Enrollment ID | I20181106003100 |
| Full Name | Itoro Bassey Edet Daniels |
| Organization Legal Name | TENDERCARE CLINIC INC. |
| Address |
803 S Main St Greensboro GA 30642-1211 |
| Phone Number | 7064531201 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0446232268 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111329 | ST. MARY'S GOOD SAMARITAN HOSPITAL |
| 111313 | PUTNAM GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1040 Park Dr, Greensboro, GA 30642-3466 | 7065346640 | TENDERCARE CLINIC INC. |
| 803 S Main St, Greensboro, GA 30642-1211 | 7064531201 | TENDERCARE CLINIC INC. |
| Organization Legal Name | TENDERCARE CLINIC INC. |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth L Coe | Family Medicine | Tendercare Clinic Inc. | 1040 Park Dr, Greensboro, GA 30642-3466 |
| Victoria L. Albanese | Clinical Social Worker | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Andrew Alexander Ke | Hospitalist | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Craig B Colby | Family Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Brandon Taylor | Internal Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Dave A Ringer | Family Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Peter Lavine | Cardiovascular Disease (cardiology) | Tendercare Clinic Inc. | 1040 Park Dr, Greensboro, GA 30642-3466 |
| Nathan Charles Wade | Nurse Practitioner | Tendercare Clinic Inc. | 111 Fieldstone Dr, Milledgeville, GA 31061-7108 |
| Peggy D Edmonds | Nurse Practitioner | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Donna Amanda Kauffman | Nurse Practitioner | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Street Address |
803 S MAIN ST |
| City | GREENSBORO |
| State | GA |
| Zip | 30642-1211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Rice | Family Medicine | Community Health Association of Spokane | 803 S Main St, Suite 120, Moscow, ID 83843-3043 |
| Shannon N Snyder | Nurse Practitioner | Community Health Association of Spokane | 803 S Main St, Suite 120, Moscow, ID 83843-3043 |
| Victoria L. Albanese | Clinical Social Worker | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Andrew Alexander Ke | Hospitalist | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Barry J Winkler | Chiropractic | 803 S Main St, Aberdeen, SD 57401-6018 | |
| Dan J Schmidt | Family Medicine | Community Health Association of Spokane | 803 S Main St, Suite 120, Moscow, ID 83843-3043 |
| Craig B Colby | Family Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Brandon Taylor | Internal Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Jillene Amow | Nurse Practitioner | Community Health Association of Spokane | 803 S Main St, Suite 120, Moscow, ID 83843-3043 |
| Dave A Ringer | Family Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peggy D Edmonds | Nurse Practitioner | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Donna Amanda Kauffman | Nurse Practitioner | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Robert T Perry | Physician Assistant | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| James E Southerland | General Practice | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Missy Leigh Jackson | Nurse Practitioner | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Carol Marsden | Nurse Practitioner | Greene County Health Department | 1031 Apalachee Ave, Greensboro, GA 30642-2710 |
| Mark O Bernardy | Diagnostic Radiology | 1201 Siloam Rd, Greensboro, GA 30642-2811 | |
| Perry K Lee | Optometry | Perry K Lee Od PC | 1051 A Park Dr, Greensboro, GA 30642-3465 |
| Susan Lee | Optometry | Perry K Lee Od PC | 1051 A Park Dr, Greensboro, GA 30642-3465 |
| Elizabeth L Coe | Family Medicine | Tendercare Clinic Inc. | 1040 Park Dr, Greensboro, GA 30642-3466 |
| Find all physicians in zip 30642 | |||
| City | GREENSBORO |
| Zip Code | 30642 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GREENSBORO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Itoro Bassey Edet Daniels.
| 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.