Titus Jack Weller (NPI# 1356760243, PAC ID# 9537471826) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1356760243 |
| PAC ID by PECOS | 9537471826 |
| Professional Enrollment ID | I20170307000200 |
| Full Name | Titus Jack Weller |
| Organization Legal Name | PITTSBURG EMERGENCY PHYSICIANS, LLC |
| Address |
1 Mt Carmel Way Pittsburg KS 66762-7587 |
| Phone Number | 6202320123 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4587733886 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170006 | VIA CHRISTI HOSPITAL PITTSBURG INC |
| 260061 | NEVADA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 800 S Ash St, Nevada, MO 64772-3223 | 4176673355 | NEVADA CITY HOSPITAL |
| 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 6202320123 | PITTSBURG EMERGENCY PHYSICIANS, LLC |
| Organization Legal Name | PITTSBURG EMERGENCY PHYSICIANS, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David John Ricketts-kingfisher | Emergency Medicine | Pittsburg Emergency Physicians, LLC | 401 Woodland Hills Rd, Fort Scott, KS 66701-8797 |
| Amy L Hite | Nurse Practitioner | Pittsburg Emergency Physicians, LLC | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 |
| Travis Bernot | Nurse Practitioner | Pittsburg Emergency Physicians, LLC | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 |
| Street Address |
1 MT CARMEL WAY |
| City | PITTSBURG |
| State | KS |
| Zip | 66762-7587 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron W Burd | Certified Registered Nurse Anesthetist (crna) | Ascension Via Christi Hospital Pittsburg Inc | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 |
| Kathleen M Sandness | Internal Medicine | Ascension Via Christi Hospital Pittsburg Inc | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 |
| Warner Peng | Hematology/oncology | Ascension Via Christi Hospital Pittsburg Inc | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 |
| Nathan C Buerge | Certified Registered Nurse Anesthetist (crna) | Ascension Via Christi Hospital Pittsburg Inc | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 |
| Justin R Reading | Certified Registered Nurse Anesthetist (crna) | Ascension Via Christi Hospital Pittsburg Inc | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 |
| Amy L Hite | Nurse Practitioner | Pittsburg Emergency Physicians, LLC | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 |
| Jason M Bailey | Pulmonary Disease | Ascension Via Christi Hospital Pittsburg Inc | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 |
| Eric B Delman | General Surgery | Ascension Via Christi Hospital Pittsburg Inc | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 |
| Hilah S Perkins | Nurse Practitioner | Ascension Via Christi Hospital Pittsburg Inc | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 |
| Terry D Schwab | Orthopedic Surgery | Ascension Via Christi Hospital Pittsburg Inc | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy M Orellana | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| William T Carl | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Bethany Nicole Enoch | Family Medicine | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Kayla D Angleton | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Jay Justin Middleton | Psychologist, Clinical | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Tonya Kendrick | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Curtis L Mellen | Physician Assistant | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Crystal D Merriman | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Trista Dawn King | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Brock A Boekhout | Psychologist, Clinical | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Find all physicians in zip 66762 | |||
| City | PITTSBURG |
| Zip Code | 66762 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PITTSBURG + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Titus Jack Weller.
| 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.