Joseph V Nicolosi (NPI# 1003888454, PAC ID# 2769435304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1003888454 |
| PAC ID by PECOS | 2769435304 |
| Professional Enrollment ID | I20050223000887 |
| Full Name | Joseph V Nicolosi |
| Organization Legal Name | CHAMPION ANESTHESIA CONSULTANTS PLLC |
| Address |
2850 E State Hwy 114 Trophy Club TX 76262-5302 |
| Phone Number | 8178374600 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 7113231358 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450880 | BAYLOR SURGICAL HOSPITAL AT FORT WORTH |
| Address | Phone | Organization |
|---|---|---|
| 2301 Marsh Ln, Plano, TX 75093-8497 | 9728202641 | CHAMPION ANESTHESIA CONSULTANTS PLLC |
| 2850 E State Hwy 114, Trophy Club, TX 76262-5302 | 8178374600 | CHAMPION ANESTHESIA CONSULTANTS PLLC |
| Organization Legal Name | CHAMPION ANESTHESIA CONSULTANTS PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa C Chenault | Certified Registered Nurse Anesthetist (crna) | Champion Anesthesia Consultants Pllc | 2850 E State Hwy 114, Trophy Club, TX 76262-5302 |
| Gregory B Gaskin Ii | Anesthesiology | Champion Anesthesia Consultants Pllc | 415 E Southlake Blvd, Suite 202, Southlake, TX 76092-6280 |
| Michael L Gibson | Anesthesiology | Champion Anesthesia Consultants Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
| Jeanne B Wallace | Anesthesiology | Champion Anesthesia Consultants Pllc | 1545 E Southlake Blvd, Southlake, TX 76092-6422 |
| Christine C Wyrick | Anesthesiology | Champion Anesthesia Consultants Pllc | 1400 8th Ave, Fort Worth, TX 76104-4110 |
| David B Serota | Anesthesiology | Champion Anesthesia Consultants Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
| Jonathon S Scarborough | Certified Registered Nurse Anesthetist (crna) | Champion Anesthesia Consultants Pllc | 415 E Southlake Blvd, Suite 202, Southlake, TX 76092-6280 |
| Timothy T Tye | Anesthesiology | Champion Anesthesia Consultants Pllc | 11970 N Central Expy, Suite 610, Dallas, TX 75243-3768 |
| Robert M Lagon | Anesthesiology | Champion Anesthesia Consultants Pllc | 1351 W President George Bush Hwy, Richardson, TX 75080-1133 |
| John L Thorne | Anesthesiology | Champion Anesthesia Consultants Pllc | 11990 N Central Expressway, Dallas, TX 75243-3714 |
| Street Address |
2850 E STATE HWY 114 |
| City | TROPHY CLUB |
| State | TX |
| Zip | 76262-5302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa C Chenault | Certified Registered Nurse Anesthetist (crna) | Champion Anesthesia Consultants Pllc | 2850 E State Hwy 114, Trophy Club, TX 76262-5302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron R Aldape | Family Medicine | Nextgen Rpm | 1869 Halifax St, Roanoke, TX 76262-1405 |
| Erin Griffith | Registered Dietitian Or Nutrition Professional | Nextgen Rpm | 1869 Halifax St, Roanoke, TX 76262-1405 |
| Cassandra N Benedick | Optometry | Kharis Eye Care, Pllc | 100 Country View Dr, Suite 100, Roanoke, TX 76262-2055 |
| Blake J Hughes | Optometry | Kharis Eye Care, Pllc | 100 Country View Dr, Suite 100, Roanoke, TX 76262-2055 |
| Cody Doyle | Chiropractic | 295 W Byron Nelson Blvd, Suite 212, Roanoke, TX 76262-3502 | |
| Aaron Grant Young | Chiropractic | 625 Parkview Dr, Suite 103, Trophy Club, TX 76262-4218 | |
| Kara N Edgerton | Physical Therapy | Riata Therapy Specialists Pllc | 2550 Bobcat Blvd, Suite 109, Trophy Club, TX 76262-5135 |
| Kelvin Q Lam | Optometry | 301 Trophy Lake Dr, Suite 128, Trophy Club, TX 76262-5237 | |
| Lee Roy Hardin | Chiropractic | 501 Trophy Lake Dr, Suite 322, Trophy Club, TX 76262-5239 | |
| Hugo S Vazquez | Anesthesiology | Granite Anesthesia | 2850 E Hwy 114, Baylor Medical Center Trophy Club, Trophy Club, TX 76262-5302 |
| Find all physicians in zip 76262 | |||
| City | TROPHY CLUB |
| Zip Code | 76262 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | TROPHY CLUB + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Joseph V Nicolosi.
| 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.