| Bsa Physicians Group Inc | |
|
1600 Wallace Blvd Amarillo TX 79106-1799 | |
| (806) 212-6965 | |
| (806) 212-6278 |
| Full Name | Bsa Physicians Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 Wallace Blvd, 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 Physicians Group Inc 1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 Ph: (615) 296-3000 | Bsa Physicians Group Inc 1600 Wallace Blvd Amarillo TX 79106-1799 Ph: (806) 212-6965 |
| NPI Number | 1457696916 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 12/17/2012 |
| Medicare PECOS PAC ID | 3971748146 |
|---|---|
| Medicare Enrollment ID | O20130319000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457696916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nisha M Saran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770602237 PECOS PAC ID: 3577551167 Enrollment ID: I20040503001445 |
| Provider Name | Daniel Merki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306849088 PECOS PAC ID: 2860480241 Enrollment ID: I20040504001117 |
| Provider Name | Michael Dee Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871591909 PECOS PAC ID: 2769465392 Enrollment ID: I20040612000358 |
| Provider Name | Sergio Muniz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710076120 PECOS PAC ID: 2264412295 Enrollment ID: I20040721001023 |
| Provider Name | Cody J Welch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558305516 PECOS PAC ID: 0345212015 Enrollment ID: I20040812000231 |
| Provider Name | Olga V Smirnova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972545226 PECOS PAC ID: 6406825264 Enrollment ID: I20040928001121 |
| Provider Name | Sheryl L Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770571663 PECOS PAC ID: 3274599220 Enrollment ID: I20041202000099 |
| Provider Name | Kathryn A Clement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811907371 PECOS PAC ID: 0941259758 Enrollment ID: I20050119000732 |
| Provider Name | Meredith R Thornhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861422651 PECOS PAC ID: 3678527215 Enrollment ID: I20050308000253 |
| Provider Name | Caron S Mcmillian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972569812 PECOS PAC ID: 9739134479 Enrollment ID: I20050316000238 |
| Provider Name | Carlos A Arche |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366427965 PECOS PAC ID: 0042257073 Enrollment ID: I20050412000507 |
| Provider Name | David C Langley |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447236690 PECOS PAC ID: 7719922269 Enrollment ID: I20050624000239 |
| Provider Name | Jamie Zusman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720036874 PECOS PAC ID: 9436122272 Enrollment ID: I20050901000246 |
| Provider Name | John Dalston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740240639 PECOS PAC ID: 3779516901 Enrollment ID: I20050916000833 |
| Provider Name | Nandkishore B Raghuram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841293164 PECOS PAC ID: 9335165638 Enrollment ID: I20051017000297 |
| Provider Name | Debra L Hammond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194789420 PECOS PAC ID: 0749243798 Enrollment ID: I20060912000366 |
| Provider Name | Sharlet Gayl Slough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932118072 PECOS PAC ID: 5597869594 Enrollment ID: I20070416000466 |
| Provider Name | Mitra Haghiri Canales |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497816417 PECOS PAC ID: 3870692189 Enrollment ID: I20070627000699 |
| Provider Name | Ira L Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093907792 PECOS PAC ID: 6608946074 Enrollment ID: I20080528000688 |
| Provider Name | Shane Eugene Holloway |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1043319940 PECOS PAC ID: 6002812195 Enrollment ID: I20080620000509 |
| Provider Name | Randy L Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841262003 PECOS PAC ID: 5092886614 Enrollment ID: I20080625000128 |
| Provider Name | Royce Armstrong |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295993210 PECOS PAC ID: 2466526363 Enrollment ID: I20080811000061 |
| Provider Name | Chandana Yalamanchili |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780879486 PECOS PAC ID: 6608944012 Enrollment ID: I20081010000665 |
| Provider Name | Adeline J Jou Tindo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407044597 PECOS PAC ID: 4082773122 Enrollment ID: I20081105000143 |
| Provider Name | James Brett Martindale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285676676 PECOS PAC ID: 2163503517 Enrollment ID: I20090401000332 |
