Communitymed Pllc | |
3591 Mckinney St Suite 200 Melissa TX 75454-9571 | |
(972) 464-1611 | |
(972) 464-1611 |
Full Name | Communitymed Pllc |
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Speciality | Clinic/Center |
Location | 3591 Mckinney St, Melissa, Texas |
Authorized Official Name and Position | Gregory Blomquist (MANAGING MEMBER) |
Authorized Official Contact | 4693603498 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Communitymed Pllc 16775 Addison Rd Ste 200 Addison TX 75001-5654 Ph: (972) 464-1611 | Communitymed Pllc 3591 Mckinney St Suite 200 Melissa TX 75454-9571 Ph: (972) 464-1611 |
NPI Number | 1821417072 |
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Provider Enumeration Date | 04/15/2014 |
Last Update Date | 06/03/2021 |
Medicare PECOS PAC ID | 9830315126 |
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Medicare Enrollment ID | O20140722002029 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821417072 | NPI | - | NPPES |
Provider Name | Brent E Gooden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457389660 PECOS PAC ID: 1052224813 Enrollment ID: I20031107000283 |
Provider Name | Michael S Puhl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558314336 PECOS PAC ID: 7113976374 Enrollment ID: I20050114000582 |
Provider Name | Robbie C Brasel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043383201 PECOS PAC ID: 3870520562 Enrollment ID: I20050726000676 |
Provider Name | Kristy D Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982624029 PECOS PAC ID: 4880784032 Enrollment ID: I20071212000406 |
Provider Name | William Fieldsmith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114126703 PECOS PAC ID: 2567520778 Enrollment ID: I20081016000304 |
Provider Name | Christopher G Stanfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710025663 PECOS PAC ID: 8628118551 Enrollment ID: I20091228000076 |
Provider Name | Joel D. Mack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649335233 PECOS PAC ID: 1557536729 Enrollment ID: I20111216000367 |
Provider Name | Linh Huynh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518178078 PECOS PAC ID: 1456475987 Enrollment ID: I20120717000305 |
Provider Name | Kelly J Fox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225214505 PECOS PAC ID: 9537316195 Enrollment ID: I20120904000611 |
Provider Name | Casey Lynn Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649523861 PECOS PAC ID: 8527219104 Enrollment ID: I20121107000347 |
Provider Name | Kimberly D Benko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720002637 PECOS PAC ID: 4981619350 Enrollment ID: I20130206000210 |
Provider Name | Gregory Blomquist |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1962625087 PECOS PAC ID: 4880823012 Enrollment ID: I20140210000412 |
Provider Name | Abbie C Emery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558750984 PECOS PAC ID: 4082934864 Enrollment ID: I20150519000361 |
Provider Name | Jennifer K. Slater |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528437316 PECOS PAC ID: 8921318387 Enrollment ID: I20151116000131 |
Provider Name | Meghann Bybee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982061974 PECOS PAC ID: 5698071249 Enrollment ID: I20160309000184 |
Provider Name | Jennifer Ann Nuspel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093176174 PECOS PAC ID: 8628376993 Enrollment ID: I20160420000588 |
Provider Name | Megan Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811345341 PECOS PAC ID: 6901192327 Enrollment ID: I20160912002039 |
Provider Name | Tiffany L Sinclair |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184174021 PECOS PAC ID: 0042590119 Enrollment ID: I20161207000107 |
Provider Name | Michelle L Mcquerry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063876209 PECOS PAC ID: 8729360565 Enrollment ID: I20170131001111 |
Provider Name | Jennifer N Ellison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356651954 PECOS PAC ID: 6103072319 Enrollment ID: I20170407001337 |
Provider Name | Elijah M Nyasende |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760891568 PECOS PAC ID: 9032482716 Enrollment ID: I20170831000066 |
Provider Name | Andrea Faye Armstrong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336698687 PECOS PAC ID: 1254604861 Enrollment ID: I20170901002169 |
Provider Name | Toni Nicole Tidwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154851434 PECOS PAC ID: 8123393683 Enrollment ID: I20171009003435 |
Provider Name | Kori Dion Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275051039 PECOS PAC ID: 0446526792 Enrollment ID: I20171101000669 |
Provider Name | Courtney Faith Lavey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861901894 PECOS PAC ID: 2668739558 Enrollment ID: I20171130003196 |
Provider Name | Jaime Gamboa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134631542 PECOS PAC ID: 3678831997 Enrollment ID: I20171214001480 |
