Amy Lee Manning (NPI# 1366996886, PAC ID# 9931481702) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1366996886 |
PAC ID by PECOS | 9931481702 |
Professional Enrollment ID | I20170131002448 |
Full Name | Amy Lee Manning |
Organization Legal Name | BIG SPRINGS MEDICAL ASSOCIATION |
Address |
61 Hwy Y Ellington MO 63638-7802 |
Phone Number | 5736632525 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6709871007 |
Number of Group Practice Members | 24 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260119 | POPLAR BLUFF REGIONAL MEDICAL CENTER |
261336 | IRON COUNTY HOSPITAL |
Address | Phone | Organization |
---|---|---|
61 Hwy Y, Ellington, MO 63638-7802 | 5736632525 | BIG SPRINGS MEDICAL ASSOCIATION |
Organization Legal Name | BIG SPRINGS MEDICAL ASSOCIATION |
Physicians | 23 |
Name | Specialty | Organization | Address |
---|---|---|---|
Loretta Baker-montgomery | Clinical Social Worker | Big Springs Medical Association | 110 S 2nd St, Ellington, MO 63638-9400 |
Terra Renee Graves | Clinical Social Worker | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
Jamie Murray | Nurse Practitioner | Big Springs Medical Association | 315 W Mulberry B, Pilot Knob, MO 63663 |
Rebecca Ann Compton | Nurse Practitioner | Big Springs Medical Association | 405 Main St, Van Buren, MO 63965 |
Adam Khan Kakar | General Practice | Big Springs Medical Association | 18 Viburnum Ctr Rd, Viburnum, MO 65566-7802 |
Marsha D Shivley | Nurse Practitioner | Big Springs Medical Association | 220 E Broad St, Naylor Medical Clinic, Naylor, MO 63953-0038 |
Michael Moore | Family Medicine | Big Springs Medical Association | 202 N Allen St, Annapolis, MO 63620-8778 |
Amber W Richardson | Psychologist, Clinical | Big Springs Medical Association | 225 Physicians Park, Suite 303, Poplar Bluff, MO 63901-3930 |
Michelle E Burnham | Nurse Practitioner | Big Springs Medical Association | 220 E Broad St, Naylor Medical Clinic, Naylor, MO 63953-0038 |
Joseph C.f. Camire | Family Medicine | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
Street Address |
61 HWY Y |
City | ELLINGTON |
State | MO |
Zip | 63638-7802 |
Name | Specialty | Organization | Address |
---|---|---|---|
Terra Renee Graves | Clinical Social Worker | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
Joseph C.f. Camire | Family Medicine | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
Judith A Medley | Nurse Practitioner | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
Susan Marie Norris | Nurse Practitioner | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
John Mccormack | General Practice | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
Tammy J Lindsay | Family Medicine | Big Springs Medical Association | 61 Hwy Y, Ellington, MO 63638-7802 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tasha L Wisdom | Clinical Social Worker | Family Counseling Center Inc | 315 E Walnut St, Ellington, MO 63638-7943 |
Loretta Baker-montgomery | Clinical Social Worker | Big Springs Medical Association | 110 S 2nd St, Ellington, MO 63638-9400 |
City | ELLINGTON |
Zip Code | 63638 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ELLINGTON + 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.