| Provider Name | Michael J Lamanteer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023047966 PECOS PAC ID: 9234160037 Enrollment ID: I20090413000238 |
| Provider Name | Chance L Irwin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1780888271 PECOS PAC ID: 6709935133 Enrollment ID: I20090514000230 |
| Provider Name | Jon D Bush |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912940891 PECOS PAC ID: 3173604527 Enrollment ID: I20090709000370 |
| Provider Name | William A Holland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174715999 PECOS PAC ID: 5890849897 Enrollment ID: I20090810000485 |
| Provider Name | Fatima R Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033387329 PECOS PAC ID: 9335294024 Enrollment ID: I20090901000702 |
| Provider Name | Kerrie Ann Pinkney |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497784557 PECOS PAC ID: 4880597541 Enrollment ID: I20091203000044 |
| Provider Name | William G Petersen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770544579 PECOS PAC ID: 3870621451 Enrollment ID: I20100503000796 |
| Provider Name | Stacie S Morgan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144207622 PECOS PAC ID: 7315858305 Enrollment ID: I20100923001148 |
| Provider Name | Brian F Barkley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437230372 PECOS PAC ID: 9638363427 Enrollment ID: I20101105000619 |
| Provider Name | Mark C Drew |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043389141 PECOS PAC ID: 2163617440 Enrollment ID: I20101111001451 |
| Provider Name | Deborah Mccollum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144260837 PECOS PAC ID: 4183803034 Enrollment ID: I20110124001109 |
| Provider Name | Ousama Moammar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699981431 PECOS PAC ID: 1658462908 Enrollment ID: I20110211000028 |
| Provider Name | Kishan Yalamanchili |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609049790 PECOS PAC ID: 9830377951 Enrollment ID: I20110620000550 |
| Provider Name | Anthony J Oliva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467569822 PECOS PAC ID: 4082884713 Enrollment ID: I20110907000835 |
| Provider Name | Donald Jack Robertson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447307871 PECOS PAC ID: 6507761491 Enrollment ID: I20120306000764 |
| Provider Name | Amber M Price |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619173457 PECOS PAC ID: 1557518677 Enrollment ID: I20120824000445 |
| Provider Name | Maria C Steans |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780615229 PECOS PAC ID: 3072520170 Enrollment ID: I20121019000488 |
| Provider Name | Anuradha S Gopalachar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093775256 PECOS PAC ID: 6709031248 Enrollment ID: I20130311000255 |
| Provider Name | Thayer Ismaael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720305477 PECOS PAC ID: 8224271150 Enrollment ID: I20130826000247 |
| Provider Name | Bindu B Yalamanchili |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114244860 PECOS PAC ID: 8426291162 Enrollment ID: I20130828000927 |
| Provider Name | Jerod L Lunsford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891828133 PECOS PAC ID: 0547325532 Enrollment ID: I20130919000535 |
| Provider Name | David S Stevener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609193721 PECOS PAC ID: 4486883915 Enrollment ID: I20140204000522 |
| Provider Name | Daniel Arsenault |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265675854 PECOS PAC ID: 8426275777 Enrollment ID: I20140808001717 |
| Provider Name | Tilahun Worku Belay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902199250 PECOS PAC ID: 8325287865 Enrollment ID: I20140825002242 |
| Provider Name | Stephen T Tidwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750679072 PECOS PAC ID: 4587831896 Enrollment ID: I20140827001926 |
| Provider Name | Julie K Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083019962 PECOS PAC ID: 5193047637 Enrollment ID: I20141211000859 |
| Provider Name | John Forage |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942270038 PECOS PAC ID: 8820083595 Enrollment ID: I20150810002402 |
| Provider Name | Brittany R Sessions |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932579554 PECOS PAC ID: 8224348925 Enrollment ID: I20151109002459 |
| Provider Name | Meenakshi Dieguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952573909 PECOS PAC ID: 1759567209 Enrollment ID: I20151117001424 |
| Provider Name | Rachel Brook Botkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649635699 PECOS PAC ID: 9436451341 Enrollment ID: I20160111000254 |
