Jack Pieniazek (NPI# 1164426870, PAC ID# 7719975671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164426870 |
| PAC ID by PECOS | 7719975671 |
| Professional Enrollment ID | I20040802001568 |
| Full Name | Jack Pieniazek |
| Organization Legal Name | CONROE FAMILY MEDICINE, PA |
| Address |
690 S Loop 336 Suite 222 Conroe TX 77304-3320 |
| Phone Number | 9367566661 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648268508 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670093 | ASPIRE BEHAVIORAL HEALTH OF CONROE, LLC |
| 450222 | CONROE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 690 S Loop 336, Suite 222, Conroe, TX 77304-3320 | 9367566661 | CONROE FAMILY MEDICINE, PA |
| Organization Legal Name | CONROE FAMILY MEDICINE, PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Hinds Campa | Family Medicine | Conroe Family Medicine, Pa | 690 S Loop 336, Suite 222, Conroe, TX 77304-3320 |
| Christopher Chapman | Family Medicine | Conroe Family Medicine, Pa | 690 S Loop 336, Suite 222, Conroe, TX 77304-3320 |
| Samson S Sheih | Internal Medicine | Conroe Family Medicine, Pa | 690 S Loop 336, Suite 222, Conroe, TX 77304-3320 |
| Jennifer D Kemmerer | Physician Assistant | Conroe Family Medicine, Pa | 690 S Loop 336, Suite 222, Conroe, TX 77304-3320 |
| Street Address |
690 S LOOP 336 SUITE 222 |
| City | CONROE |
| State | TX |
| Zip | 77304-3320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Hinds Campa | Family Medicine | Conroe Family Medicine, Pa | 690 S Loop 336, Suite 222, Conroe, TX 77304-3320 |
| William Eric Pack | Podiatry | Texas Foot Surgeons, Pllc | 690 S Loop 336, Suite 150, Conroe, TX 77304-3321 |
| Christopher Chapman | Family Medicine | Conroe Family Medicine, Pa | 690 S Loop 336, Suite 222, Conroe, TX 77304-3320 |
| Farly Sejour | Obstetrics/gynecology | 690 S Loop 336, Suite 220, Conroe, TX 77304-3319 | |
| Phyllis M Wallace | Certified Registered Nurse Anesthetist (crna) | 690 S Loop 336, Suite 130, Conroe, TX 77304-3319 | |
| Samson S Sheih | Internal Medicine | Conroe Family Medicine, Pa | 690 S Loop 336, Suite 222, Conroe, TX 77304-3320 |
| Jennifer D Kemmerer | Physician Assistant | Conroe Family Medicine, Pa | 690 S Loop 336, Suite 222, Conroe, TX 77304-3320 |
| Nelson Atembe Tajong | Gastroenterology | 690 S Loop 336, Suite 215, Conroe, TX 77304-3322 | |
| Ginger Ann Sellars | Podiatry | Texas Foot Surgeons, Pllc | 690 S Loop 336, Suite 150, Conroe, TX 77304-3321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Stephen Ellis | General Surgery | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Alexander B Klein | Obstetrics/gynecology | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jerome C Young | Obstetrics/gynecology | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jeffrey A Przybyla | General Surgery | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Kelly K Gilmore-lynch | Colorectal Surgery (proctology) | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jessica L Cooper | Clinical Social Worker | Vericare PC | 99 Rigby Owen Rd, Conroe, TX 77304-1765 |
| Kenneth M Perkins | Chiropractic | 3504 W Davis, Conroe, TX 77304-1832 | |
| Harry K Eulitt | Chiropractic | 3401 W Davis, Conroe, TX 77304-1860 | |
| Michele Times | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 1701 Westview Blvd, Strake Place, Conroe, TX 77304-1911 |
| Jennifer L Boyd | Nurse Practitioner | Tri-county Behavioral Healthcare | 233 Sgt Ed Holcomb Blvd S, Conroe, TX 77304-1990 |
| Find all physicians in zip 77304 | |||
| City | CONROE |
| Zip Code | 77304 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CONROE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jack Pieniazek.
| 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.