Braden F Deloach (NPI# 1619231248, PAC ID# 9032336078) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1619231248 |
| PAC ID by PECOS | 9032336078 |
| Professional Enrollment ID | I20140814001394 |
| Full Name | Braden F Deloach |
| Organization Legal Name | MERCY CLINIC ADULT HOSPITALISTS - WASHINGTON, LLC |
| Address |
901 E 5th St Washington MO 63090-3127 |
| Phone Number | 6362398231 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 3577630540 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260052 | MERCY HOSPITAL WASHINGTON |
| 261337 | MISSOURI BAPTIST SULLIVAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 901 E 5th St, Washington, MO 63090-3127 | 6362398231 | MERCY CLINIC ADULT HOSPITALISTS - WASHINGTON, LLC |
| Organization Legal Name | MERCY CLINIC ADULT HOSPITALISTS - WASHINGTON, LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon E Witty | Family Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Laura J Weitzel | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Eric V.a. Matlock | Family Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Vedica Sharma | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Colleen M Wingate | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Lydia L Archuleta | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Brian Michael Fishman | Hospitalist | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Anthony J Kruse | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Sarah Ann Winkeler | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Shaukat A Thanawalla | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Street Address |
901 E 5TH ST |
| City | WASHINGTON |
| State | MO |
| Zip | 63090-3127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon E Witty | Family Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Laura J Weitzel | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Eric V.a. Matlock | Family Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Vedica Sharma | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Ashima Agarwal | Pathology | St Louis Pathology Assoc Inc | 901 E 5th St, Mercy Hospital Washington, Washington, MO 63090-3127 |
| Christina M Linden | Anesthesiology | Western Anesthesiology Associates Inc | 901 E 5th St, Dept of Anesthesiology, Washington, MO 63090-3127 |
| Vinaya R Sermadevi | Internal Medicine | Mercy Clinic Adult Critical Care, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Jamie L Deubel | Certified Registered Nurse Anesthetist (crna) | Western Anesthesiology Associates Inc | 901 E 5th St, Dept of Anesthesiology, Washington, MO 63090-3127 |
| Julie Kunkel | Pathology | St Louis Pathology Assoc Inc | 901 E 5th St, Mercy Hospital Washington, Washington, MO 63090-3127 |
| Colleen M Wingate | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher J Feldmann | Chiropractic | Washington Chiropractic Clinic PC | 819 W 5th St, Washington, MO 63090-1923 |
| Lawrence M Gerstein | Chiropractic | Washington Chiropractic Clinic PC | 819 W 5th St, Washington, MO 63090-1923 |
| Edward Obermark | Optometry | 222 W Main St, Washington, MO 63090-2154 | |
| Timothy G Jones | Clinical Social Worker | 309 W 4th St, Suite 101, Washington, MO 63090-2335 | |
| Maria Bitzer | Nurse Practitioner | Psych Care Consultants LLC | 205 Elm St, Suite 202, Washington, MO 63090-2342 |
| Bradly Gould | Chiropractic | 707 Jefferson St, Washington, MO 63090-2709 | |
| Yael Y Diplacido-eastman | Clinical Social Worker | 426 E 5th St, Washington, MO 63090-2811 | |
| Holly S Schmitt | Clinical Social Worker | 426 E 5th St, Washington, MO 63090-2811 | |
| Daryl L Meisburger | Clinical Psychologist | 529 E 5th St, Washington, MO 63090-2903 | |
| Michael Korenfeld | Ophthalmology | Comprehensive Eye Care, Ltd. | 901 E 3rd St, Washington, MO 63090-3010 |
| Find all physicians in zip 63090 | |||
| City | WASHINGTON |
| Zip Code | 63090 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WASHINGTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Braden F Deloach.
| 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.