| Provider Name | Daniel W Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578921847 PECOS PAC ID: 7719282516 Enrollment ID: I20160216001076 |
| Provider Name | Samuel Kirkendall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124317219 PECOS PAC ID: 2062703531 Enrollment ID: I20160614001818 |
| Provider Name | Sumer Nabil Al-alusi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376986190 PECOS PAC ID: 1951600048 Enrollment ID: I20160809000880 |
| Provider Name | Farah Aljuboory |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982043899 PECOS PAC ID: 3476784166 Enrollment ID: I20160829000753 |
| Provider Name | Brittany Nicole Taute |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124405360 PECOS PAC ID: 0749587293 Enrollment ID: I20161026000122 |
| Provider Name | Lingkun Kong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275796096 PECOS PAC ID: 6002199288 Enrollment ID: I20170214000752 |
| Provider Name | Lu Pan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477843449 PECOS PAC ID: 3779862396 Enrollment ID: I20170804001383 |
| Provider Name | Kevin D Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023531191 PECOS PAC ID: 2264705367 Enrollment ID: I20170913000066 |
| Provider Name | Kris Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437560646 PECOS PAC ID: 0042512592 Enrollment ID: I20171004002400 |
| Provider Name | Abigail E Pitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710475090 PECOS PAC ID: 9537424874 Enrollment ID: I20180607001165 |
| Provider Name | Stephanie M Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033668579 PECOS PAC ID: 2668727884 Enrollment ID: I20180612001137 |
| Provider Name | Kenneth Burk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780064725 PECOS PAC ID: 4082963129 Enrollment ID: I20180822001513 |
| Provider Name | Trevor Poire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477028637 PECOS PAC ID: 3375896921 Enrollment ID: I20181029000928 |
| Provider Name | Jennifer Cockrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255802963 PECOS PAC ID: 5092050781 Enrollment ID: I20181228000535 |
| Provider Name | Jenny K Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407202641 PECOS PAC ID: 7719279488 Enrollment ID: I20190102002832 |
| Provider Name | Monica Favela Prieto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245795780 PECOS PAC ID: 5890034227 Enrollment ID: I20190304000212 |
| Provider Name | Dezirae Rose Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457816274 PECOS PAC ID: 2961744438 Enrollment ID: I20190502001416 |
| Provider Name | Hayder S Yasir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144674144 PECOS PAC ID: 6406148188 Enrollment ID: I20190626000333 |
| Provider Name | David Wayne Hohon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972967529 PECOS PAC ID: 2567797921 Enrollment ID: I20190709000247 |
| Provider Name | Christopher T Kolze |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912260209 PECOS PAC ID: 1153671102 Enrollment ID: I20190802001486 |
| Provider Name | Erica Griffin Wheat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073933297 PECOS PAC ID: 0345578035 Enrollment ID: I20190819003209 |
| Provider Name | Matthew Ayala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154974889 PECOS PAC ID: 5294063426 Enrollment ID: I20190826001311 |
| Provider Name | Bobbie Renea Perrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720635931 PECOS PAC ID: 7810226842 Enrollment ID: I20190917000359 |
| Provider Name | Karuna Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376997213 PECOS PAC ID: 8628308863 Enrollment ID: I20191001001633 |
| Provider Name | Donna Raef Kizziar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962044941 PECOS PAC ID: 8628400470 Enrollment ID: I20191115000937 |
| Provider Name | Antonio Flores |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992231468 PECOS PAC ID: 8325319627 Enrollment ID: I20200702000275 |
| Provider Name | Ritu H Goradia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073967493 PECOS PAC ID: 2264728203 Enrollment ID: I20200714000036 |
| Provider Name | Amal Ghneim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871027664 PECOS PAC ID: 6800165853 Enrollment ID: I20200729000461 |
| Provider Name | Gasim Bella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861913931 PECOS PAC ID: 4486071081 Enrollment ID: I20200827001863 |
| Provider Name | Natasha Haq Nawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285998161 PECOS PAC ID: 6204054588 Enrollment ID: I20200928002167 |
