Jeremy Shane Bison (NPI# 1194079806, PAC ID# 5991957896) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1194079806 |
| PAC ID by PECOS | 5991957896 |
| Professional Enrollment ID | I20190306002295 |
| Full Name | Jeremy Shane Bison |
| Organization Legal Name | MAIN STREET ANESTHESIA OF TEXAS PA |
| Address |
9440 Poppy Dr Dallas TX 75218-3652 |
| Phone Number | 2143246100 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1052675667 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450678 | BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK |
| Address | Phone | Organization |
|---|---|---|
| 5327 N Central Expy, Suite 200, Dallas, TX 75205-3345 | 2145208235 | NORTHSTAR ANESTHESIA PA |
| 9440 Poppy Dr, Dallas, TX 75218-3652 | 2143246100 | MAIN STREET ANESTHESIA OF TEXAS PA |
| 9440 Poppy Dr, Dallas, TX 75218-3652 | 2143246324 | NORTHSTAR ANESTHESIA PA |
| Organization Legal Name | MAIN STREET ANESTHESIA OF TEXAS PA |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy J Batzloff | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 4920 Ne Stallings Dr, Nacogdoches Medical Center, Nacogdoches, TX 75965-1254 |
| Quyen N Stipe | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Niki M Fincher | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 4920 Ne Stallings Dr, Nacogdoches Medical Center, Nacogdoches, TX 75965-1254 |
| Julia A Bustamante | Anesthesiology | Main Street Anesthesia of Texas Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Ethan Taylor | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 4920 Ne Stallings Dr, Nacogdoches Medical Center, Nacogdoches, TX 75965-1254 |
| Jacob J Reinen | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 4920 Ne Stallings Dr, Nacogdoches Medical Center, Nacogdoches, TX 75965-1254 |
| Ryan E Smith | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Monica L Millson | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Peter Baublet | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 4920 Ne Stallings Dr, Nacogdoches Medical Center, Nacogdoches, TX 75965-1254 |
| Joseph Winterrowd | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Street Address |
9440 POPPY DR |
| City | DALLAS |
| State | TX |
| Zip | 75218-3652 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renjie M Li | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Quyen N Stipe | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Chantelle P Cook | Nurse Practitioner | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Melissa A Buessing | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Aimel Azizi | Internal Medicine | Canyon Oaks Hospitalist Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Lin S Du | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Sharon S Greer | Nurse Practitioner | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Jana L Sulzer | Diagnostic Radiology | Singleton Associates Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Ryan Matthew Ehle | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| James A Moore | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer E Aldrich | Family Medicine | 11411 E Northwest Hwy, Suite 120, Dallas, TX 75218-0323 | |
| Sylvia Heck | Physical Therapy | 11037 Ridgemeadow Dr, Dallas, TX 75218-1214 | |
| Ricky Lee Hanks | Chiropractic | 11411e Northwest Hwy 107, Dallas, TX 75218-1442 | |
| Muzzaffar Hussain | Internal Medicine | Kidney Care of Dallas Pllc | 10611 Garland Rd, Suite 105, Dallas, TX 75218-2680 |
| Richard T May | Ophthalmology | 10611 Garland Rd, Suite 113, Dallas, TX 75218-2685 | |
| Corazon L Llarena | Internal Medicine | 10611 Garland Rd, Suite 114, Dallas, TX 75218-2686 | |
| William Wylie Howell | Chiropractic | 10611 Garland Rd, Suite 115, Dallas, TX 75218-2688 | |
| Elizabeth T Dolan | Dermatology | Elizabeth T Dolan, Md Pa | 10611 Garland Rd, Suite 210, Dallas, TX 75218-2695 |
| Christy C Riddle | Dermatology | Elizabeth T Dolan, Md Pa | 10611 Garland Rd, Suite 210, Dallas, TX 75218-2695 |
| Sonak B Daulat | Allergy/immunology | 10216 Garland Rd A, Dallas, TX 75218-2921 | |
| Find all physicians in zip 75218 | |||
| City | DALLAS |
| Zip Code | 75218 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | DALLAS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jeremy Shane Bison.
| 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.