MR. GEORGE FRANCIS ZERUCHA


Address: 121 Oak Isle Dr, Longview, TX 75605-7523
Phone: 9034520039

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
700 E Marshall Ave, Longview, TX 756015580 9033152445

Office Location

Street Address 121 OAK ISLE DR
City LONGVIEW
State TX
Zip Code 75605-7523

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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
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1902101108 The Veta Lewis Behavioral Health Group Counselor 1800 S. Judson St., Suite 100, Longview, TX 75605 2011-01-19
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LONGVIEW
Zip Code 75605

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Dataset Information

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.

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