| Provider Name | Charlotte Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659978773 PECOS PAC ID: 8628497807 Enrollment ID: I20201008000505 |
| Provider Name | Lauren L Knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407353931 PECOS PAC ID: 3476802695 Enrollment ID: I20201020002131 |
| Provider Name | Kelsey Mae Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568064194 PECOS PAC ID: 5991116303 Enrollment ID: I20201116001039 |
| Provider Name | John Kevill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548206618 PECOS PAC ID: 4688690555 Enrollment ID: I20210104001935 |
| Provider Name | Fahad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922347400 PECOS PAC ID: 0244510584 Enrollment ID: I20210128000334 |
| Provider Name | Ashley Lorene Longbine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396330098 PECOS PAC ID: 2062829690 Enrollment ID: I20210329000207 |
| Provider Name | Daren Daniel Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649862285 PECOS PAC ID: 6103227053 Enrollment ID: I20210629002494 |
| Provider Name | Joshua C Penniman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528555067 PECOS PAC ID: 6709134406 Enrollment ID: I20210702001810 |
| Provider Name | Shamini Parameswaran |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679991152 PECOS PAC ID: 0345522694 Enrollment ID: I20210708001767 |
| Provider Name | Shauna Kaye Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346813417 PECOS PAC ID: 1557766292 Enrollment ID: I20210818004153 |
| Provider Name | Michael C Bibler |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831279132 PECOS PAC ID: 7618967456 Enrollment ID: I20210927001199 |
| Provider Name | Mandy Dobrowolski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780357897 PECOS PAC ID: 4789072067 Enrollment ID: I20211020000451 |
| Provider Name | Joshua Anthony Sorenson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558998898 PECOS PAC ID: 0749606325 Enrollment ID: I20220228002686 |
| Provider Name | Alexandria Ware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992452346 PECOS PAC ID: 7113312471 Enrollment ID: I20220323001288 |
| Provider Name | Lee Klonoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205599305 PECOS PAC ID: 3971990003 Enrollment ID: I20220420001045 |
| Provider Name | Brandy Michelle Belaval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780327395 PECOS PAC ID: 6406233360 Enrollment ID: I20220513001970 |
| Provider Name | Ikha T Al-azzawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376006205 PECOS PAC ID: 4981933538 Enrollment ID: I20220714000236 |
| Provider Name | Travis J Vowels |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184088908 PECOS PAC ID: 8820479363 Enrollment ID: I20220715000296 |
| Provider Name | Sarah E Teichelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740955434 PECOS PAC ID: 4082096896 Enrollment ID: I20220726002566 |
| Provider Name | Camella D Ladd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952931693 PECOS PAC ID: 4688094782 Enrollment ID: I20220829001939 |
| Provider Name | Nikhil S Patankar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770863490 PECOS PAC ID: 7416385513 Enrollment ID: I20221207000244 |
| Provider Name | Michael Edward Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144976184 PECOS PAC ID: 9032583364 Enrollment ID: I20230328000749 |
| Provider Name | Lylla Ngo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366754673 PECOS PAC ID: 9436445103 Enrollment ID: I20230713003621 |
| Provider Name | Jahan Riaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700192416 PECOS PAC ID: 4183871643 Enrollment ID: I20230802000543 |
| Provider Name | Brianna Deone Ricenbaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720862816 PECOS PAC ID: 9830553981 Enrollment ID: I20230908000317 |
| Provider Name | Stephanie Nichole Chestnut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164101242 PECOS PAC ID: 8224492962 Enrollment ID: I20230913001724 |
| Provider Name | Anthony J Fillmore |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1982680518 PECOS PAC ID: 5496777252 Enrollment ID: I20231005002544 |
| Provider Name | Sydnee Elizabeth Jenschke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063284560 PECOS PAC ID: 0840640389 Enrollment ID: I20231227000446 |
| Provider Name | Priya Mahajan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700227501 PECOS PAC ID: 2860622388 Enrollment ID: I20240105000726 |
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 |