Kyle D Sulak (NPI# 1104244201, PAC ID# 8426312653) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1104244201 |
| PAC ID by PECOS | 8426312653 |
| Professional Enrollment ID | I20180515003085 |
| Full Name | Kyle D Sulak |
| Organization Legal Name | MID TEX ANESTHESIA ASSOC |
| Address |
405 Londonderry Dr Suite 105 Waco TX 76712-7920 |
| Phone Number | 2547760266 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 5395815369 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450042 | PROVIDENCE HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 | 2547760266 | MID TEX ANESTHESIA ASSOC |
| Organization Legal Name | MID TEX ANESTHESIA ASSOC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph V Augeri | Certified Registered Nurse Anesthetist (crna) | Mid Tex Anesthesia Assoc | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 |
| Thomas M White | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Sandra D Lynn | Certified Registered Nurse Anesthetist (crna) | Mid Tex Anesthesia Assoc | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 |
| Holly Davis | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Casey Hector | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Jeffrey T Manning | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Benjamin Lagrone | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Mark L Johnson | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Hannah M Soukup | Certified Registered Nurse Anesthetist (crna) | Mid Tex Anesthesia Assoc | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 |
| Tamara L Dutter | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Street Address |
405 LONDONDERRY DR SUITE 105 |
| City | WACO |
| State | TX |
| Zip | 76712-7920 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph V Augeri | Certified Registered Nurse Anesthetist (crna) | Mid Tex Anesthesia Assoc | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 |
| Meredith Rollins | Physician Assistant | Texas Movement Disorder Specialists Pllc | 405 Londonderry Dr, Suite 205, Waco, TX 76712-7921 |
| Sandra D Lynn | Certified Registered Nurse Anesthetist (crna) | Mid Tex Anesthesia Assoc | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 |
| Brian Hood | Neurosurgery | Providence Health Alliance | 405 Londonderry Dr, Suite 202, Waco, TX 76712-7921 |
| Srijana Dhakal | Nurse Practitioner | Providence Health Alliance | 405 Londonderry Dr, Suite 311, Waco, TX 76712-7922 |
| Eliot M Wickliff | Pain Management | Providence Health Alliance | 405 Londonderry Dr, Suite 311, Waco, TX 76712-7922 |
| Kari D Herman | Certified Nurse Midwife (cnm) | Providence Health Alliance | 405 Londonderry Dr, Waco, TX 76712-7921 |
| Hannah M Soukup | Certified Registered Nurse Anesthetist (crna) | Mid Tex Anesthesia Assoc | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 |
| Kerri K Morgan | Certified Registered Nurse Anesthetist (crna) | Mid Tex Anesthesia Assoc | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 |
| Scotty R Hermann | Obstetrics/gynecology | 405 Londonderry Dr, Suite 106, Waco, TX 76712-7920 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ntiense Covey | Clinical Social Worker | 200 W Hwy 6, Suite 217, Waco, TX 76712 | |
| Todd Moffatt | General Surgery | 1000 W Hwy 6, Suite 410, Waco, TX 76712 | |
| Eric F Oneill | Plastic and Reconstructive Surgery | 1000 W Hwy 6, Suite 500, Waco, TX 76712 | |
| Lute George Oas | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| Justin Wylie Wray | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| David J Schickner | Neurosurgery | David J. Schickner, M.d., P.a. | 6901 Medical Pkwy, Waco, TX 76712-2589 |
| Charles W Guy | Plastic and Reconstructive Surgery | 101 Burnett Ct, Suite B, Waco, TX 76712-3100 | |
| Mark A Antonacci | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Nina Wilson | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Travis Gene Volcik | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Find all physicians in zip 76712 | |||
| City | WACO |
| Zip Code | 76712 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | WACO + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Kyle D Sulak.
| 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.