Suzzane M Blake (NPI# 1689698946, PAC ID# 0143224634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1689698946 |
| PAC ID by PECOS | 0143224634 |
| Professional Enrollment ID | I20060914000641 |
| Full Name | Suzzane M Blake |
| Organization Legal Name | TRINITY CLINIC |
| Address |
4188 Nw Loop Christus Trinity Clinic Carthage TX 75633-2255 |
| Phone Number | 9033154160 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3072426741 |
| Number of Group Practice Members | 595 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450032 | GOOD SHEPHERD MEDICAL CENTER MARSHALL |
| 450210 | EAST TEXAS MEDICAL CENTER - CARTHAGE |
| 450083 | EAST TEXAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4188 Nw Loop, Christus Trinity Clinic, Carthage, TX 75633-2255 | 9033154160 | TRINITY CLINIC |
| 620 S Fleishel Ave, Christus Trinity Clinic, Tyler, TX 75701-2041 | 9035108888 | TRINITY CLINIC |
| 630 S Fleishel Ave, Christus Trinity Clinic, Tyler, TX 75701-2041 | 9035108888 | TRINITY CLINIC |
| Organization Legal Name | TRINITY CLINIC |
| Physicians | 607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chimdi Mfebe | Nurse Practitioner | Trinity Clinic | 100 Medical Cir, Sulphur Springs, TX 75482-2138 |
| Sally G Herring | Nurse Practitioner | Trinity Clinic | 701 E Marshall Ave, 200 Christus Trinity Clinic, Longview, TX 75601-5544 |
| James Edward Applebury | Physical Medicine and Rehabilitation | Trinity Clinic | 3131 Troup Hwy, Tyler, TX 75701-8350 |
| Charity U Eko | Family Medicine | Trinity Clinic | 815 S Washington Ave, 303 Christus Trinity Clinic, Marshall, TX 75670-5358 |
| Mojirayo A Sarumi | Obstetrics/gynecology | Trinity Clinic | 1720 S Beckham Ave, 104 Christus Trinity Clinic, Tyler, TX 75701-4464 |
| John T Mccurdy | Nurse Practitioner | Trinity Clinic | 116 Medical Dr, Palestine, TX 75801-4780 |
| Blake A Cross | Family Medicine | Trinity Clinic | 105 Medical Plz, Sulphur Springs, TX 75482-2136 |
| Brandi F Dunford | Nurse Practitioner | Trinity Clinic | 910 E Houston St, 330 Christus Trinity Clinic, Tyler, TX 75702-8368 |
| Jennifer J Flowers | Nurse Practitioner | Trinity Clinic | 630 S Fleishel Ave, Christus Trinity Clinic, Tyler, TX 75701-2041 |
| Kathleen F Rice | Nurse Practitioner | Trinity Clinic | 2101 W Loop, 281 Christus Trinity Clinic, Longview, TX 75604-2506 |
| Street Address |
4188 NW LOOP CHRISTUS TRINITY CLINIC |
| City | CARTHAGE |
| State | TX |
| Zip | 75633-2255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean Rene Yates-halbert | Physician Assistant | Trinity Clinic | 4188 Nw Loop, Christus Trinity Clinic, Carthage, TX 75633-2255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ben B Donald Ii | Optometry | 403 N Adams St, Carthage, TX 75633-1311 | |
| John F Nielsen | Family Medicine | 702 N Davis, Suite 4, Carthage, TX 75633-1461 | |
| Catherine Eno Okpon Onabajo | Emergency Medicine | Tanager Emergency Physicians Pllc | 409 Cottage Rd, Carthage, TX 75633-1466 |
| Ketan Patel | Critical Care (intensivists) | Etmc Physician Group, Inc. | 409 Cottage Rd, Carthage, TX 75633-1466 |
| Brian Northcutt | Family Medicine | Tanager Emergency Physicians Pllc | 409 Cottage Rd, Carthage, TX 75633-1466 |
| Adam Duran | Family Medicine | Carthage Hospital, LLC | 409 Cottage Rd, Carthage, TX 75633-1466 |
| Deepti A Govathoti | Family Medicine | Carthage Hospital, LLC | 409 Cottage Rd, Carthage, TX 75633-1466 |
| John A Hernandez | Certified Registered Nurse Anesthetist (crna) | Carthage Hospital, LLC | 409 Cottage Rd, Carthage, TX 75633-1466 |
| Vidyasagar G Reddy | Emergency Medicine | Tanager Emergency Physicians Pllc | 409 Cottage Rd, Carthage, TX 75633-1466 |
| Robert C Wessman | Family Medicine | Carthage Hospital, LLC | 409 Cottage Rd, Carthage, TX 75633-1466 |
| Find all physicians in zip 75633 | |||
| City | CARTHAGE |
| Zip Code | 75633 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CARTHAGE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.