Provider Name | Aubree A Jennings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104335983 PECOS PAC ID: 9830457183 Enrollment ID: I20171214003062 |
Provider Name | Diana Lynn Vardeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821500018 PECOS PAC ID: 9234497041 Enrollment ID: I20171228001683 |
Provider Name | Jana Vieth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982117594 PECOS PAC ID: 1052670411 Enrollment ID: I20180111000669 |
Provider Name | Jamie Linn Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083126825 PECOS PAC ID: 8325307622 Enrollment ID: I20180112000472 |
Provider Name | Kathryn Rozell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912418393 PECOS PAC ID: 3577822667 Enrollment ID: I20180118000149 |
Provider Name | Ruth-ellen Easter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568970192 PECOS PAC ID: 7719247006 Enrollment ID: I20180206000945 |
Provider Name | Jason Bryan Thornton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477051167 PECOS PAC ID: 3375803257 Enrollment ID: I20180214002561 |
Provider Name | Marissa Kirchenbauer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851890693 PECOS PAC ID: 2264793959 Enrollment ID: I20180220001675 |
Provider Name | Kasey M Robertson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255841144 PECOS PAC ID: 4688935885 Enrollment ID: I20180305001003 |
Provider Name | Ryan C Wolford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396245320 PECOS PAC ID: 6103187125 Enrollment ID: I20180307001569 |
Provider Name | Rebecca Meckfessel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801386362 PECOS PAC ID: 4284982869 Enrollment ID: I20180731000571 |
Provider Name | Clayton S Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467950592 PECOS PAC ID: 9739430877 Enrollment ID: I20180928000594 |
Provider Name | Dai Tri Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285152769 PECOS PAC ID: 1355693748 Enrollment ID: I20181012001757 |
Provider Name | Lauren Fairbanks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780169953 PECOS PAC ID: 6709139488 Enrollment ID: I20181025002784 |
Provider Name | Vicki Voss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104306794 PECOS PAC ID: 3577816701 Enrollment ID: I20181105002453 |
Provider Name | Tory Magdalene Simpson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992272991 PECOS PAC ID: 9537413356 Enrollment ID: I20181114002555 |
Provider Name | Blair Elizabeth Davison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851861017 PECOS PAC ID: 8224376801 Enrollment ID: I20190206000340 |
Provider Name | Ethan William Gingras |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225520455 PECOS PAC ID: 2668710005 Enrollment ID: I20190211002267 |
Provider Name | Sarah E Mertz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316418635 PECOS PAC ID: 0244573186 Enrollment ID: I20190516002674 |
Provider Name | Erin Christine Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699238303 PECOS PAC ID: 2365785003 Enrollment ID: I20190520002491 |
Provider Name | Valentina Vergati |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992276455 PECOS PAC ID: 5496084873 Enrollment ID: I20190910002996 |
Provider Name | Alyssa Mayme Majka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619454527 PECOS PAC ID: 8921337312 Enrollment ID: I20190910003122 |
Provider Name | Amy L Keneson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821572694 PECOS PAC ID: 8224460480 Enrollment ID: I20191111000271 |
Provider Name | Joshua Benson West |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982255261 PECOS PAC ID: 6608201413 Enrollment ID: I20200123002136 |
Provider Name | Edwin Figueroa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871119396 PECOS PAC ID: 0143644815 Enrollment ID: I20200728002064 |
Provider Name | Larry Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942831292 PECOS PAC ID: 9830519693 Enrollment ID: I20201015002525 |
Provider Name | Kyle Allen Litteral |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093345076 PECOS PAC ID: 0547670069 Enrollment ID: I20201111001748 |
Provider Name | Navjot Kaur Hunt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275159923 PECOS PAC ID: 2062823180 Enrollment ID: I20201123000010 |
Provider Name | Michele R Blum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053910877 PECOS PAC ID: 6406267202 Enrollment ID: I20201130002915 |
Provider Name | Kristin Lee O'neill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053919845 PECOS PAC ID: 2365853181 Enrollment ID: I20201201000657 |
Provider Name | Carly Pfeiffer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740819861 PECOS PAC ID: 2163833559 Enrollment ID: I20201203001308 |
Provider Name | Danielle S Hawkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669922506 PECOS PAC ID: 0143508127 Enrollment ID: I20201207001119 |
Provider Name | Kathryn E Seba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235737057 PECOS PAC ID: 7214340843 Enrollment ID: I20201228002618 |
