Timothy D Martindale (NPI# 1003824632, PAC ID# 5294806808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1003824632 |
| PAC ID by PECOS | 5294806808 |
| Professional Enrollment ID | I20080625000145 |
| Full Name | Timothy D Martindale |
| Organization Legal Name | MARTINDALE FAMILY MEDICINE CLINIC PA |
| Address |
7104 New Sanger Ave Waco TX 76712-3928 |
| Phone Number | 2542623188 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3870846066 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450042 | PROVIDENCE HEALTH CENTER |
| 450101 | BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST |
| Address | Phone | Organization |
|---|---|---|
| 7104 New Sanger Ave, Waco, TX 76712-3928 | 2542623188 | MARTINDALE FAMILY MEDICINE CLINIC PA |
| Organization Legal Name | MARTINDALE FAMILY MEDICINE CLINIC PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Kaye Beverly | Nurse Practitioner | Martindale Family Medicine Clinic Pa | 7104 New Sanger Ave, Waco, TX 76712-3928 |
| Street Address |
7104 NEW SANGER AVE |
| City | WACO |
| State | TX |
| Zip | 76712-3928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Kaye Beverly | Nurse Practitioner | Martindale Family Medicine Clinic Pa | 7104 New Sanger Ave, Waco, TX 76712-3928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ntiense Covey | Clinical Social Worker | 200 W Hwy 6, Suite 217, Waco, TX 76712 | |
| Todd Moffatt | General Surgery | 1000 W Hwy 6, Suite 410, Waco, TX 76712 | |
| Eric F Oneill | Plastic and Reconstructive Surgery | 1000 W Hwy 6, Suite 500, Waco, TX 76712 | |
| Lute George Oas | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| Justin Wylie Wray | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| David J Schickner | Neurosurgery | David J. Schickner, M.d., P.a. | 6901 Medical Pkwy, Waco, TX 76712-2589 |
| Charles W Guy | Plastic and Reconstructive Surgery | 101 Burnett Ct, Suite B, Waco, TX 76712-3100 | |
| Mark A Antonacci | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Nina Wilson | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Travis Gene Volcik | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Find all physicians in zip 76712 | |||
| City | WACO |
| Zip Code | 76712 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WACO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Timothy D Martindale.
| 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.