MR. GEORGE FRANCIS ZERUCHA (NPI# 1265421499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265421499 |
Entity Type | Individual |
Full Name | MR. GEORGE FRANCIS ZERUCHA |
Credential | PA-C |
Practice Address |
121 Oak Isle Dr Longview TX 75605-7523 |
Practice Telephone | 9034520039 |
Practice Fax Number | 9036639468 |
Mailing Telephone | 9034520039 |
Mailing Fax Number | 9036639468 |
Enumeration Date | 2005-10-20 |
Last Update Date | 2020-09-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PA-01038 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
004133 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
700 E Marshall Ave, Longview, TX 756015580 | 9033152445 |
Street Address |
121 OAK ISLE DR |
City | LONGVIEW |
State | TX |
Zip Code | 75605-7523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
Find all providers in zip 75605 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
1386642734 | Kristi Nealy | Physician Assistant | 701 N 6th St, Longview, TX 75601-6608 | 2005-07-11 |
1184156812 | Eric Pascual | Physician Assistant | 921 14th Avenue, Longview, WA 98632 | 2017-03-31 |
1801128715 | Matthew John Pyrch | Physician Assistant | 1706 Washington Way, Longview, WA 98632-2952 | 2010-02-02 |
1538490297 | Kimberly Anne Wyatt | Physician Assistant | 707 Hollybrook Dr, Longview, TX 75605-2410 | 2010-01-20 |
1639407109 | Tad W. Westdale | Physician Assistant | 1718 E Kessler Blvd, Longview, WA 98632-1842 | 2009-11-22 |
1639327307 | Cynthie Michelle Kiefer | Physician Assistant | 1152 Douglas St, Longview, WA 98632-2452 | 2008-09-05 |
1609917160 | Jason Scott Graeme | Physician Assistant | 1615 Delaware St, Longview, WA 98632-2367 | 2007-02-09 |
1972688497 | Vada Ann Culpepper | Physician Assistant | 2131 S Mobberly Ave, Longview, TX 75602-3563 | 2006-10-25 |
1306958707 | Brian Edward Mahon | Physician Assistant | 1230 7th Ave, Longview, WA 98632-3166 | 2006-08-31 |
Find all providers in LONGVIEW |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.