Provider Name | Margaret A Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215542014 PECOS PAC ID: 3678992856 Enrollment ID: I20210112000803 |
Provider Name | Kara Marie Willden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801411277 PECOS PAC ID: 3274948567 Enrollment ID: I20210218002313 |
Provider Name | Punam Malani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215541768 PECOS PAC ID: 8820405012 Enrollment ID: I20210406002069 |
Provider Name | Christi Lynne Owens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881277382 PECOS PAC ID: 3173922952 Enrollment ID: I20210527001206 |
Provider Name | Paula G Kumar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619561396 PECOS PAC ID: 3274923917 Enrollment ID: I20211210002458 |
Provider Name | Curtiss James Hardy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245839232 PECOS PAC ID: 0749672749 Enrollment ID: I20220125002714 |
Provider Name | Kathy Darlene Weaver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306506951 PECOS PAC ID: 1052704764 Enrollment ID: I20220201002302 |
Provider Name | Christina Benge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376038752 PECOS PAC ID: 1759610140 Enrollment ID: I20220209001857 |
Provider Name | Alison Harvey Ewing |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568037596 PECOS PAC ID: 9436543931 Enrollment ID: I20220228000149 |
Provider Name | Robert John Sherman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912302886 PECOS PAC ID: 4486072626 Enrollment ID: I20220308001841 |
Provider Name | Kathleen Shepard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568062057 PECOS PAC ID: 8224427232 Enrollment ID: I20220316001290 |
Provider Name | Rebekah White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518619527 PECOS PAC ID: 7113312851 Enrollment ID: I20220316002845 |
Provider Name | Levi Eckroth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851970552 PECOS PAC ID: 9739574476 Enrollment ID: I20220316003036 |
Provider Name | Samantha Ysenia Morrison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609455104 PECOS PAC ID: 8022403690 Enrollment ID: I20220317000591 |
Provider Name | Hamenti Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407528086 PECOS PAC ID: 8921493255 Enrollment ID: I20220323000363 |
Provider Name | James Daniel Jennings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326652850 PECOS PAC ID: 3375939200 Enrollment ID: I20220401001257 |
Provider Name | Dustin Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700411667 PECOS PAC ID: 6406233634 Enrollment ID: I20220510000463 |
Provider Name | Laura Beth Nevola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053059980 PECOS PAC ID: 6709266232 Enrollment ID: I20220630001109 |
Provider Name | Arne Decastro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598493389 PECOS PAC ID: 7416323688 Enrollment ID: I20221013002212 |
Provider Name | Fawna R Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124658430 PECOS PAC ID: 5294102471 Enrollment ID: I20221031003066 |
Provider Name | Christopher Cox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700506086 PECOS PAC ID: 3971973462 Enrollment ID: I20221227001284 |
Provider Name | Bonnie Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831818483 PECOS PAC ID: 5294106647 Enrollment ID: I20230120002646 |
Provider Name | Danielle Denise Friday |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922729938 PECOS PAC ID: 1951776889 Enrollment ID: I20230406002625 |
Provider Name | Linda Nguyen Palsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164174033 PECOS PAC ID: 8921465253 Enrollment ID: I20230601001100 |
Provider Name | Josphine Njuhi Kamau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710565775 PECOS PAC ID: 2769845783 Enrollment ID: I20230823004736 |
Provider Name | Tasha Lynn Albus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992588958 PECOS PAC ID: 7618324237 Enrollment ID: I20231103000723 |
Provider Name | Justin Ryan Nickel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750167086 PECOS PAC ID: 5294183604 Enrollment ID: I20231126000086 |
Provider Name | Jacquelyn Stella Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609569714 PECOS PAC ID: 7113376864 Enrollment ID: I20231207000649 |
Provider Name | Jodi Lynn Sherve |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255825253 PECOS PAC ID: 1557613577 Enrollment ID: I20240514002879 |
Communitymed Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3106 Mckinney St, Suite 100, Melissa, TX 75454 Phone: 972-464-1611 | |
Communitymed Urgent Care System, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3591 Mckinney St, Suite 200, Melissa, TX 75454 Phone: 972-464-1611 Fax: 972-464-1611 | |
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Texas Therapy Partners, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3059 Champions Way, Suite 400, Melissa, TX 75454 Phone: 463-885-8671 Fax: 463-749-7485 |