Ambrosia Marie Willoughby (NPI# 1194029561, PAC ID# 9335321462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194029561 |
| PAC ID by PECOS | 9335321462 |
| Professional Enrollment ID | I20110310001035 |
| Full Name | Ambrosia Marie Willoughby |
| Organization Legal Name | TMI SPORTS MEDICINE AND ORTHOPEDIC SURGERY PA |
| Address |
3533 Matlock Rd Arlington TX 76015-3604 |
| Phone Number | 8174190303 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1052399508 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450874 | BAYLOR SURGICAL HOSPITAL AT LAS COLINAS |
| Address | Phone | Organization |
|---|---|---|
| 3533 Matlock Rd, Arlington, TX 76015-3604 | 8174190303 | TMI SPORTS MEDICINE AND ORTHOPEDIC SURGERY PA |
| Organization Legal Name | TMI SPORTS MEDICINE AND ORTHOPEDIC SURGERY PA |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Anderson Caplinger | Physician Assistant | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Whitney Lanette Wendt | Physician Assistant | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Jesse Lee Even | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Rathna Rao Nuti | Family Medicine | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Mohammad A Khaleel | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Kenneth A Estrera | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Shane Seroyer | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Keith Meister | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Brigham K Au | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| William J Robertson Iii | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Street Address |
3533 MATLOCK RD |
| City | ARLINGTON |
| State | TX |
| Zip | 76015-3604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Anderson Caplinger | Physician Assistant | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Whitney Lanette Wendt | Physician Assistant | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Jesse Lee Even | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Rathna Rao Nuti | Family Medicine | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Mohammad A Khaleel | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Kenneth A Estrera | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Shane Seroyer | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Keith Meister | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Brigham K Au | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| William J Robertson Iii | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherley Aramath | Family Medicine | Arlington Family Practice, P.a. | 2415 Matlock Rd, Arlington, TX 76015-1619 |
| Kaitlyn A Gorman | Nurse Practitioner | Arlington Family Practice, P.a. | 2415 Matlock Rd, Arlington, TX 76015-1619 |
| Laura L Rice | Family Medicine | Arlington Family Practice, P.a. | 2415 Matlock Rd, Arlington, TX 76015-1619 |
| Tien M Truong | Family Medicine | Arlington Family Practice, P.a. | 2415 Matlock Rd, Arlington, TX 76015-1619 |
| David C Gouldy | Family Practice | Arlington Family Practice, P.a. | 2415 Matlock Rd, Arlington, TX 76015-1619 |
| Steven J Ciszewski | Physician Assistant | Arlington Family Practice, P.a. | 2415 Matlock Rd, Arlington, TX 76015-1619 |
| Bruce I Prager | Orthopedic Surgery | 701 Secretary Dr, Arlington, TX 76015-1623 | |
| Mark A Kazewych | Orthopedic Surgery | Arlington Orthopedic Associates Pa | 800 Orthopedic Way, Arlington, TX 76015-1629 |
| Michael Todd Daniels | Physical Medicine and Rehabilitation | Arlington Orthopedic Associates Pa | 800 Orthopedic Way, Arlington, TX 76015-1629 |
| Joseph Kay | Physical Medicine and Rehabilitation | Arlington Orthopedic Associates Pa | 800 Orthopedic Way, Arlington, TX 76015-1629 |
| Find all physicians in zip 76015 | |||
| City | ARLINGTON |
| Zip Code | 76015 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ARLINGTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Ambrosia Marie Willoughby.
| 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.