Sullivan County Community Hospital
A Medicare group practice based in Sullivan, IN: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 2466497482), with 49 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2466497482
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Hospital Department(S)
- Enrolled in
- IN
- Enrollments
- 8
- Group size
- 44 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 19
Enrollment records 8
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20061104000528 | IN | Part A Provider - Critical Access Hospital | 1497759260 |
| O20070817000379 | IN | Part B Supplier - Clinic/Group Practice | 1497759260 |
| O20071113000516 | IN | Part A Provider - Critical Access Hospital | 1497759260 |
| O20250612000721 | IN | Part B Supplier - Clinic/Group Practice | 1487450698 |
| O20190814000505 | IN | Part A Provider - Rural Health Clinic | 1447805965 |
| O20200117000707 | IN | Part B Supplier - Hospital Department(S) | 1447805965 |
| O20200831000591 | IN | Part B Supplier - Clinic/Group Practice | 1497363303 |
| O20200414001364 | IN | Part B Supplier - Clinic/Group Practice | 1366076564 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Sullivan County Community Hospital
- Clinic/Center
- Terre Haute, IN
- NPI 1366076564
-
Sullivan County Community Hospital
- Rural Health Clinic/Center
- Sullivan, IN
- NPI 1447805965
-
Sullivan County Community Hospital
- Critical Access Hospital Clinic/Center
- Sullivan, IN
- NPI 1487450698
-
Sullivan County Community Hospital
- Clinic/Center
- Sullivan, IN
- NPI 1497363303
-
Sullivan County Community Hospital
- Critical Access Hospital
- Sullivan, IN
- NPI 1497759260
Practice locations
- Sullivan, IN17
- Dugger, IN1
- Terre Haute, IN1
Clinicians 49
Clinicians who reassign their Medicare benefits to this group (49) or whom Care Compare lists as members (44).
-
Sharif Reda Abdelfattah, DPM
- Foot & Ankle Surgery Podiatrist
- Sullivan, IN
- NPI 1639605637
-
Shan Joseph Antony, MD
- Family Medicine Physician
- Sullivan, IN
- NPI 1093444382
-
Shahid Bashir, M.D.
- Pulmonary Disease Physician
- Sullivan, IN
- NPI 1982751244
-
Morgan Beard
- Family Nurse Practitioner
- Sullivan, IN
- NPI 1093509671
-
Paul Matt Boland, FNP-C
- Family Nurse Practitioner
- Terre Haute, IN
- NPI 1467921833
-
Daniel Choyce Callahan, MD
- Pain Medicine (Psychiatry & Neurology) Physician
- Sullivan, IN
- NPI 1255580593
-
Alexandria Clements, DO
- Family Medicine Physician
- Sullivan, IN
- NPI 1417585837
-
John M Conner, MD
- Orthopaedic Surgery Physician
- New Albany, IN
- NPI 1184798142
-
Carl F. Conwell, MD
- Family Medicine Physician
- Sullivan, IN
- NPI 1952304123
-
Robert Ealy, APRN
- Family Nurse Practitioner
- Sullivan, IN
- NPI 1720664048
-
Dustin Clay Ellis, M.D.
- Family Medicine Physician
- Sullivan, IN
- NPI 1962658989
-
Kevin Braun Flinn, NP
- Nurse Practitioner
- Sullivan, IN
- NPI 1558019505
-
Destiny Nicole Goldner, MS, LMHC-A
- Mental Health Counselor
- Sullivan, IN
- NPI 1619665767
-
Spencer Greenwood, CRNA
- Certified Registered Nurse Anesthetist
- Terre Haute, IN
- NPI 1790275766
-
William Eric Heath, MD
- Family Medicine Physician
- Sullivan, IN
- NPI 1942203104
-
Jennifer Ashley Gooch Holmes, FNP-C
- Family Nurse Practitioner
- Terre Haute, IN
- NPI 1114574191
-
Omar David Hussamy, M.D.
- Orthopaedic Surgery Physician
- Vero Beach, FL
- NPI 1376594069
-
Robert Franklin Jackson II, D.O.
