Vytautas Vaicys (NPI# 1497071468, PAC ID# 0446493555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497071468 |
| PAC ID by PECOS | 0446493555 |
| Professional Enrollment ID | I20150413000711 |
| Full Name | Vytautas Vaicys |
| Organization Legal Name | KINGSTON EMERGENCY PHYSICIANS MEDICAL GROUP PLLC |
| Address |
9440 Poppy Dr Dallas TX 75218-3652 |
| Phone Number | 9725667000 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3678828688 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450742 | BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE |
| 450678 | BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK |
| Address | Phone | Organization |
|---|---|---|
| 3500 Gaston Ave, Dallas, TX 75246-2017 | 2148200111 | CENTURY INTEGRATED PARTNERS, INC |
| 9440 Poppy Dr, Dallas, TX 75218-3652 | 9725667000 | KINGSTON EMERGENCY PHYSICIANS MEDICAL GROUP PLLC |
| Organization Legal Name | KINGSTON EMERGENCY PHYSICIANS MEDICAL GROUP PLLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renjie M Li | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Chantelle P Cook | Nurse Practitioner | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Melissa A Buessing | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Lin S Du | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Sharon S Greer | Nurse Practitioner | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Ryan Matthew Ehle | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| James A Moore | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Shannon Kathleen Gust | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| David Ayaram | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Patrick S Zelley | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Street Address |
9440 POPPY DR |
| City | DALLAS |
| State | TX |
| Zip | 75218-3652 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renjie M Li | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Quyen N Stipe | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Chantelle P Cook | Nurse Practitioner | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Melissa A Buessing | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Aimel Azizi | Internal Medicine | Canyon Oaks Hospitalist Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Lin S Du | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Sharon S Greer | Nurse Practitioner | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Jana L Sulzer | Diagnostic Radiology | Singleton Associates Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Ryan Matthew Ehle | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Jeremy Shane Bison | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer E Aldrich | Family Medicine | 11411 E Northwest Hwy, Suite 120, Dallas, TX 75218-0323 | |
| Sylvia Heck | Physical Therapy | 11037 Ridgemeadow Dr, Dallas, TX 75218-1214 | |
| Ricky Lee Hanks | Chiropractic | 11411e Northwest Hwy 107, Dallas, TX 75218-1442 | |
| Muzzaffar Hussain | Internal Medicine | Kidney Care of Dallas Pllc | 10611 Garland Rd, Suite 105, Dallas, TX 75218-2680 |
| Richard T May | Ophthalmology | 10611 Garland Rd, Suite 113, Dallas, TX 75218-2685 | |
| Corazon L Llarena | Internal Medicine | 10611 Garland Rd, Suite 114, Dallas, TX 75218-2686 | |
| William Wylie Howell | Chiropractic | 10611 Garland Rd, Suite 115, Dallas, TX 75218-2688 | |
| Elizabeth T Dolan | Dermatology | Elizabeth T Dolan, Md Pa | 10611 Garland Rd, Suite 210, Dallas, TX 75218-2695 |
| Christy C Riddle | Dermatology | Elizabeth T Dolan, Md Pa | 10611 Garland Rd, Suite 210, Dallas, TX 75218-2695 |
| Sonak B Daulat | Allergy/immunology | 10216 Garland Rd A, Dallas, TX 75218-2921 | |
| Find all physicians in zip 75218 | |||
| City | DALLAS |
| Zip Code | 75218 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DALLAS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Vytautas Vaicys.
| 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.