Moises Adrian Sidransky (NPI# 1639469281, PAC ID# 4284937970) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1639469281 |
| PAC ID by PECOS | 4284937970 |
| Professional Enrollment ID | I20160713000544 |
| Full Name | Moises Adrian Sidransky |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Address |
406 E Hwy 243 Canton TX 75103-2409 |
| Phone Number | 9035674784 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 4486915600 |
| Number of Group Practice Members | 206 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450083 | EAST TEXAS MEDICAL CENTER |
| 451367 | EAST TEXAS MEDICAL CENTER PITTSBURG |
| 450389 | EAST TEXAS MEDICAL CENTER ATHENS |
| Address | Phone | Organization |
|---|---|---|
| 406 E Hwy 243, Canton, TX 75103-2409 | 9035674784 | ETMC PHYSICIAN GROUP, INC. |
| 18118 Fm 344, Ut Health East Texas Physicians, Flint, TX 75762-6010 | 9038253292 | ETMC PHYSICIAN GROUP, INC. |
| 100 Municipal Dr, Suite 300, Gun Barrel City, TX 75156-3703 | 9037131574 | ETMC PHYSICIAN GROUP, INC. |
| 2701 Us Hwy 271 N, Ut Health East Texas Physicians, Pittsburg, TX 75686-4289 | 9039465442 | ETMC PHYSICIAN GROUP, INC. |
| 117 N Winnsboro St, Ut Health East Texas Physicians, Quitman, TX 75783-2144 | 9037636220 | ETMC PHYSICIAN GROUP, INC. |
| 1000 S Beckham Ave, Tyler, TX 75701-1908 | 9035905611 | ETMC PHYSICIAN GROUP, INC. |
| 700 Olympic Plaza Cir, Suite 850, Tyler, TX 75701-1955 | 9035963504 | ETMC PHYSICIAN GROUP, INC. |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Street Address |
406 E HWY 243 |
| City | CANTON |
| State | TX |
| Zip | 75103-2409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Betsy Jill Chappell | Nurse Practitioner | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| John Turner | General Practice | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristofer T Ingram | Chiropractic | Ingram Health Care PC | 921 W Dallas St, Canton, TX 75103-1009 |
| Tina M Ingram | Chiropractic | Ingram Health Care PC | 921 W Dallas St, Canton, TX 75103-1009 |
| Himanshu Kaushik | Physical Therapy | A Medical Advantage Healthcare Systems Associated | 300 S Main St, Canton, TX 75103-1439 |
| Robin G Fincher | Certified Nurse Midwife | 602 S Trade Days Blvd, Canton, TX 75103-1826 | |
| Jimmy W Dailey | Family Medicine | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| R A Lester Iii | Family Medicine | 1108 S Buffalo St, Diabetic Renewal Ctr, Canton, TX 75103-2304 | |
| Melissa Williams | Nurse Practitioner | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Dustin W Smith | Podiatry | Foot Clinic of East Texas, PC | 1108 S Buffalo, Canton, TX 75103-2304 |
| Angela C Whitton | Physician Assistant | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Shannon E Phillips Jr. | Nurse Practitioner | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Find all physicians in zip 75103 | |||
| City | CANTON |
| Zip Code | 75103 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | CANTON + PAIN MANAGEMENT |
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| 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.