Jimmy Wayne Spruill (NPI# 1255481883, PAC ID# 3870578164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1255481883 |
PAC ID by PECOS | 3870578164 |
Professional Enrollment ID | I20040621001756 |
Full Name | Jimmy Wayne Spruill |
Organization Legal Name | ESS OF BOWIE, LLC |
Address |
705 E Greenwood Ave Bowie TX 76230-3135 |
Phone Number | 9408721126 |
Gender | M |
Credential | MD |
Graduation Year | 1976 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 4587901384 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
451361 | SABINE COUNTY HOSPITAL |
Address | Phone | Organization |
---|---|---|
705 E Greenwood Ave, Bowie, TX 76230-3135 | 9408721126 | ESS OF BOWIE, LLC |
Organization Legal Name | ESS OF BOWIE, LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eric C Guy | Internal Medicine | Ess of Bowie, LLC | 705 E Greenwood Ave, Bowie, TX 76230-3135 |
Peter Way | Emergency Medicine | Ess of Bowie, LLC | 705 E Greenwood Ave, Bowie, TX 76230-3135 |
Street Address |
705 E GREENWOOD AVE |
City | BOWIE |
State | TX |
Zip | 76230-3135 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eric C Guy | Internal Medicine | Ess of Bowie, LLC | 705 E Greenwood Ave, Bowie, TX 76230-3135 |
Peter Way | Emergency Medicine | Ess of Bowie, LLC | 705 E Greenwood Ave, Bowie, TX 76230-3135 |
Name | Specialty | Organization | Address |
---|---|---|---|
Janice Whitacre | Clinical Psychologist | Brighter Day Health LLC | 700 Us Hwy S Access Rd, Bowie, Bowie, TX 76230 |
Stacy Broun | Clinical Psychologist | Brighter Day Health LLC | 700 Us Hwy S Access Rd, Bowie, TX 76230 |
Maureen Richards | Nurse Practitioner | Brighter Day Health LLC | 700 Us Hwy S Access Rd, Bowie, TX 76230 |
Cynthia L Robertson | Nurse Practitioner | United Clinics of North Texas, Pllc | 1010 N Mill St, Bowie, TX 76230-3120 |
Danny Laws | Physical Therapy | 1111 E Wise St, Bowie, TX 76230-4516 | |
Diran A Lancaster | Chiropractic | Paradox Healthcare Systems Pllc | 207 Walnut, Bowie, TX 76230-4840 |
Kellie J Timberlake-lancaster | Chiropractic | Paradox Healthcare Systems Pllc | 207 Walnut, Bowie, TX 76230-4840 |
City | BOWIE |
Zip Code | 76230 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | BOWIE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jimmy Wayne Spruill.
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.