Courtney Susanne Scamardo (NPI# 1356720130, PAC ID# 3274833504) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1356720130 |
| PAC ID by PECOS | 3274833504 |
| Professional Enrollment ID | I20151118001520 |
| Full Name | Courtney Susanne Scamardo |
| Organization Legal Name | OLIVER STREET 5.01(A) INC. |
| Address |
1367 Dominion Plz Tyler TX 75703-1013 |
| Phone Number | 9035346200 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0042464125 |
| Number of Group Practice Members | 135 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9701 Brodie Ln, Suite 106, Austin, TX 78748-6283 | 5122803939 | OLIVER STREET 5.01(A) INC. |
| 1367 Dominion Plz, Tyler, TX 75703-1013 | 9035346200 | OLIVER STREET 5.01(A) INC. |
| Organization Legal Name | OLIVER STREET 5.01(A) INC. |
| Physicians | 142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam Awan | Dermatology | Oliver Street 5.01(a) Inc. | 4701 Medical Ctr Dr, Suite 1b, Mckinney, TX 75069-1831 |
| Trisha Jayantilal Patel | Dermatology | Oliver Street 5.01(a) Inc. | 8210 Walnut Hill Lane Pob 1, Suite 810, Dallas, TX 75231 |
| Calvin Lamont Williams | Dermatology | Oliver Street 5.01(a) Inc. | 9808 N Beach St, 600 Us Dermatology Partners, Fort Worth, TX 76244-6184 |
| Nancy Marchell | Dermatology | Oliver Street 5.01(a) Inc. | 1605 Rock Prairie Rd, Suite 300, College Station, TX 77845-8358 |
| Pamela N Murray | Physician Assistant | Oliver Street 5.01(a) Inc. | 5805 Coit Rd, Suite 203, Plano, TX 75093-6990 |
| Matthew Helm | Dermatology | Oliver Street 5.01(a) Inc. | 815 Pecan Grove Rd E, Us Dermatology Partners, Sherman, TX 75090-1768 |
| Matthew Thomas Hoffmann | Dermatology | Oliver Street 5.01(a) Inc. | 901 Walnut Hill Dr, Dermatology Associates, Longview, TX 75605-5054 |
| Young T Mcmahan | Dermatology | Oliver Street 5.01(a) Inc. | 300 Richland W Circle, 2c Dermatology Associates, Waco, TX 76712-7935 |
| Kelly Jackson | Nurse Practitioner | Oliver Street 5.01(a) Inc. | 1720 S Beckham, 102 Dermatology Associates, Tyler, TX 75701-4464 |
| Christine Lawson | Physician Assistant | Oliver Street 5.01(a) Inc. | 5030 Tennyson Pkwy, Plano, TX 75024-3002 |
| Street Address |
1367 DOMINION PLZ |
| City | TYLER |
| State | TX |
| Zip | 75703-1013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Joseph Ghidoni Iii | Dermatology | Oliver Street 5.01(a) Inc. | 1367 Dominion Plz, Tyler, TX 75703-1013 |
| Rachel Leah Miller | Physician Assistant | Oliver Street 5.01(a) Inc. | 1367 Dominion Plz, Tyler, TX 75703-1013 |
| Shanna B Meads | Dermatology | Oliver Street 5.01(a) Inc. | 1367 Dominion Plz, Tyler, TX 75703-1013 |
| Diego E Marra | Dermatology | Oliver Street 5.01(a) Inc. | 1367 Dominion Plz, Tyler, TX 75703-1013 |
| Jana M Atkins | Physician Assistant | Oliver Street 5.01(a) Inc. | 1367 Dominion Plz, Tyler, TX 75703-1013 |
| Amy Mcclung | Dermatology | Oliver Street 5.01(a) Inc. | 1367 Dominion Plz, Tyler, TX 75703-1013 |
| Alma Criseida Berlingeri Ramos | Dermatology | Oliver Street 5.01(a) Inc. | 1367 Dominion Plz, Tyler, TX 75703-1013 |
| Elizabeth Stripling Morris | Dermatology | Oliver Street 5.01(a) Inc. | 1367 Dominion Plz, Tyler, TX 75703-1013 |
| Lawrence L Anderson | Dermatology | Oliver Street 5.01(a) Inc. | 1367 Dominion Plz, Tyler, TX 75703-1013 |
| Roxanne Swafford | Nurse Practitioner | Oliver Street 5.01(a) Inc. | 1367 Dominion Plz, Tyler, TX 75703-1013 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanner Lee Hays | Chiropractic | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | |
| Wilson Krezdorn | Mass Immunization Roster Biller | 2130 W Grande Blvd, Rose City Pharmacy, Tyler, TX 75703-0563 | |
| Luther B Bratcher | Chiropractic | 2140 W Grande Blvd A, Tyler, TX 75703-0563 | |
| William Xavier Bratcher | Chiropractic | 2140 W Grande Blvd A, Tyler, TX 75703-0563 | |
| Kevin G May | Internal Medicine | 6723 Highlands Ct, Tyler, TX 75703-0584 | |
| James E Kent | Podiatry | 6603 Oak Hill Blvd, Tyler, TX 75703-0586 | |
| Daniel R Canchola | Family Medicine | Trinity Physical Medicine and Rehab Pllc | 7062 Highlands Ln, Tyler, TX 75703-0590 |
| Zalinda Colston | Nurse Practitioner | Trinity Physical Medicine and Rehab Pllc | 7062 Highlands Ln, Tyler, TX 75703-0590 |
| Benjamin Bach | Physician Assistant | Trinity Physical Medicine and Rehab Pllc | 7062 Highlands Ln, Tyler, TX 75703-0590 |
| Michelle K Dunn | Chiropractic | Trinity Physical Medicine and Rehab Pllc | 7062 Highlands Ln, Tyler, TX 75703-0590 |
| Find all physicians in zip 75703 | |||
| City | TYLER |
| Zip Code | 75703 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TYLER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Courtney Susanne Scamardo.
| 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.