Jerry C Wheeler (NPI# 1376672006, PAC ID# 5597737528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1376672006 |
| PAC ID by PECOS | 5597737528 |
| Professional Enrollment ID | I20040810001327 |
| Full Name | Jerry C Wheeler |
| Organization Legal Name | HENDERSON HOSPITAL, LLC |
| Address |
300 Wilson St Henderson TX 75652-5956 |
| Phone Number | 9036556536 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1978 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4789946054 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450475 | ETMC HENDERSON |
| Address | Phone | Organization |
|---|---|---|
| 300 Wilson St, Henderson, TX 75652-5956 | 9036556536 | HENDERSON HOSPITAL, LLC |
| Organization Legal Name | HENDERSON HOSPITAL, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mica Ladon Norman | Nurse Practitioner | Henderson Hospital, LLC | 300 Wilson St, Henderson, TX 75652-5956 |
| Cheryl Polkowski | Family Medicine | Henderson Hospital, LLC | 300 Wilson St, Henderson, TX 75652-5956 |
| James A Wheeler | Certified Registered Nurse Anesthetist (crna) | Henderson Hospital, LLC | 300 Wilson St, Henderson, TX 75652-5956 |
| Gordon G Uretsky | Family Medicine | Henderson Hospital, LLC | 300 Wilson St, Henderson, TX 75652-5956 |
| Street Address |
300 WILSON ST |
| City | HENDERSON |
| State | TX |
| Zip | 75652-5956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary J Starling | Emergency Medicine | Etmc Physician Group, Inc. | 300 Wilson St, Ut Health East Texas Physicians, Henderson, TX 75652-5956 |
| Mica Ladon Norman | Nurse Practitioner | Henderson Hospital, LLC | 300 Wilson St, Henderson, TX 75652-5956 |
| Robert T Buchanan | General Surgery | Etmc Physician Group, Inc. | 300 Wilson St, Ut Health East Texas Physicians, Henderson, TX 75652-5956 |
| Augustine Njoku | Cardiovascular Disease (cardiology) | Etmc Physician Group, Inc. | 300 Wilson St, Ut Health East Texas Physicians, Henderson, TX 75652-5956 |
| Cheryl Polkowski | Family Medicine | Henderson Hospital, LLC | 300 Wilson St, Henderson, TX 75652-5956 |
| Joseph M Koza | Emergency Medicine | Tanager Emergency Physicians Pllc | 300 Wilson St, Ut Health Henderson, Henderson, TX 75652-5956 |
| Bruno A Romeo Miramon | Obstetrics/gynecology | Etmc Physician Group, Inc. | 300 Wilson St, Ut Health East Texas Physicians, Henderson, TX 75652-5956 |
| James A Wheeler | Certified Registered Nurse Anesthetist (crna) | Henderson Hospital, LLC | 300 Wilson St, Henderson, TX 75652-5956 |
| John T Tracy | Emergency Medicine | Tanager Emergency Physicians Pllc | 300 Wilson St, Ut Health Henderson, Henderson, TX 75652-5956 |
| Gordon G Uretsky | Family Medicine | Henderson Hospital, LLC | 300 Wilson St, Henderson, TX 75652-5956 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Bowery | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 1010 W Main St, Henderson Health and Rehabilitation, Henderson, TX 75652-2923 |
| Sally A Thompson | Nurse Practitioner | Henderson Family Medicine, Pllc | 105 N High St, Henderson, TX 75652-3133 |
| Tad W Titlow | Nurse Practitioner | Henderson Family Medicine, Pllc | 105 N High St, Henderson, TX 75652-3133 |
| Michael C Colotta | Nurse Practitioner | Henderson Family Medicine, Pllc | 105 N High St, Henderson, TX 75652-3133 |
| Laci L Morgan | Psychologist, Clinical | 115 E Main St, Henderson, TX 75652-3167 | |
| William I O Mara | Chiropractic | 205 N Main St, Henderson, TX 75652-3169 | |
| Kraig Abram Dekoker | Physician Assistant | Etmc Physician Group, Inc. | 612 N High St, Suite A, Henderson, TX 75652-5914 |
| Ruston J Bray | Physician Assistant | Etmc Physician Group, Inc. | 612 N High St, Suite A, Henderson, TX 75652-5914 |
| Roger C Sessions | Orthopedic Surgery | Etmc Physician Group, Inc. | 612 N High St, Suite A, Henderson, TX 75652-5914 |
| Michael Y Ashigbi | Hematology/oncology | Tyler Hematology Oncology, P.a. | 300 Wilson St, Suite 357, Henderson, TX 75652-5956 |
| Find all physicians in zip 75652 | |||
| City | HENDERSON |
| Zip Code | 75652 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | HENDERSON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.