Titus Regional Medical Center | |
2001 N Jefferson Ave Mount Pleasant TX 75455 | |
(903) 577-6000 | |
(903) 577-6280 |
Full Name | Titus Regional Medical Center |
---|---|
Speciality | Clinic/Center |
Location | 2001 N Jefferson Ave, Mount Pleasant, Texas |
Authorized Official Name and Position | Terry Dean Scoggin (CEO) |
Authorized Official Contact | 9035776066 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Titus Regional Medical Center 2001 N Jefferson Ave Mount Pleasant TX 75455-2338 Ph: (903) 577-6000 | Titus Regional Medical Center 2001 N Jefferson Ave Mount Pleasant TX 75455 Ph: (903) 577-6000 |
NPI Number | 1063548881 |
---|---|
Provider Enumeration Date | 02/26/2007 |
Last Update Date | 04/22/2024 |
Medicare PECOS PAC ID | 0143203257 |
---|---|
Medicare Enrollment ID | O20120525000534 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063548881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Aamer Abbas |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1508975772 PECOS PAC ID: 3577551530 Enrollment ID: I20040506000362 |
Provider Name | Scott W Campbell |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1669474946 PECOS PAC ID: 2163413600 Enrollment ID: I20040521001175 |
Provider Name | David A Hester |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1780656462 PECOS PAC ID: 1153304498 Enrollment ID: I20040609000443 |
Provider Name | Christina M Graham |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1194506667 PECOS PAC ID: 6305829599 Enrollment ID: I20040609000808 |
Provider Name | Samuel R Mitz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619948213 PECOS PAC ID: 2466436159 Enrollment ID: I20040618000252 |
Provider Name | Patricia Ann Higgins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003915596 PECOS PAC ID: 2466430855 Enrollment ID: I20040712001048 |
Provider Name | Craig M Delisi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689616849 PECOS PAC ID: 4082674528 Enrollment ID: I20041019000110 |
Provider Name | Rodney D Burrow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871536714 PECOS PAC ID: 5890755334 Enrollment ID: I20041019000126 |
Provider Name | Williams B Burrows |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114924867 PECOS PAC ID: 7012961139 Enrollment ID: I20050310000683 |
Provider Name | Thomas V Mahoney |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1821144262 PECOS PAC ID: 6608814363 Enrollment ID: I20050422000128 |
Provider Name | John C Campbell |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1689631285 PECOS PAC ID: 4880638527 Enrollment ID: I20050628000928 |
Provider Name | Milan Sekulic |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1265464564 PECOS PAC ID: 6507898525 Enrollment ID: I20050909000722 |
Provider Name | John Cannon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568475598 PECOS PAC ID: 7719896984 Enrollment ID: I20060223000795 |
Provider Name | Gordon H Downie |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1275534992 PECOS PAC ID: 7113019068 Enrollment ID: I20070822001537 |
Provider Name | Robert A Maxey |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639165954 PECOS PAC ID: 1658334198 Enrollment ID: I20080130000733 |
Provider Name | Arshad Asghar |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1255541488 PECOS PAC ID: 4082695218 Enrollment ID: I20081125000102 |
Provider Name | Dale C Capener |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1598989295 PECOS PAC ID: 2264596956 Enrollment ID: I20090123000533 |
Provider Name | Paul O Meriwether |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093796658 PECOS PAC ID: 1557426384 Enrollment ID: I20090211000516 |
Provider Name | Nadeem A Siddiqui |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1417915844 PECOS PAC ID: 5890891998 Enrollment ID: I20090217000342 |
Provider Name | James D Lowe |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1801884606 PECOS PAC ID: 1052485224 Enrollment ID: I20090316000531 |
Provider Name | Michael A Pappas |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1265432355 PECOS PAC ID: 0042300642 Enrollment ID: I20091228000598 |
Provider Name | Troyce F Williams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427039080 PECOS PAC ID: 1850426511 Enrollment ID: I20100319000310 |
Provider Name | Stephen Lee Sigal |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1699778035 PECOS PAC ID: 9234032707 Enrollment ID: I20100819000252 |
Provider Name | Saud Khan |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1821126525 PECOS PAC ID: 3577662808 Enrollment ID: I20101230000419 |
Provider Name | Teleshia S Coleman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891005450 PECOS PAC ID: 9436323086 Enrollment ID: I20111117000399 |
Provider Name | Jalal U Akbar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720063795 PECOS PAC ID: 3971559626 Enrollment ID: I20120814000656 |
