| Bsa Amarillo Diagnostic Clinic Inc | |
|
6700 W 9th Ave Amarillo TX 79106-1701 | |
| (806) 358-0200 | |
| (806) 356-5590 |
| Full Name | Bsa Amarillo Diagnostic Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6700 W 9th Ave, Amarillo, Texas |
| Authorized Official Name and Position | Stephen C Petrovich (SVP) |
| Authorized Official Contact | 6152963000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bsa Amarillo Diagnostic Clinic Inc 1 Burton Hills Blvd Suite 250 Nashville TN 37215-6293 Ph: (615) 295-3000 | Bsa Amarillo Diagnostic Clinic Inc 6700 W 9th Ave Amarillo TX 79106-1701 Ph: (806) 358-0200 |
| NPI Number | 1134559826 |
|---|---|
| Provider Enumeration Date | 11/18/2013 |
| Last Update Date | 10/19/2015 |
| Medicare PECOS PAC ID | 5294959433 |
|---|---|
| Medicare Enrollment ID | O20140610001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134559826 | NPI | - | NPPES |
| 339696201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sean Michael Milligan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861438061 PECOS PAC ID: 3274590245 Enrollment ID: I20041213000191 |
| Provider Name | James E Lusby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003851510 PECOS PAC ID: 4486657459 Enrollment ID: I20060811000099 |
| Provider Name | Timothy Shawn Mooring |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376570002 PECOS PAC ID: 5991709511 Enrollment ID: I20060912000564 |
| Provider Name | Adrian P Pay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417041203 PECOS PAC ID: 7416987318 Enrollment ID: I20070905000535 |
| Provider Name | Amitabh Y Shukla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841398708 PECOS PAC ID: 1153408232 Enrollment ID: I20080414000657 |
| Provider Name | Holly Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881630622 PECOS PAC ID: 6507947959 Enrollment ID: I20091209000470 |
| Provider Name | Daniel A Beggs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689615734 PECOS PAC ID: 5597762617 Enrollment ID: I20091214000141 |
| Provider Name | Joseph Taylor Carlisle |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841237815 PECOS PAC ID: 6800977257 Enrollment ID: I20091216000497 |
| Provider Name | Richard Ellington |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205879632 PECOS PAC ID: 1951308071 Enrollment ID: I20100106000038 |
| Provider Name | Ming Chen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679766604 PECOS PAC ID: 9931386950 Enrollment ID: I20110531000373 |
| Provider Name | Tiffany Kay Randle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124301197 PECOS PAC ID: 5991950909 Enrollment ID: I20130223000019 |
| Provider Name | Kyla Beedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083921100 PECOS PAC ID: 7315260452 Enrollment ID: I20141222002541 |
| Provider Name | Mary Elmquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770766453 PECOS PAC ID: 5395820906 Enrollment ID: I20150130001528 |
| Provider Name | Marilyn M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609141027 PECOS PAC ID: 7214253756 Enrollment ID: I20150227001812 |
| Provider Name | Javier Dieguez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497061527 PECOS PAC ID: 8426203167 Enrollment ID: I20150813009821 |
| Provider Name | Kayla Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982076923 PECOS PAC ID: 6608176672 Enrollment ID: I20151123001982 |
| Provider Name | Carla L Caballero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063965697 PECOS PAC ID: 4880982453 Enrollment ID: I20161013002490 |
| Provider Name | Ashley Dawn Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053864751 PECOS PAC ID: 2062700370 Enrollment ID: I20161019000436 |
| Provider Name | Misty Lynn Lance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750838983 PECOS PAC ID: 7911282363 Enrollment ID: I20170327000793 |
| Provider Name | Shelli Deaun Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366983504 PECOS PAC ID: 1254618903 Enrollment ID: I20170505000127 |
| Provider Name | Ali Hussein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003278417 PECOS PAC ID: 6204126303 Enrollment ID: I20191007000959 |
| Provider Name | Haq Nawaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740419597 PECOS PAC ID: 1153639182 Enrollment ID: I20200715001731 |
| Provider Name | Lindsey Criss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225656952 PECOS PAC ID: 8123442415 Enrollment ID: I20200720002294 |
| Provider Name | Robert Walley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588047567 PECOS PAC ID: 3274944632 Enrollment ID: I20201117000200 |
| Provider Name | Mandy Dobrowolski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780357897 PECOS PAC ID: 4789072067 Enrollment ID: I20211020000451 |
| Provider Name | Deepak Garg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952558769 PECOS PAC ID: 1456593110 Enrollment ID: I20240110003400 |
Srinivas Pathapati, Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6833 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-467-9820 Fax: 806-467-9743 | |
Regence Health Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3113 Ross St, Amarillo, TX 79103 Phone: 806-374-7341 Fax: 806-322-0533 | |
Fmc Medical Foundation, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 S Coulter St Ste 1, Amarillo, TX 79106 Phone: 806-354-0404 Fax: 806-354-2810 | |
Ron K. Rankin, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 14th Ave, Amarillo, TX 79101 Phone: 806-622-2725 Fax: 806-352-4887 | |
Fmc Coulter & 34th Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7306 Sw 34th Ave, Unit 4, Amarillo, TX 79121 Phone: 806-350-8850 Fax: 806-350-8855 | |
Texas Tech Uhsc Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-414-9559 Fax: 806-351-3765 | |
Regence Health Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 713 N Taylor St Ste B, Amarillo, TX 79107 Phone: 806-345-7917 Fax: 806-345-7921 |