| Nacogdoches Memorial Professional Group | |
|
1204 N Mound St Nacogdoches TX 75961-4027 | |
| (936) 568-8427 | |
| Not Available |
| Full Name | Nacogdoches Memorial Professional Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1204 N Mound St, Nacogdoches, Texas |
| Authorized Official Name and Position | Matthew Malloy (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9365688427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nacogdoches Memorial Professional Group 1204 N Mound St Nacogdoches TX 75961-4027 Ph: (936) 568-8427 | Nacogdoches Memorial Professional Group 1204 N Mound St Nacogdoches TX 75961-4027 Ph: (936) 568-8427 |
| NPI Number | 1316616550 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 08/16/2023 |
| Medicare PECOS PAC ID | 3971992082 |
|---|---|
| Medicare Enrollment ID | O20211207001844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316616550 | NPI | - | NPPES |
| Provider Name | Jason P Suits |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750358149 PECOS PAC ID: 3577552231 Enrollment ID: I20040507001118 |
| Provider Name | Munawwer Khurshid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699733378 PECOS PAC ID: 3274562905 Enrollment ID: I20050811000989 |
| Provider Name | Angela C Thomas Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164427530 PECOS PAC ID: 3779590211 Enrollment ID: I20060308000678 |
| Provider Name | Craig E Sessions |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992703284 PECOS PAC ID: 1355317496 Enrollment ID: I20061005000578 |
| Provider Name | Debra E Mccarthy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104877901 PECOS PAC ID: 0446351647 Enrollment ID: I20070718000191 |
| Provider Name | Diana P Selvey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902968191 PECOS PAC ID: 0345341236 Enrollment ID: I20070723000169 |
| Provider Name | Erin E Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326254517 PECOS PAC ID: 3870677677 Enrollment ID: I20080303000330 |
| Provider Name | Alisa M Berger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619017043 PECOS PAC ID: 8426133141 Enrollment ID: I20080305000457 |
| Provider Name | Cheryl E Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124082581 PECOS PAC ID: 6406928597 Enrollment ID: I20080707000542 |
| Provider Name | Sergio G Moreira |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790735918 PECOS PAC ID: 5395776355 Enrollment ID: I20080729000287 |
| Provider Name | Andrew D Barreto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679540355 PECOS PAC ID: 5193795524 Enrollment ID: I20080818000759 |
| Provider Name | Cornelia B Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457497182 PECOS PAC ID: 2466520275 Enrollment ID: I20081007000413 |
| Provider Name | Crystal A Talavera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154510980 PECOS PAC ID: 5395806764 Enrollment ID: I20081203000561 |
| Provider Name | Kim M Schaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851445340 PECOS PAC ID: 6800957929 Enrollment ID: I20081209000055 |
| Provider Name | Peter Ramzy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457596645 PECOS PAC ID: 8224186945 Enrollment ID: I20090506000193 |
| Provider Name | Carla A Hairston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124020631 PECOS PAC ID: 8820113699 Enrollment ID: I20100916000777 |
| Provider Name | James M Otto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477690766 PECOS PAC ID: 1456477298 Enrollment ID: I20101020000938 |
| Provider Name | William W Hairston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295744399 PECOS PAC ID: 1153405956 Enrollment ID: I20110413000107 |
| Provider Name | Bao Quoc Bui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841483708 PECOS PAC ID: 7517142201 Enrollment ID: I20110422000054 |
| Provider Name | Irma M Sainz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720263601 PECOS PAC ID: 4981882768 Enrollment ID: I20110627000160 |
| Provider Name | Keli S Barrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619259579 PECOS PAC ID: 9739346883 Enrollment ID: I20120201000861 |
| Provider Name | Kevin Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821046244 PECOS PAC ID: 7911903836 Enrollment ID: I20120614000342 |
| Provider Name | Manolito Simbahan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275760746 PECOS PAC ID: 6103075288 Enrollment ID: I20121004000598 |
| Provider Name | Melanie L Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801136700 PECOS PAC ID: 9638315401 Enrollment ID: I20130424000060 |
| Provider Name | Tracy L Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144662032 PECOS PAC ID: 6800026436 Enrollment ID: I20140227001628 |
| Provider Name | Sirinan Chantornsaeng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740372010 PECOS PAC ID: 3577621978 Enrollment ID: I20140505002043 |
| Provider Name | Vivek K Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104089945 PECOS PAC ID: 8527230119 Enrollment ID: I20140925001877 |
| Provider Name | Hoang-anh L Phan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407020035 PECOS PAC ID: 2466690094 Enrollment ID: I20141105000114 |
| Provider Name | Amanda L Jagolino-cole |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609192087 PECOS PAC ID: 4789904509 Enrollment ID: I20150519001912 |
| Provider Name | Louise D Mccullough |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447256441 PECOS PAC ID: 9638130529 Enrollment ID: I20151116000054 |
