Wendy Wilson (NPI# 1851845366, PAC ID# 4587949607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851845366 |
| PAC ID by PECOS | 4587949607 |
| Professional Enrollment ID | I20170331001498 |
| Full Name | Wendy Wilson |
| Organization Legal Name | ASSOCIATED CLINICIANS OF EAST TEXAS |
| Address |
805 Medical Dr Longview TX 75605-5130 |
| Phone Number | 9032328100 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789957440 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450702 | LONGVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 805 Medical Dr, Longview, TX 75605-5130 | 9032328100 | ASSOCIATED CLINICIANS OF EAST TEXAS |
| Organization Legal Name | ASSOCIATED CLINICIANS OF EAST TEXAS |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam O Mcdaniel | Internal Medicine | Associated Clinicians of East Texas | 602 Titus St, Suite 100, Gilmer, TX 75644-1796 |
| Robert W Cary Jr. | Family Medicine | Associated Clinicians of East Texas | 805 Medical Dr, Longview, TX 75605-5130 |
| Deborah K Bell | Nurse Practitioner | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| John L Wright Jr. | Family Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Mark A Witt | Podiatry | Associated Clinicians of East Texas | 709 Hollybrook Dr, Suite 3401, Longview, TX 75605-2412 |
| Rajani Ruth Caesar | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Jeffrey R. Kemp | Internal Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Justin Coleman Hardin | Pathology | Associated Clinicians of East Texas | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Amy Lewis | Nurse Practitioner | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Roger Kiser | Internal Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Street Address |
805 MEDICAL DR |
| City | LONGVIEW |
| State | TX |
| Zip | 75605-5130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert W Cary Jr. | Family Medicine | Associated Clinicians of East Texas | 805 Medical Dr, Longview, TX 75605-5130 |
| Michael W Morris | Family Medicine | Associated Clinicians of East Texas | 805 Medical Dr, Longview, TX 75605-5130 |
| Saritha A Kortikere | Family Medicine | Associated Clinicians of East Texas | 805 Medical Dr, Longview, TX 75605-5130 |
| Lisa M Scrimpsher | Nurse Practitioner | Associated Clinicians of East Texas | 805 Medical Dr, Longview, TX 75605-5130 |
| Julie L Lundy | Family Medicine | Associated Clinicians of East Texas | 805 Medical Dr, Longview, TX 75605-5130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne J Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Cody R Hopson | Chiropractic | 2901 Judson Rd, Longview, TX 75605-1803 | |
| Leslie A Sanders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Joseph H Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Brenton Robinson | Nurse Practitioner | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy A, Longview, TX 75605-2102 |
| Gregory K Wacasey | Optometry | 2834 Bill Owens Pkwy, Longview, TX 75605-2102 | |
| Edward C Ledbetter | Chiropractic | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy, Suite A, Longview, TX 75605-2102 |
| Candis R Mendoza | Chiropractic | 2706 Bill Owens Pkwy, Longview, TX 75605-2136 | |
| Alex J Smith | Internal Medicine | 2107 Courthouse Dr, Suite 103, Longview, TX 75605-2355 | |
| Rajani Ruth Caesar | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Find all physicians in zip 75605 | |||
| City | LONGVIEW |
| Zip Code | 75605 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LONGVIEW + NURSE PRACTITIONER |
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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.