Kennon D Wigley (NPI# 1215904495, PAC ID# 8426243403) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1215904495 |
| PAC ID by PECOS | 8426243403 |
| Professional Enrollment ID | I20101116001008 |
| Full Name | Kennon D Wigley |
| Organization Legal Name | CENTRAL TEXAS HEART CENTER |
| Address |
2700 E 29th St Suite 220 Bryan TX 77802-2586 |
| Phone Number | 4097744008 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1983 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 6901880863 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450011 | CHI ST JOSEPH HEALTH |
| 450187 | BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM |
| Address | Phone | Organization |
|---|---|---|
| 2700 E 29th St, Suite 220, Bryan, TX 77802-2586 | 4097744008 | CENTRAL TEXAS HEART CENTER |
| Organization Legal Name | CENTRAL TEXAS HEART CENTER |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Lea Pugh | Nurse Practitioner | Central Texas Heart Center | 2700 E 29th St, Suite 220, Bryan, TX 77802-2586 |
| Fernando Colato Zavaleta | Cardiovascular Disease (cardiology) | Central Texas Heart Center | 2700 E 29th St, Suite 220, Bryan, TX 77802-2586 |
| Kyoko Arata | Nurse Practitioner | Central Texas Heart Center | 2700 E 29th St, Suite 220, Bryan, TX 77802-2586 |
| Ellen E Sugarek | Physician Assistant | Central Texas Heart Center | 2700 E 29th St, Suite 220, Bryan, TX 77802-2586 |
| Katina Baldwin | Nurse Practitioner | Central Texas Heart Center | 2700 E 29th St, Suite 220, Bryan, TX 77802-2531 |
| Street Address |
2700 E 29TH ST SUITE 220 |
| City | BRYAN |
| State | TX |
| Zip | 77802-2586 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Lea Pugh | Nurse Practitioner | Central Texas Heart Center | 2700 E 29th St, Suite 220, Bryan, TX 77802-2586 |
| Thomas M Weber | Pulmonary Disease | Brazos Lung Associates, L.l.p. | 2700 E 29th St, Suite 260, Bryan, TX 77802-2596 |
| Scott E Spencer | Pulmonary Disease | Brazos Lung Associates, L.l.p. | 2700 E 29th St, Suite 260, Bryan, TX 77802-2596 |
| Richard Alford | General Surgery | St Joseph Regional Health Center | 2700 E 29th St, 105 Chi St Joseph Health General Surger, Bryan, TX 77802-2507 |
| John A Mason Jr. | General Surgery | St Joseph Regional Health Center | 2700 E 29th St, 310 Chi St Joseph Health General Surgic, Bryan, TX 77802-2588 |
| Georg Dirk Van Den Sigtenhorst | Cardiac Surgery | James M Kirby and Joseph J Fedorchik | 2700 E 29th St, Suite 240, Bryan, TX 77802-2586 |
| Kimiye Cabrera | General Surgery | St Joseph Regional Health Center | 2700 E 29th St, 105 Chi St Joseph Health General Surger, Bryan, TX 77802-2507 |
| Robin Rashmi Bhavsar | Urology | St Joseph Regional Health Center | 2700 E 29th St, 100 Chi St Joseph Health Urology Associates, Bryan, TX 77802-2507 |
| Michael Steines | General Surgery | St Joseph Regional Health Center | 2700 E 29th St, 105 Chi St Joseph Health General Surger, Bryan, TX 77802-2507 |
| Charles H Smith | Cardiac Surgery | James M Kirby and Joseph J Fedorchik | 2700 E 29th St, Suite 240, Bryan, TX 77802-2586 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Raymond Gibson Iii | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
| Luke Robert Murphy | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
| Richard James Stephenson | Chiropractic | 322 N Main St, Bryan, TX 77802 | |
| Ryan William Turkington | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
| Tiffany D Riordan | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
| Ruth Ann Trevino | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
| Aaron Buzzard | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
| William J Smith Jr. | Nurse Practitioner | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
| Bryan Pickett | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
| Paul S Goen | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
| Find all physicians in zip 77802 | |||
| City | BRYAN |
| Zip Code | 77802 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | BRYAN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Kennon D Wigley.
| 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.