Boyd Bennett Gasque Jr. (NPI# 1952394108, PAC ID# 0244320745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1952394108 |
| PAC ID by PECOS | 0244320745 |
| Professional Enrollment ID | I20100802000762 |
| Full Name | Boyd Bennett Gasque Jr. |
| Organization Legal Name | ARGUS RADIOLOGY CONSULTANTS LLC |
| Address |
2840 Reynolds Dr Winston Salem NC 27104-1904 |
| Phone Number | 8774427487 |
| Gender | M |
| Graduation Year | 1977 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0749451276 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170203 | PREMIER SURGICAL INSTITUTE |
| 450686 | UNIVERSITY MEDICAL CENTER |
| 451310 | BALLINGER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 608 Ave B, Ballinger, TX 76821-2406 | 3253652531 | ARGUS RADIOLOGY CONSULTANTS LLC |
| 1310 Old Hwy 63 S, Suite 206, Columbia, MO 65201-6078 | 5738264077 | ARGUS RADIOLOGY CONSULTANTS LLC |
| 1619 W 7th St, Premier Surgical Institute, Galena, KS 66739-1269 | 6207831732 | ARGUS RADIOLOGY CONSULTANTS LLC |
| 602 Indiana Ave, Lubbock, TX 79415-3364 | 8067758400 | UNIVERSITY MEDICAL CENTER UMC RADIOLOGY |
| 2840 Reynolds Dr, Winston Salem, NC 27104-1904 | 8774427487 | ARGUS RADIOLOGY CONSULTANTS LLC |
| Organization Legal Name | ARGUS RADIOLOGY CONSULTANTS LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Ellis Costello | Diagnostic Radiology | Argus Radiology Consultants LLC | 1310 Old Hwy 63 S, Suite 206, Columbia, MO 65201-6078 |
| Tracey E O Connell | Diagnostic Radiology | Argus Radiology Consultants LLC | 2840 Reynolds Dr, Winston Salem, NC 27104-1904 |
| Dion Depaolis | Diagnostic Radiology | Argus Radiology Consultants LLC | 1310 Old Hwy 63 S, Suite 206, Columbia, MO 65201-6078 |
| Street Address |
2840 REYNOLDS DR |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27104-1904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracey E O Connell | Diagnostic Radiology | Argus Radiology Consultants LLC | 2840 Reynolds Dr, Winston Salem, NC 27104-1904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Venezela Thomas Slade-hartman | Family Medicine | Physicians Eldercare Pa | 1240 Arbor Rd, Winston Salem, NC 27104-1106 |
| Christopher M Herman | Internal Medicine | Physicians Eldercare Pa | 1240 Arbor Rd, Winston Salem, NC 27104-1106 |
| Julie A Everidge | Physician Assistant | Physicians Eldercare Pa | 1240 Arbor Rd, Winston Salem, NC 27104-1106 |
| Amy B Wall | Ophthalmology | 1214 Reynolda Rd A, Winston Salem, NC 27104-1151 | |
| Jessica Alexis Savas | Dermatology | Wake Forest University Health Sciences | 4618 Country Club Rd, Winston Salem, NC 27104-3520 |
| Temple Vashti Day | Internal Medicine | Wake Forest University Health Sciences | 4614 Country Club Rd, Winston Salem, NC 27104-3520 |
| Lisa M Kistner | Internal Medicine | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Amy J Mcmichael | Dermatology | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Stephanie Jane Myers | Internal Medicine | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Jamy D Ard | Internal Medicine | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Find all physicians in zip 27104 | |||
| City | WINSTON SALEM |
| Zip Code | 27104 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WINSTON SALEM + DIAGNOSTIC RADIOLOGY |
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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.