Ursula Treadaway, PA-C
Ursula Treadaway, PA-C is a Physician Assistant in Kodak, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2011, 15 years ago. Accepts Medicare assignment.
- Years since qualifying
- 15
- Trained at
- Lincoln Memorial University Medical Department
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
3609 Outdoor Sportsman Pl Ste 7Kodak, TN 37764-1477
Phone: (652) 815-9228
Fax: (865) 766-5396
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X |
Record details
| NPI number | 1104364918 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | February 1, 2017 |
| Last updated in NPPES | December 11, 2019 |
| Certification date | December 11, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduated | 2011 (15 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |