Kendra B Stockman (NPI# 1316097579, PAC ID# 1951297134) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1316097579 |
| PAC ID by PECOS | 1951297134 |
| Professional Enrollment ID | I20040225000123 |
| Full Name | Kendra B Stockman |
| Organization Legal Name | YOUNGS PROFESSIONAL SERVICES LLC |
| Address |
1204 N Mound St Yps Anesthesia Services Nacogdoches TX 75961-4027 |
| Phone Number | 8553007525 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 2003 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2163524992 |
| Number of Group Practice Members | 239 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450508 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1204 N Mound St, Yps Anesthesia Services, Nacogdoches, TX 75961-4027 | 8553007525 | YOUNGS PROFESSIONAL SERVICES LLC |
| 3610 N University Dr, Nacogdoches, TX 75965-2539 | 9365609599 | GRASSHOPPER ANESTHESIA SERVICES PLLC |
| Organization Legal Name | YOUNGS PROFESSIONAL SERVICES LLC |
| Physicians | 195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Craig Macintyre | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 3811 Sagebriar Dr, Bryan, TX 77802-6107 |
| Daniel M Bitner | Anesthesiology | Youngs Professional Services LLC | 600 N Lewis St, Anesthesia Dept, New Iberia, LA 70563-2043 |
| Anne C Hlavacek | Anesthesiology | Youngs Professional Services LLC | 2312 E Main St A, Yps Anesthesia Services, New Iberia, LA 70560-4064 |
| Joshua A Long | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 2600 N Hwy 118, Alpine, TX 79830-2002 |
| Lindsey M Smith-dunford | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 600 N Union Ave, New Braunfels, TX 78130-4194 |
| Kara E Bono | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 67252 Industry Ln, Covington, LA 70433-8704 |
| August J Klohn | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 42570 S Airport Rd, Anesthesia Dept Yps Anesthesia Services, Hammond, LA 70403-0946 |
| Meaghan T Pezant | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 989 Robert Blvd, Slidell, LA 70458-2009 |
| Mark Edwin Koepp | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1097 Northwest Blvd, Franklin, LA 70538-3407 |
| Chris L Jacobson | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1767 Troup Hwy, Tyler, TX 75701-5869 |
| Street Address |
1204 N MOUND ST YPS ANESTHESIA SERVICES |
| City | NACOGDOCHES |
| State | TX |
| Zip | 75961-4027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence Q Robinson | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| James Edward Hughes | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1204 N Mound St, Yps Anesthesia Services, Nacogdoches, TX 75961-4027 |
| Koteshwara R Nadipalli | Family Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Robert Griffith | Nurse Practitioner | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Lashonda Evetta Traylor | Nurse Practitioner | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Gregory S Wallis | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1204 N Mound St, Yps Anesthesia Services, Nacogdoches, TX 75961-4027 |
| Edwin Emborgo | Family Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Douglas B Ferguson | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Malcolm K Lyon | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Jessica Jones Gotham | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1204 N Mound St, Yps Anesthesia Services, Nacogdoches, TX 75961-4027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ky V Nguyen | Emergency Medicine | Living Forest Country Emergency Physicians Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75961-1254 |
| Leopoldo M Basilico | Family Medicine | Living Forest Country Emergency Physicians Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75961-1254 |
| Christian L Trux | Emergency Medicine | Living Forest Country Emergency Physicians Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75961-1254 |
| Roger N Collins | Emergency Medicine | 4920 Ne Stallings Dr, Nacogdoches, TX 75961-1254 | |
| David M Brown | Emergency Medicine | Living Forest Country Emergency Physicians Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75961-1254 |
| Mary Beth Calme | Diagnostic Radiology | Radiology Consultants of Nacogdoches LLP | 1204 N Mound, Nacogdoches, TX 75961-4027 |
| Medda Michelle Rauhut | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Thomas E Curtis | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Andrew J Hamill | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| William C Mitchell | Family Medicine | Texas Emergency Staffing Solutions Pa | 1204 N Mound St, Nacogdoches Memorial Hospital, Nacogdoches, TX 75961-4027 |
| Find all physicians in zip 75961 | |||
| City | NACOGDOCHES |
| Zip Code | 75961 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | NACOGDOCHES + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Kendra B Stockman.
| 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.