| Parkview Specialty Clinic | |
|
4002 S Loop 256 Palestine TX 75801-8491 | |
| (903) 731-5030 | |
| Not Available |
| Full Name | Parkview Specialty Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 4002 S Loop 256, Palestine, Texas |
| Authorized Official Name and Position | Kathy Teague (VICE PRESIDENT, CORPORATE SECRETARY) |
| Authorized Official Contact | 6292535121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkview Specialty Clinic 4002 S Loop 256 Ste A Palestine TX 75801-8492 Ph: (037) 315-4429 | Parkview Specialty Clinic 4002 S Loop 256 Palestine TX 75801-8491 Ph: (903) 731-5030 |
| NPI Number | 1558521179 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Medicare PECOS PAC ID | 6305901927 |
|---|---|
| Medicare Enrollment ID | O20090216000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558521179 | NPI | - | NPPES |
| Provider Name | Anita Cave Deanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295865616 PECOS PAC ID: 9335048438 Enrollment ID: I20040107000910 |
| Provider Name | Linda R Neely Shelmire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205052933 PECOS PAC ID: 9335035492 Enrollment ID: I20040225000622 |
| Provider Name | Craig S Yetter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164436168 PECOS PAC ID: 5991785784 Enrollment ID: I20040722000562 |
| Provider Name | Nhue A Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568411924 PECOS PAC ID: 7810963741 Enrollment ID: I20040902000608 |
| Provider Name | Russell C Packard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881686392 PECOS PAC ID: 0143270876 Enrollment ID: I20050201000114 |
| Provider Name | Alice M Castleberry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881780419 PECOS PAC ID: 2466405824 Enrollment ID: I20050225000024 |
| Provider Name | Thomas A Salzer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558315739 PECOS PAC ID: 2062473259 Enrollment ID: I20050906001064 |
| Provider Name | George M Kingsley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104819556 PECOS PAC ID: 2163454166 Enrollment ID: I20050914000349 |
| Provider Name | Mark G Goss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851342638 PECOS PAC ID: 4789604125 Enrollment ID: I20051130000879 |
| Provider Name | Keith D Rigsby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952359622 PECOS PAC ID: 1850303249 Enrollment ID: I20060629000379 |
| Provider Name | Ladonna P Rutledge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194813550 PECOS PAC ID: 3577669696 Enrollment ID: I20070507000598 |
| Provider Name | Robert M Garza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104997543 PECOS PAC ID: 3971604497 Enrollment ID: I20070726000761 |
| Provider Name | Andre Dean Graham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376525253 PECOS PAC ID: 1658472139 Enrollment ID: I20070727000488 |
| Provider Name | Tao A Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225079247 PECOS PAC ID: 4183715394 Enrollment ID: I20070802000107 |
| Provider Name | Andrew C Roberts |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700826260 PECOS PAC ID: 9133191372 Enrollment ID: I20080311000649 |
| Provider Name | Miguel E Castellanos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144256926 PECOS PAC ID: 4789759044 Enrollment ID: I20080820000753 |
| Provider Name | Estela Sosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356465140 PECOS PAC ID: 1153481098 Enrollment ID: I20081121000155 |
| Provider Name | Deandre Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932300779 PECOS PAC ID: 8123180064 Enrollment ID: I20081231000067 |
| Provider Name | Vinay V Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356468623 PECOS PAC ID: 7416010525 Enrollment ID: I20090129000243 |
| Provider Name | Mona J Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801031067 PECOS PAC ID: 3173688462 Enrollment ID: I20090220000281 |
| Provider Name | James R Marshall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134186737 PECOS PAC ID: 1254482300 Enrollment ID: I20090630000562 |
| Provider Name | Robert A Launikitis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629272299 PECOS PAC ID: 9638222409 Enrollment ID: I20090728000273 |
| Provider Name | Nathan K Yerger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609011444 PECOS PAC ID: 3375697683 Enrollment ID: I20090821000105 |
| Provider Name | William G Yeatts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376873729 PECOS PAC ID: 9133262470 Enrollment ID: I20100208000835 |
| Provider Name | Stephen J Bates |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114919271 PECOS PAC ID: 2961532304 Enrollment ID: I20100611000394 |
| Provider Name | Robert G Blackwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700878865 PECOS PAC ID: 7214067651 Enrollment ID: I20100611000409 |
| Provider Name | Pradeep Kumar Roy |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1033226352 PECOS PAC ID: 3072637016 Enrollment ID: I20100827000907 |
| Provider Name | Johol Chan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902867187 PECOS PAC ID: 1850466277 Enrollment ID: I20100830001099 |
| Provider Name | Swati F D Souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902087091 PECOS PAC ID: 0446335566 Enrollment ID: I20111011000085 |
| Provider Name | Glena J Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932383981 PECOS PAC ID: 9638341654 Enrollment ID: I20111017000183 |
| Provider Name | Rebecca L Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487811097 PECOS PAC ID: 6608042015 Enrollment ID: I20120106000470 |
| Provider Name | Sherry E Mcilwain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639419880 PECOS PAC ID: 3375782618 Enrollment ID: I20130618000725 |
| Provider Name | Danny L Bowman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629202502 PECOS PAC ID: 8022252733 Enrollment ID: I20130919000492 |
| Provider Name | Michael E Trice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427034875 PECOS PAC ID: 2961300298 Enrollment ID: I20131112001219 |
