Kim E Pershall (NPI# 1497751663, PAC ID# 8123184280) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1497751663 |
| PAC ID by PECOS | 8123184280 |
| Professional Enrollment ID | I20090414000246 |
| Full Name | Kim E Pershall |
| Organization Legal Name | KIM E PERSHALL MD PA |
| Address |
3811 24th St Lubbock TX 79410-1813 |
| Phone Number | 8067960202 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 3577610369 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450040 | COVENANT MEDICAL CENTER |
| 453306 | COVENANT CHILDRENS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3811 24th St, Lubbock, TX 79410-1813 | 8067960202 | KIM E PERSHALL MD PA |
| Organization Legal Name | KIM E PERSHALL MD PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noel P Cleveland | Qualified Audiologist | Kim E Pershall Md Pa | 3811 24th St, Lubbock, TX 79410-1813 |
| Street Address |
3811 24TH ST |
| City | LUBBOCK |
| State | TX |
| Zip | 79410-1813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noel P Cleveland | Qualified Audiologist | Kim E Pershall Md Pa | 3811 24th St, Lubbock, TX 79410-1813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Allison P Vaughn | Nurse Practitioner | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Amelia Jay | Nurse Practitioner | Covenant Medical Group | 2102 Oxford B, Lubbock, TX 79410 |
| Clinton G Wolboldt | Family Practice | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Darla K Walker | Nurse Practitioner | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Larry A Warmoth | Nephrology | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Melissa Mae Wotring-norman | Hospitalist | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Paul S Singh | Obstetrics/gynecology | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Lakhu J Rohra | Internal Medicine | 3802 21st St, Suite C, Lubbock, TX 79410-1011 | |
| Find all physicians in zip 79410 | |||
| City | LUBBOCK |
| Zip Code | 79410 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | LUBBOCK + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Kim E Pershall.
| 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.