Provider Name | Tayyab H Malik |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1073535092 PECOS PAC ID: 8426054511 Enrollment ID: I20120816000605 |
Provider Name | Ali A Pitafi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023115615 PECOS PAC ID: 8921250044 Enrollment ID: I20121218000136 |
Provider Name | John James |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1770787830 PECOS PAC ID: 4587838800 Enrollment ID: I20130119000027 |
Provider Name | Agnes Yahl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023089190 PECOS PAC ID: 4183651128 Enrollment ID: I20130829000304 |
Provider Name | Asif A Muhammad |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1124083258 PECOS PAC ID: 6305906280 Enrollment ID: I20130916000219 |
Provider Name | Joshua A Long |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1134560899 PECOS PAC ID: 0547494924 Enrollment ID: I20131018000988 |
Provider Name | Syed Hassan |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1063638989 PECOS PAC ID: 7416191739 Enrollment ID: I20140117000360 |
Provider Name | Lisa A Currey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952739989 PECOS PAC ID: 2860624350 Enrollment ID: I20140416000421 |
Provider Name | Juan Godinez |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1417914847 PECOS PAC ID: 5698749232 Enrollment ID: I20140522000413 |
Provider Name | Jessica Leigh Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174930747 PECOS PAC ID: 7719105329 Enrollment ID: I20140822002316 |
Provider Name | Ghana Khadka |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1750544821 PECOS PAC ID: 7618195033 Enrollment ID: I20140827001235 |
Provider Name | Muhammad I Ahmad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629230073 PECOS PAC ID: 4880727221 Enrollment ID: I20140916002747 |
Provider Name | Muhammad A Mujtaba |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1740426592 PECOS PAC ID: 7214077718 Enrollment ID: I20150218001645 |
Provider Name | Muhammad S Isa |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1700878600 PECOS PAC ID: 5991777351 Enrollment ID: I20150811004023 |
Provider Name | William Hooks |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1609966985 PECOS PAC ID: 5294042149 Enrollment ID: I20150910000286 |
Provider Name | James Frederick Wiedenhoefer |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144209743 PECOS PAC ID: 2567770258 Enrollment ID: I20150929002976 |
Provider Name | Delia Grace Rhinehart |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1821091505 PECOS PAC ID: 7618038944 Enrollment ID: I20151215000135 |
Provider Name | Atif Rizwan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700087210 PECOS PAC ID: 2567529456 Enrollment ID: I20151230001352 |
Provider Name | Aftab Karim |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1588868764 PECOS PAC ID: 4183716194 Enrollment ID: I20160225002140 |
Provider Name | Yolanda Bone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780018143 PECOS PAC ID: 8123249117 Enrollment ID: I20160415001773 |
Provider Name | Brandy Denise Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093174005 PECOS PAC ID: 8729386172 Enrollment ID: I20160418002295 |
Provider Name | Paul A Cox |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1568615029 PECOS PAC ID: 1759548514 Enrollment ID: I20160519001670 |
Provider Name | Jacob Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669921789 PECOS PAC ID: 9739461435 Enrollment ID: I20170112001640 |
Provider Name | Jeremy Adam Hooten |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1235675505 PECOS PAC ID: 8022390376 Enrollment ID: I20170120001167 |
Provider Name | John Brandon Hoffmann |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1073059341 PECOS PAC ID: 7012299316 Enrollment ID: I20170121000212 |
Provider Name | Mitchell Wade Smith |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1407392822 PECOS PAC ID: 1355625682 Enrollment ID: I20170303001159 |
Provider Name | Shania W Mcbride |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790223279 PECOS PAC ID: 5698050961 Enrollment ID: I20170329000700 |
Provider Name | James Bove |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1487695664 PECOS PAC ID: 7810974318 Enrollment ID: I20170426001170 |
Provider Name | Flora Jane Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154778751 PECOS PAC ID: 1355628207 Enrollment ID: I20170503001026 |
Provider Name | Rhonda Kay Tower Siddens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417497520 PECOS PAC ID: 7113294653 Enrollment ID: I20170605000646 |
Provider Name | Syed Asif Hussain |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1750674842 PECOS PAC ID: 3173818770 Enrollment ID: I20170627002226 |
Provider Name | Krystal Rachelle Bridwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629505912 PECOS PAC ID: 0941567820 Enrollment ID: I20171130003105 |