| Provider Name | Dawn Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215302492 PECOS PAC ID: 9931400512 Enrollment ID: I20151228000591 |
| Provider Name | Rinajoyce F Abril-walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932574910 PECOS PAC ID: 5799080388 Enrollment ID: I20160218002138 |
| Provider Name | Robert Solis Busuego |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477966596 PECOS PAC ID: 9638459365 Enrollment ID: I20161214002139 |
| Provider Name | Michelle Key |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871042606 PECOS PAC ID: 1456633858 Enrollment ID: I20170119001802 |
| Provider Name | Srinivasa R Gurram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417360538 PECOS PAC ID: 9133403355 Enrollment ID: I20170307000094 |
| Provider Name | Swapna Reddy Bemalgi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629389861 PECOS PAC ID: 1052568979 Enrollment ID: I20170315002300 |
| Provider Name | Ryan Kortni Arreguin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164934964 PECOS PAC ID: 2567720824 Enrollment ID: I20171215000294 |
| Provider Name | Charlotte C Appleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629139712 PECOS PAC ID: 1557510286 Enrollment ID: I20180122002537 |
| Provider Name | Bharti Manwani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114361706 PECOS PAC ID: 7012236383 Enrollment ID: I20181205001869 |
| Provider Name | Gia Elena Marotta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689817173 PECOS PAC ID: 6103044656 Enrollment ID: I20181219003471 |
| Provider Name | Suzanna I Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326504382 PECOS PAC ID: 3274874821 Enrollment ID: I20190408002153 |
| Provider Name | Kathy Lea Mcneese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477018141 PECOS PAC ID: 2769724988 Enrollment ID: I20190508001394 |
| Provider Name | Chikezie J Ochieze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548616170 PECOS PAC ID: 7517290778 Enrollment ID: I20190604000842 |
| Provider Name | Brian E Drake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548220023 PECOS PAC ID: 0941363212 Enrollment ID: I20190907000293 |
| Provider Name | Aisha Ligon Warfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780234864 PECOS PAC ID: 7618209073 Enrollment ID: I20191105000108 |
| Provider Name | Kristin Nicole Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063053197 PECOS PAC ID: 1759713043 Enrollment ID: I20191106002887 |
| Provider Name | Dustin Cole Pressley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467084749 PECOS PAC ID: 9537598008 Enrollment ID: I20200403001701 |
| Provider Name | Emma Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477193779 PECOS PAC ID: 1658790050 Enrollment ID: I20201005001943 |
| Provider Name | Aidan I Azher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649622846 PECOS PAC ID: 5193013555 Enrollment ID: I20210421002084 |
| Provider Name | Sishir Mannava |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841654787 PECOS PAC ID: 9234532193 Enrollment ID: I20210729002149 |
| Provider Name | Arianna A Fresquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811423767 PECOS PAC ID: 0446654081 Enrollment ID: I20210804002852 |
| Provider Name | Sri Raghav Sista |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861945818 PECOS PAC ID: 3971890997 Enrollment ID: I20220511002274 |
| Provider Name | Salman Farooq |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487049375 PECOS PAC ID: 8729327978 Enrollment ID: I20220521000383 |
| Provider Name | Narges Moghimi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689014045 PECOS PAC ID: 5991050353 Enrollment ID: I20220523000477 |
| Provider Name | Maria Parekh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831621564 PECOS PAC ID: 6800274440 Enrollment ID: I20220609001948 |
| Provider Name | Kryillos R Eskander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942731419 PECOS PAC ID: 4688945546 Enrollment ID: I20220728000902 |
| Provider Name | Ashleigh Lynne Clark |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497225825 PECOS PAC ID: 3971989740 Enrollment ID: I20220930002291 |
| Provider Name | Sushanth R Aroor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639511041 PECOS PAC ID: 8527370717 Enrollment ID: I20230308000219 |
Itasca Healing Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 King St, Nacogdoches, TX 75961 Phone: 936-622-0552 Fax: 936-622-0554 | |
Strive Clinical Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 Ne Stallings Dr Ste 109, Nacogdoches, TX 75965 Phone: 936-559-0700 | |
Nacogdoches Memorial Professional Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-568-8523 Fax: 936-568-8588 | |
Urgent Health Solutions Nacogdoches Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4909 North St Ste 202, Nacogdoches, TX 75965 Phone: 936-560-9898 | |
Stephen F Austin State University Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 North St, Sfa Sports Medicine Clinic, Nacogdoches, TX 75965 Phone: 936-468-4550 Fax: 936-468-4052 | |
Donald E. Cagle, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Russell Blvd, Nacogdoches, TX 75965 Phone: 936-569-6411 Fax: 936-569-6446 | |
Strive Express Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3205 N University Dr Ste E, Nacogdoches, TX 75965 Phone: 936-585-8000 Fax: 833-983-2949 |