| Provider Name | Mohammed S Iqbal |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902009780 PECOS PAC ID: 2062691694 Enrollment ID: I20140401000616 |
| Provider Name | Matthew B Rudolph |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629200308 PECOS PAC ID: 0840448791 Enrollment ID: I20140815001773 |
| Provider Name | Steven M Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952580144 PECOS PAC ID: 6406084870 Enrollment ID: I20140902000602 |
| Provider Name | Thomas James Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588003867 PECOS PAC ID: 8224356639 Enrollment ID: I20150415001609 |
| Provider Name | Tyler W Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134481914 PECOS PAC ID: 5698086478 Enrollment ID: I20150619001736 |
| Provider Name | Aaron Horne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326208620 PECOS PAC ID: 9436286879 Enrollment ID: I20150825004974 |
| Provider Name | Nitin Kamble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811214737 PECOS PAC ID: 9436456142 Enrollment ID: I20160323002558 |
| Provider Name | Ranil Gajanayaka |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841452380 PECOS PAC ID: 1759550817 Enrollment ID: I20160426001766 |
| Provider Name | Shamsuddin B Lalani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578853594 PECOS PAC ID: 7214252683 Enrollment ID: I20160503000717 |
| Provider Name | Leon Siu Tio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952741795 PECOS PAC ID: 1759677271 Enrollment ID: I20160909001480 |
| Provider Name | Travis L Wacha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104374297 PECOS PAC ID: 2062792690 Enrollment ID: I20161216001372 |
| Provider Name | Ro-jon A Grogans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669608659 PECOS PAC ID: 7618250390 Enrollment ID: I20170202001406 |
| Provider Name | Henry Chavez Cuffaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912348061 PECOS PAC ID: 7517236268 Enrollment ID: I20170712000593 |
| Provider Name | Anas Al Hallak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386059046 PECOS PAC ID: 4880964162 Enrollment ID: I20170719001497 |
| Provider Name | Herman Laroy Toliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841481041 PECOS PAC ID: 3971756271 Enrollment ID: I20180208002735 |
| Provider Name | Jose I. Tovar-camargo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720474240 PECOS PAC ID: 2961717764 Enrollment ID: I20180730000924 |
| Provider Name | Dhafer Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467855973 PECOS PAC ID: 8921356429 Enrollment ID: I20180731001733 |
| Provider Name | Phani Bodavula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700204690 PECOS PAC ID: 7113292566 Enrollment ID: I20180829000761 |
| Provider Name | Jerry Lamont Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053679407 PECOS PAC ID: 0345565495 Enrollment ID: I20181005002456 |
| Provider Name | Russell F Kelly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841219789 PECOS PAC ID: 4789681321 Enrollment ID: I20190523001052 |
| Provider Name | Mehdi Rambod |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619262755 PECOS PAC ID: 1557663481 Enrollment ID: I20190904001894 |
| Provider Name | Marco Antonio Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881058709 PECOS PAC ID: 1951631365 Enrollment ID: I20190927001866 |
| Provider Name | Dajonitta L Richmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265896195 PECOS PAC ID: 1052745106 Enrollment ID: I20191223001484 |
| Provider Name | Hilary Simone Franceschini Currie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760846083 PECOS PAC ID: 9638478308 Enrollment ID: I20200831002564 |
| Provider Name | Lance W Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992886923 PECOS PAC ID: 5991862310 Enrollment ID: I20200911002590 |
| Provider Name | Ryan N Sieg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609039213 PECOS PAC ID: 1759686942 Enrollment ID: I20210125001116 |
| Provider Name | Rebekah Sharlene Shultz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356801385 PECOS PAC ID: 0547677015 Enrollment ID: I20210329002432 |
| Provider Name | Mark Stephen Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952831778 PECOS PAC ID: 7315346947 Enrollment ID: I20210601001912 |
| Provider Name | Tabitha N Trapasso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952835795 PECOS PAC ID: 1557630357 Enrollment ID: I20210630001042 |
| Provider Name | Rachel Elise Merrifield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023509601 PECOS PAC ID: 3476957374 Enrollment ID: I20210813000640 |
| Provider Name | Julia Lace Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316510027 PECOS PAC ID: 7214332832 Enrollment ID: I20210819003336 |
| Provider Name | Amy Sheridan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346903705 PECOS PAC ID: 2567856255 Enrollment ID: I20220223000256 |
| Provider Name | Candice M Buckles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053806794 PECOS PAC ID: 9739435736 Enrollment ID: I20220719001007 |
| Provider Name | Julie Romanovich Quinn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710604806 PECOS PAC ID: 3274901525 Enrollment ID: I20221117003356 |
| Provider Name | Sandy L Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669933693 PECOS PAC ID: 8224363742 Enrollment ID: I20221129000598 |
| Provider Name | Inder Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417117581 PECOS PAC ID: 2365597242 Enrollment ID: I20221208000916 |
| Provider Name | Ravi Chandran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730133547 PECOS PAC ID: 7517943707 Enrollment ID: I20230323002801 |
| Provider Name | Desiree Amber Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427728435 PECOS PAC ID: 6305211210 Enrollment ID: I20230406001625 |
| Provider Name | Abdul Badr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285996116 PECOS PAC ID: 8820347156 Enrollment ID: I20230511003718 |
| Provider Name | Yazan Khouri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154654861 PECOS PAC ID: 1850536343 Enrollment ID: I20240315001795 |
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