Provider Name | Nicole Kalgren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417471566 PECOS PAC ID: 5597023762 Enrollment ID: I20171215001280 |
Provider Name | Ryan Sexton |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1134660905 PECOS PAC ID: 1850658634 Enrollment ID: I20180301000479 |
Provider Name | Kathleen Rice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013417823 PECOS PAC ID: 2567724685 Enrollment ID: I20180329000438 |
Provider Name | Valerie A Snyder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003367780 PECOS PAC ID: 4587618111 Enrollment ID: I20180830003236 |
Provider Name | Christopher James Atkinson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1093013260 PECOS PAC ID: 5294021887 Enrollment ID: I20180911001198 |
Provider Name | Karen Bowery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881164788 PECOS PAC ID: 1153667829 Enrollment ID: I20190117000599 |
Provider Name | Matthew D Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154894806 PECOS PAC ID: 4183963804 Enrollment ID: I20190225001342 |
Provider Name | Lance Patrick Walsh |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1396869327 PECOS PAC ID: 2264526730 Enrollment ID: I20190228002186 |
Provider Name | Hussain Haideri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063470052 PECOS PAC ID: 2365410941 Enrollment ID: I20190321001610 |
Provider Name | Angela Caren Fritz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780140194 PECOS PAC ID: 4587905609 Enrollment ID: I20190417002357 |
Provider Name | Dat T Vo |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1780004523 PECOS PAC ID: 1850680067 Enrollment ID: I20190531000910 |
Provider Name | Jami Lanette Baker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104383082 PECOS PAC ID: 3072847003 Enrollment ID: I20190626000274 |
Provider Name | Jose Garcia |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1760879092 PECOS PAC ID: 5991033136 Enrollment ID: I20190826001537 |
Provider Name | Autumn Marie Graham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073153417 PECOS PAC ID: 0840629754 Enrollment ID: I20200327002599 |
Provider Name | Steven Hole |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306108386 PECOS PAC ID: 9032549456 Enrollment ID: I20200424002201 |
Provider Name | Karl Nguyen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1477564094 PECOS PAC ID: 4688867930 Enrollment ID: I20200515001364 |
Provider Name | Shannon Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912507419 PECOS PAC ID: 7315350626 Enrollment ID: I20210106000311 |
Provider Name | Jensie Elizabeth Harte |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1881283604 PECOS PAC ID: 0840605044 Enrollment ID: I20210222001446 |
Provider Name | Bruce C Goetting |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1306989934 PECOS PAC ID: 4183510563 Enrollment ID: I20210309000377 |
Provider Name | Yesenia Canciobello |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1457954737 PECOS PAC ID: 7517366222 Enrollment ID: I20210601000638 |
Provider Name | Saqib Mahmud |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1740596329 PECOS PAC ID: 1951534510 Enrollment ID: I20210701000256 |
Provider Name | Anna Hollingsworth |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023515293 PECOS PAC ID: 0143579789 Enrollment ID: I20210726001962 |
Provider Name | Cheryl Ann Shovan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851921357 PECOS PAC ID: 4789089699 Enrollment ID: I20210816001884 |
Provider Name | Tamara Parr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679159743 PECOS PAC ID: 0042616245 Enrollment ID: I20210914002340 |
Provider Name | Kayla Knuf |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1710340617 PECOS PAC ID: 3072911486 Enrollment ID: I20211014001446 |
Provider Name | Jeremy Michael Bernot |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1972845519 PECOS PAC ID: 5991193104 Enrollment ID: I20211020002195 |
Provider Name | Jane Lee |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1417244849 PECOS PAC ID: 2163645961 Enrollment ID: I20211129002767 |
Provider Name | Emma Burch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649935388 PECOS PAC ID: 3678963287 Enrollment ID: I20211214000044 |
Provider Name | Caleb B Hodge |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1245692755 PECOS PAC ID: 7517252182 Enrollment ID: I20220119002695 |
Provider Name | Aaron Jackson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1114157740 PECOS PAC ID: 9931440617 Enrollment ID: I20220216001820 |
Provider Name | Charles Allan Sibley |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1356649206 PECOS PAC ID: 7113311903 Enrollment ID: I20220221001035 |
Provider Name | Cecily Karyn Heath Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548938624 PECOS PAC ID: 3173917531 Enrollment ID: I20220301000015 |
