William R Giles Jr.
ETMC PHYSICIAN GROUP, INC.


Address: 100 Municipal Dr, Suite 300, Gun Barrel City, TX 75156-3703
Phone: 9037131574

William R Giles Jr. (NPI# 1386662419, PAC ID# 3173561974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1386662419
PAC ID by PECOS 3173561974
Professional Enrollment ID I20050421001170
Full Name William R Giles Jr.
Organization Legal Name ETMC PHYSICIAN GROUP, INC.
Address 100 Municipal Dr
Suite 300
Gun Barrel City
TX 75156-3703
Phone Number 9037131574
Gender M
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year 2001
Primary Specialty INTERNAL MEDICINE
Secondary Specialties EMERGENCY MEDICINE
Group Practice PAC ID 4486915600
Number of Group Practice Members 206
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450389 EAST TEXAS MEDICAL CENTER ATHENS
450083 EAST TEXAS MEDICAL CENTER

Other Locations

Address Phone Organization
100 Municipal Dr, Suite 300, Gun Barrel City, TX 75156-3703 9037131574 ETMC PHYSICIAN GROUP, INC.

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name ETMC PHYSICIAN GROUP, INC.
Physicians 178

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Varalaxmi Nannaka Pulmonary Disease Etmc Physician Group, Inc. 305 Cottage Rd, Carthage, TX 75633-1511
Betsy Jill Chappell Nurse Practitioner Etmc Physician Group, Inc. 406 E Hwy 243, Canton, TX 75103-2409
Andrea Corine Cooley Cardiac Surgery Etmc Physician Group, Inc. 1000 E 5th St, Suite 400, Tyler, TX 75701-3362
Jason S Murry General Surgery Etmc Physician Group, Inc. 1020 E Idel St, Ut Health East Texas Physicians, Tyler, TX 75701-2024
Ronald J Pinkenburg Ophthalmology Etmc Physician Group, Inc. 16911 Village Lake Dr, Lindale, TX 75771-5065
Francine Fraser Mccain Obstetrics/gynecology Etmc Physician Group, Inc. 1336 S Palestine St, Athens, TX 75751-3621
Lori Fuquay Nurse Practitioner Etmc Physician Group, Inc. 601 Hwy 110 N, Suite O, Whitehouse, TX 75791-3037
Michael Jason Chastant Nurse Practitioner Etmc Physician Group, Inc. 2608 Mcdonald Rd, Tyler, TX 75701-5934
Joseph Leonard Decarlo Urology Etmc Physician Group, Inc. 911 S Beckham Ave, Tyler, TX 75701-1907
Eric D Reed Otolaryngology Etmc Physician Group, Inc. 301 W 19th St, Mt Pleasant, TX 75455-2322

Office Location

Street Address 100 MUNICIPAL DR
SUITE 300
City GUN BARREL CITY
State TX
Zip 75156-3703

Physicians in the same location

Name Specialty Organization Address
Leroy Paul Foster Emergency Medicine Tanager Emergency Physicians Pllc 100 Municipal Dr, Gun Barrel City, TX 75156-3702
Don Brent Treichler Emergency Medicine Tanager Emergency Physicians Pllc 100 Municipal Dr, Gun Barrel City, TX 75156-3702
John Bowman Nurse Practitioner Texas Em I Medical Services Pa 100 Municipal Dr, Gun Barrel City, TX 75156-3702
Sheila Calmese Nurse Practitioner Texas Em I Medical Services Pa 100 Municipal Dr, Gun Barrel City, TX 75156-3702
Leeor B Peleg Emergency Medicine Tanager Emergency Physicians Pllc 100 Municipal Dr, Gun Barrel City, TX 75156-3702
Cynthia S Ahearn Nurse Practitioner Texas Em I Medical Services Pa 100 Municipal Dr, Gun Barrel City, TX 75156-3702
Lauren R Knapp Nurse Practitioner Texas Em I Medical Services Pa 100 Municipal Dr, Gun Barrel City, TX 75156-3702
Susan C Mcmullen Family Medicine Etmc Physician Group, Inc. 100 Municipal Dr, Suite 300, Gun Barrel City, TX 75156-3703
Kranthi Kiran Ragireddy Family Medicine Etmc Physician Group, Inc. 100 Municipal Dr, Suite 300, Gun Barrel City, TX 75156-3703
Danny W Fillip Physician Assistant Etmc Physician Group, Inc. 100 Municipal Dr, Suite 300, Gun Barrel City, TX 75156-3703
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Benjamin C Caldwell Nurse Practitioner Cedar Creek Clinic LLC 2418 W Main St, Gun Barrel City, TX 75156-3638
Krystal Lynn Morgan Nurse Practitioner Cedar Creek Clinic LLC 2418 W Main St, Gun Barrel City, TX 75156-3638
Adeniran A Ariyo Cardiovascular Disease (cardiology) 519 N Gun Barrel Ln, Gun Barrel City, TX 75156-3700
Steven Koerth Family Medicine Lakeland Medical Associates 170 Municipal Dr, Gun Barrel City, TX 75156-3704
Victoria M Jacobs Physician Assistant Lakeland Medical Associates 170 Municipal Dr, Gun Barrel City, TX 75156-3704
Waleed Mahmoud Family Medicine Lakeland Medical Associates 170 Municipal Dr, Gun Barrel City, TX 75156-3704
Bruce Woodall Family Medicine Lakeland Medical Associates 170 Municipal Dr, Gun Barrel City, TX 75156-3704
Kristi Shawn Gore Nurse Practitioner Lakeland Medical Associates 170 Municipal Dr, Gun Barrel City, TX 75156-3704
Alicia Cleaver Family Medicine Lakeland Medical Associates 170 Municipal Dr, Gun Barrel City, TX 75156-3704
Jon M Rich Family Medicine Lakeland Medical Associates 170 Municipal Dr, Gun Barrel City, TX 75156-3704
Find all physicians in zip 75156

Competitor

Search similar physicians

City GUN BARREL CITY
Zip Code 75156
Specialty INTERNAL MEDICINE
City + Specialty GUN BARREL CITY + INTERNAL MEDICINE

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Dataset Information

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.

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