Barry Prestridge (NPI# 1407849219, PAC ID# 8729157581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
Nation Provider ID (NPI) | 1407849219 |
PAC ID by PECOS | 8729157581 |
Professional Enrollment ID | I20110404000784 |
Full Name | Barry Prestridge |
Organization Legal Name | HEAD AND NECK SURGICAL ASSOCIATES |
Address |
1 Burnside Wichita Falls TX 76310-1123 |
Phone Number | 9403226953 |
Gender | M |
Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
Graduation Year | 1971 |
Primary Specialty | OTOLARYNGOLOGY |
Secondary Specialties | ALLERGY/IMMUNOLOGY |
Group Practice PAC ID | 8022089622 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450010 | UNITED REGIONAL HEALTH CARE SYSTEM |
Address | Phone | Organization |
---|---|---|
1 Burnside, Wichita Falls, TX 76310-1123 | 9403226953 | HEAD AND NECK SURGICAL ASSOCIATES |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | HEAD AND NECK SURGICAL ASSOCIATES |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melanie Ruyle Lerew | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Zoe Doss Kavanaugh | Qualified Audiologist | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Jedidiah James Grisel | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Cameron D Godfrey | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Pamela Bender | Qualified Audiologist | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Jerald Giles | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Karen Lavalley | Qualified Audiologist | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Kimberly D Ravelo | Qualified Audiologist | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Street Address |
1 BURNSIDE |
City | WICHITA FALLS |
State | TX |
Zip | 76310-1123 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melanie Ruyle Lerew | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Zoe Doss Kavanaugh | Qualified Audiologist | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Jedidiah James Grisel | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Cameron D Godfrey | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Pamela Bender | Qualified Audiologist | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Jerald Giles | Otolaryngology | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Karen Lavalley | Qualified Audiologist | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Kimberly D Ravelo | Qualified Audiologist | Head and Neck Surgical Associates | 1 Burnside, Wichita Falls, TX 76310-1123 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher G Wallace | Physician Assistant | Wichita Medical Management, LLC | 3701 Fairway Blvd, Suite 114, Wichita Falls, TX 76310-1038 |
Ryan J Bannon | Obstetrics/gynecology | Texoma Womens Clinic Pa | 6 Burnside, Wichita Falls, TX 76310-1128 |
Drew Daniel Benac | Obstetrics/gynecology | Texoma Womens Clinic Pa | 6 Burnside, Wichita Falls, TX 76310-1128 |
Mandy L Winfrey | Obstetrics/gynecology | Texoma Womens Clinic Pa | 6 Burnside, Wichita Falls, TX 76310-1128 |
Gradie E Moore | Obstetrics/gynecology | Texoma Womens Clinic Pa | 6 Burnside, Wichita Falls, TX 76310-1128 |
Sumi King | Obstetrics/gynecology | Texoma Womens Clinic Pa | 6 Burnside, Wichita Falls, TX 76310-1128 |
Tessa Lynn Yates | Certified Nurse Midwife | Texoma Womens Clinic Pa | 6 Burnside, Wichita Falls, TX 76310-1128 |
Susan M Strate | Pathology | 5420 Kell W Blvd, Wichita Falls, TX 76310-1610 | |
Jagathi Devi Challagalla | Hematology/oncology | Texas Oncology Pa | 5400 Kell Blvd, Wichita Falls, TX 76310-1610 |
James G Holcomb | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
Find all physicians in zip 76310 |
City | WICHITA FALLS |
Zip Code | 76310 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | WICHITA FALLS + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Barry Prestridge.
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.