Provider Name | Logan G Clemons |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1922531094 PECOS PAC ID: 9335520808 Enrollment ID: I20220714001496 |
Provider Name | Teresa Glenda Townes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588280283 PECOS PAC ID: 3779964069 Enrollment ID: I20220718002934 |
Provider Name | Kimpreet Kaur |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1033642962 PECOS PAC ID: 6002297181 Enrollment ID: I20220720003150 |
Provider Name | Robert Dewitt |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1861603284 PECOS PAC ID: 3678741873 Enrollment ID: I20220807000000 |
Provider Name | Mohammad J Shafi |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1831197433 PECOS PAC ID: 6800923418 Enrollment ID: I20220812001376 |
Provider Name | Kelley Marie Thurston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477280014 PECOS PAC ID: 3971987306 Enrollment ID: I20220901002994 |
Provider Name | Alicia R W Kincaid |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1861843633 PECOS PAC ID: 9537543723 Enrollment ID: I20220907003689 |
Provider Name | Christian Vernau |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1346694510 PECOS PAC ID: 0042695215 Enrollment ID: I20220923002745 |
Provider Name | Katrina Lavette Nickolson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336864057 PECOS PAC ID: 0941677405 Enrollment ID: I20221114000687 |
Provider Name | David Kephart |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1376906958 PECOS PAC ID: 0345532727 Enrollment ID: I20221114002842 |
Provider Name | Christopher J Sardon |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518349570 PECOS PAC ID: 7719353515 Enrollment ID: I20221115001522 |
Provider Name | Kimberly L Humphrey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215489331 PECOS PAC ID: 3072884873 Enrollment ID: I20221115002476 |
Provider Name | Geoffrey Kraemer |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1922448935 PECOS PAC ID: 6406147685 Enrollment ID: I20221121002683 |
Provider Name | Karli May |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346976453 PECOS PAC ID: 2769854223 Enrollment ID: I20230209000552 |
Provider Name | Matthew Donald Smith |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1609309525 PECOS PAC ID: 9032583547 Enrollment ID: I20230324000639 |
Provider Name | Shakeem Iyamah |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1356904098 PECOS PAC ID: 2860866209 Enrollment ID: I20230324002730 |
Provider Name | Samuel Leathen Madson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699064220 PECOS PAC ID: 9436516390 Enrollment ID: I20230607003394 |
Provider Name | Lindsay Beasley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518653955 PECOS PAC ID: 7315307824 Enrollment ID: I20230716000016 |
Provider Name | Barjinder Singh |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1114926847 PECOS PAC ID: 8628037215 Enrollment ID: I20231009002440 |
Provider Name | Matthew Kluckman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992242028 PECOS PAC ID: 0749630176 Enrollment ID: I20231228000644 |
Provider Name | Michael D Wirt |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639112527 PECOS PAC ID: 9830132364 Enrollment ID: I20240126003133 |
Provider Name | Courtney Rene Hood |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1841781978 PECOS PAC ID: 2163809229 Enrollment ID: I20240215003987 |
Provider Name | Karma Lisa Lawrence |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851908552 PECOS PAC ID: 0446694137 Enrollment ID: I20240221002724 |
Provider Name | Frederick Allen Thurmond |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1598761777 PECOS PAC ID: 9436120102 Enrollment ID: I20240318003812 |
Provider Name | Tania Soc |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598522922 PECOS PAC ID: 5294174769 Enrollment ID: I20240416004248 |
Family Care Center Mount Pleasant Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 S Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-572-2273 Fax: 903-572-0696 | |
Family Care Center Harts Bluff Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2320 Harts Bluff Rd, Mount Pleasant, TX 75455 Phone: 903-577-9355 Fax: 903-434-8081 | |
Pediatric Clinic Mount Pleasant Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 N Jefferson Ave Ste 300, Mount Pleasant, TX 75455 Phone: 903-572-9823 Fax: 903-572-4812 | |
Minadeo Eye Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2007 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-572-6655 Fax: 903-572-0213 | |
Family Care Center At Daingerfield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 Linda Drive, Mount Pleasant, TX 75455 Phone: 903-434-8066 Fax: 903-577-6562 | |
Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 S Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-2273 Fax: 903-572-0696 |