Abraham Ray Renaud (NPI# 1740756717, PAC ID# 7618210980) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1740756717 |
| PAC ID by PECOS | 7618210980 |
| Professional Enrollment ID | I20190530001452 |
| Full Name | Abraham Ray Renaud |
| Organization Legal Name | DESIRED HEALTH CHIROPRACTIC, LLC |
| Address |
134 W Pine St Farmington MO 63640-1403 |
| Phone Number | 5737566496 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2017 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 9830286681 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 134 W Pine St, Farmington, MO 63640-1403 | 5737566496 | DESIRED HEALTH CHIROPRACTIC, LLC |
| Organization Legal Name | DESIRED HEALTH CHIROPRACTIC, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam P Overcast | Chiropractic | Desired Health Chiropractic, LLC | 134 W Pine St, Farmington, MO 63640-1403 |
| Street Address |
134 W PINE ST |
| City | FARMINGTON |
| State | MO |
| Zip | 63640-1403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam P Overcast | Chiropractic | Desired Health Chiropractic, LLC | 134 W Pine St, Farmington, MO 63640-1403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa R Long | Chiropractic | 307 E E Karsch Blvd, Farmington, MO 63640-1203 | |
| Kathryn S Wiles | Physical Therapy | Aegis Group Practice LLC | 502 W Pine St, Farmington, MO 63640-1426 |
| Paula S Alvarez | Clinical Social Worker | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | 560 W Pine St, Farmington, MO 63640-1426 |
| Christopher John Donze | Physical Therapy | Aegis Group Practice LLC | 502 W Pine St, Farmington, MO 63640-1426 |
| Bonnie L Hartrup | Clinical Social Worker | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | 560 W Pine St, Farmington, MO 63640-1426 |
| Steven Wade | Qualified Audiologist | Sound Health Services PC | 501 W Pine St, Farmington, MO 63640-1439 |
| Gina L Heberlie | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Robin L Gipson | Clinical Social Worker | Hope and Healing Counseling Center LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Michelle L Ramirez | Clinical Social Worker | Hope and Healing Counseling Center LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Nedra G Harrington | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Find all physicians in zip 63640 | |||
| City | FARMINGTON |
| Zip Code | 63640 |
| Specialty | CHIROPRACTIC |
| City + Specialty | FARMINGTON + CHIROPRACTIC |
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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.