Bibin Abraham (NPI# 1275074403, PAC ID# 8123394103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1275074403 |
| PAC ID by PECOS | 8123394103 |
| Professional Enrollment ID | I20171018002162 |
| Full Name | Bibin Abraham |
| Organization Legal Name | LEWIS 360 MEDICAL SOLUTIONS PLLC |
| Address |
4513 Vista Ridge Cir Fort Worth TX 76179-6438 |
| Phone Number | 8179278900 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2466674924 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450015 | PARKLAND HEALTH & HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2145908006 | DALLAS COUNTY HOSPITAL DISTRICT |
| 5520 Lyndon B Johnson Fwy, Suite 190, Dallas, TX 75240-6246 | 9726365727 | EAGLE ANESTHESIA PLLC |
| 2321 Olympia Dr, Suite 100a, Flower Mound, TX 75028-1856 | 9723500225 | PREMIER INTERVENTIONAL PAIN MANAGEMENT, P.L.L.C |
| 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 | 8179278900 | LEWIS 360 MEDICAL SOLUTIONS PLLC |
| Organization Legal Name | LEWIS 360 MEDICAL SOLUTIONS PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Milligan | Certified Registered Nurse Anesthetist (crna) | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Jeffery W Mckamey | Certified Registered Nurse Anesthetist (crna) | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Amy B Sheppard | Certified Registered Nurse Anesthetist (crna) | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Jason N Tydlaska | Certified Registered Nurse Anesthetist (crna) | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Antonia K Lewis | Certified Registered Nurse Anesthetist (crna) | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Patricia L Jones | Certified Registered Nurse Anesthetist (crna) | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Nathan Boone Crick | Certified Registered Nurse Anesthetist | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Street Address |
4513 VISTA RIDGE CIR |
| City | FORT WORTH |
| State | TX |
| Zip | 76179-6438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Milligan | Certified Registered Nurse Anesthetist (crna) | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Jeffery W Mckamey | Certified Registered Nurse Anesthetist (crna) | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Amy B Sheppard | Certified Registered Nurse Anesthetist (crna) | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Jason N Tydlaska | Certified Registered Nurse Anesthetist (crna) | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Antonia K Lewis | Certified Registered Nurse Anesthetist (crna) | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Patricia L Jones | Certified Registered Nurse Anesthetist (crna) | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Nathan Boone Crick | Certified Registered Nurse Anesthetist | Lewis 360 Medical Solutions Pllc | 4513 Vista Ridge Cir, Fort Worth, TX 76179-6438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis Guy Wortley | Emergency Medicine | Questcare Medical Services Pllc | 727 W Bailey Boswell Rd, Medical City Er At Saginaw, Saginaw, TX 76179-1011 |
| Jeffrey A Schaffer | Emergency Medicine | Questcare Medical Services Pllc | 727 W Bailey Boswell Rd, Medical City Er At Saginaw, Saginaw, TX 76179-1011 |
| William T Hartman | Emergency Medicine | Questcare Medical Services Pllc | 727 W Bailey Boswell Rd, Medical City Er At Saginaw, Saginaw, TX 76179-1011 |
| Nicole M Minatrea | Chiropractic | 705 W Bailey Boswell Rd, Suite 200, Saginaw, TX 76179-1020 | |
| Ryan Scott Robinson | Chiropractic | 817 Towne Ct, Suite 100, Fort Worth, TX 76179-1219 | |
| Glenn Green | Oral Surgery | 820 Towne Ct, Saginaw, TX 76179-1279 | |
| Amanda B Hall | Family Medicine | Medical Clinic of North Texas, Pllc | 833 Towne Ct, Saginaw, TX 76179-1280 |
| Ayesha N Khan | Family Medicine | Medical Clinic of North Texas, Pllc | 833 Towne Ct, Saginaw, TX 76179-1280 |
| Mark A Godfrey | Family Medicine | Medical Clinic of North Texas, Pllc | 833 Towne Ct, Saginaw, TX 76179-1280 |
| Charles E Singleton | Podiatry | Matthew W. Cerniglia, Dpm, Pa | 816 Towne Ct, Suite 100, Saginaw, TX 76179-1288 |
| Find all physicians in zip 76179 | |||
| City | FORT WORTH |
| Zip Code | 76179 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FORT WORTH + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Bibin Abraham.
| 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.