- Orthopaedic Surgery Physician
- Fort Wayne, IN
- NPI 1982654828
-
Randon Charles Johnson, M.D.
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1861611816
-
Salman Kazim, M.D.
- Psychiatry Physician
- Spokane, WA
- NPI 1154437457
-
Kayla Marie Kellams, MSN,FNP-C
- Family Nurse Practitioner
- Carlisle, IN
- NPI 1730813015
-
Brigh Lachele Klitz, LMHC
- Mental Health Counselor
- Sullivan, IN
- NPI 1083441968
-
Dane Michael Lee, CRNA
- Certified Registered Nurse Anesthetist
- Linton, IN
- NPI 1780874388
-
Jeanna Rennee Lisman, APN
- Family Nurse Practitioner
- Sullivan, IN
- NPI 1073042131
-
Elliott Emile McGregory, CRNA
- Certified Registered Nurse Anesthetist
- Terre Haute, IN
- NPI 1265439285
-
Patricia Miller-Canfield, M.D.
- Addiction Medicine (Preventive Medicine) Physician
- Bloomfield, IN
- NPI 1467427500
-
Paul Nosa-Oviasu
- Family Medicine Physician
- Sullivan, IN
- NPI 1740662063
-
Kilby P Osborn IV, MD
- Family Medicine Physician
- New Smyrna Beach, FL
- NPI 1205350808
-
Kathleen Pirtle, FNP
- Nurse Practitioner
- Sullivan, IN
- NPI 1770823387
-
Kacey Dawn Poe, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Terre Haute, IN
- NPI 1740904002
-
Melissa L Reintjes, NP-C
- Nurse Practitioner
- Odon, IN
- NPI 1265769319
-
Kaylee May Retseck
- Psychiatric/Mental Health Nurse Practitioner
- Sullivan, IN
- NPI 1811623317
-
Blake Erin Roseberry, FNP-BC
- Nurse Practitioner
- Terre Haute, IN
- NPI 1932810751
-
Carolyn Louise Seifert, MD
- Psychiatry Physician
- Hannibal, MO
- NPI 1720011869
-
Angela M Shaw, NP
- Nurse Practitioner
- Terre Haute, IN
- NPI 1639730013
-
Gloria Ann Shields, NP
- Family Nurse Practitioner
- Linton, IN
- NPI 1508324187
-
Tabitha Dee Simpson
- Family Nurse Practitioner
- Sullivan, IN
- NPI 1962584375
-
Scott L Slivka, MD
- Orthopaedic Surgery Physician
- North Vernon, IN
- NPI 1457391021
-
Stacey L Smith, FNP
- Nurse Practitioner
- Sullivan, IN
- NPI 1912947169
-
Amy Nicole Sparks, FNP-C
- Family Nurse Practitioner
- Sullivan, IN
- NPI 1578344750
-
Hallie Talpas, FNP
- Family Nurse Practitioner
- Terre Haute, IN
- NPI 1770176406
-
Billie J Thurman, N.P.
- Nurse Practitioner
- Sullivan, IN
- NPI 1285892794
-
Tiffany L Turner, FNP-C
- Family Nurse Practitioner
- Lafayette, IN
- NPI 1841521630
-
Debra A Vincent, NP
- Nurse Practitioner
- Clinton, IN
- NPI 1053545418
-
Tammy Lynn Walker
- Family Nurse Practitioner
- Carlisle, IN
- NPI 1124808803
-
Angela D Walters, FNP-C
- General Practice Physician
- Sullivan, IN
- NPI 1407674195
-
James Westmoreland, MD PA
- Orthopaedic Surgery Physician
- Conroe, TX
- NPI 1104818897
-
Jason A Whitman, CRNA
- Certified Registered Nurse Anesthetist
- Terre Haute, IN
- NPI 1619106499
-
Oscar Mora Zavala, CRNA
- Certified Registered Nurse Anesthetist
- Terre Haute, IN
- NPI 1811355316
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.