Ryan Rogers Pevey (NPI# 1720297765, PAC ID# 0547394884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1720297765 |
| PAC ID by PECOS | 0547394884 |
| Professional Enrollment ID | I20100823000273 |
| Full Name | Ryan Rogers Pevey |
| Organization Legal Name | ASSOCIATED CLINICIANS OF EAST TEXAS |
| Address |
707 Hollybrook Dr Longview TX 75605-2410 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4789957440 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450702 | LONGVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2901 4th St, Longview, TX 75605-5128 | 9037581818 | ASSOCIATED CLINICIANS OF EAST TEXAS |
| 707 Hollybrook Dr, Longview, TX 75605-2410 | ASSOCIATED CLINICIANS OF EAST TEXAS |
| Organization Legal Name | ASSOCIATED CLINICIANS OF EAST TEXAS |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam O Mcdaniel | Internal Medicine | Associated Clinicians of East Texas | 602 Titus St, Suite 100, Gilmer, TX 75644-1796 |
| Robert W Cary Jr. | Family Medicine | Associated Clinicians of East Texas | 805 Medical Dr, Longview, TX 75605-5130 |
| Deborah K Bell | Nurse Practitioner | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| John L Wright Jr. | Family Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Mark A Witt | Podiatry | Associated Clinicians of East Texas | 709 Hollybrook Dr, Suite 3401, Longview, TX 75605-2412 |
| Rajani Ruth Caesar | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Jeffrey R. Kemp | Internal Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Justin Coleman Hardin | Pathology | Associated Clinicians of East Texas | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Amy Lewis | Nurse Practitioner | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Roger Kiser | Internal Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Street Address |
707 HOLLYBROOK DR |
| City | LONGVIEW |
| State | TX |
| Zip | 75605-2410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah K Bell | Nurse Practitioner | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| John L Wright Jr. | Family Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Rajani Ruth Caesar | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Jeffrey R. Kemp | Internal Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Carl Miller | Diagnostic Radiology | East Texas Radiology Consultants | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Amy Lewis | Nurse Practitioner | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Roger Kiser | Internal Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Janet E Maffei | Physician Assistant | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Joseph W Bell | Internal Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Richard A Hamer | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne J Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Cody R Hopson | Chiropractic | 2901 Judson Rd, Longview, TX 75605-1803 | |
| Leslie A Sanders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Joseph H Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Brenton Robinson | Nurse Practitioner | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy A, Longview, TX 75605-2102 |
| Gregory K Wacasey | Optometry | 2834 Bill Owens Pkwy, Longview, TX 75605-2102 | |
| Edward C Ledbetter | Chiropractic | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy, Suite A, Longview, TX 75605-2102 |
| Candis R Mendoza | Chiropractic | 2706 Bill Owens Pkwy, Longview, TX 75605-2136 | |
| Alex J Smith | Internal Medicine | 2107 Courthouse Dr, Suite 103, Longview, TX 75605-2355 | |
| Anita R Scribner | Infectious Disease | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Find all physicians in zip 75605 | |||
| City | LONGVIEW |
| Zip Code | 75605 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LONGVIEW + GENERAL SURGERY |
Please comment or provide details below to improve the information on Ryan Rogers Pevey.
| 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.