Kristin Marie Trevor (NPI# 1043442361, PAC ID# 1759406408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043442361 |
| PAC ID by PECOS | 1759406408 |
| Professional Enrollment ID | I20170804003346 |
| Full Name | Kristin Marie Trevor |
| Organization Legal Name | EMURGENT CARE LLC |
| Address |
109 B E Ellendale Ave Dallas OR 97338-1794 |
| Phone Number | 5036233199 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830325075 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381308 | WEST VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 109 B E Ellendale Ave, Dallas, OR 97338-1794 | 5036233199 | EMURGENT CARE LLC |
| Organization Legal Name | EMURGENT CARE LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Gaylon Waldie | Physician Assistant | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Laura J Cheshire | Nurse Practitioner | Emurgent Care LLC | 109 B E Ellendale Ave, Dallas, OR 97338-1794 |
| Jackie J Sochin | Nurse Practitioner | Emurgent Care LLC | 109 B E Ellendale Ave, Dallas, OR 97338-1794 |
| Daniel A Lowery | Physician Assistant | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Hal A Mitchell | Family Practice | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Janet A Matthews | Nurse Practitioner | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Street Address |
109 B E ELLENDALE AVE |
| City | DALLAS |
| State | OR |
| Zip | 97338-1794 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Cheshire | Nurse Practitioner | Emurgent Care LLC | 109 B E Ellendale Ave, Dallas, OR 97338-1794 |
| Jackie J Sochin | Nurse Practitioner | Emurgent Care LLC | 109 B E Ellendale Ave, Dallas, OR 97338-1794 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Holton Jr. | Chiropractic | 289 E Ellendale Ave, Suite 102, Dallas, OR 97338-1500 | |
| Brent M Darrington | Physical Therapy | 289 E Ellendale Ave, Suite 101, Dallas, OR 97338-1500 | |
| Jeremy Gaylon Waldie | Physician Assistant | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Daniel A Lowery | Physician Assistant | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Hal A Mitchell | Family Practice | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Janet A Matthews | Nurse Practitioner | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Eric M Drake | Physical Therapy | Pinnacle Physical Therapy PC | 210 W Ellendale Ave, Suite 100, Dallas, OR 97338-1710 |
| Ryan M Delcambre | Physical Therapy | Pinnacle Physical Therapy PC | 210 W Ellendale Ave, Suite 100, Dallas, OR 97338-1710 |
| Nate M Paredes | Physical Therapy | Pinnacle Physical Therapy PC | 210 W Ellendale Ave, Suite 100, Dallas, OR 97338-1710 |
| Grant William Knowles | Optometry | Polk Vision Clinics Inc. | 506 Main St, Dallas, OR 97338-1915 |
| Find all physicians in zip 97338 | |||
| City | DALLAS |
| Zip Code | 97338 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DALLAS + NURSE PRACTITIONER |
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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.