STEPHEN RANDALL HAMMOCK (NPI# 1033277884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033277884 |
| Entity Type | Individual |
| Full Name | STEPHEN RANDALL HAMMOCK |
| Credential | PA |
| Practice Address |
225 Bunker Dr Tyler TX 75703-8873 |
| Practice Telephone | 9038948133 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01835 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
225 BUNKER DR |
| City | TYLER |
| State | TX |
| Zip Code | 75703-8873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285687004 | Luann Elizabeth Weber | Physician Assistant | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| 1831197342 | Jean Rene Yates-halbert | Physician Assistant | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2005-07-08 |
| 1902317498 | Brittany Lauren Healey | Physician Assistant | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2017-10-24 |
| 1891237962 | William Elias Mirabal | Physician Assistant | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2016-11-07 |
| 1518321066 | Kathryn Thorkelson | Physician Assistant | 700 Olympic Plaza Cir Ste 407, Tyler, TX 75701-1952 | 2016-04-11 |
| 1942661756 | Olivia Lane Urben Snodgrass | Physician Assistant | 700 Olympic Plaza Cir, Suite 510, Tyler, TX 75701-1951 | 2016-03-08 |
| 1053785568 | Natalie Shea Williams | Physician Assistant | 1020 E Idel St, Tyler, TX 75701-2024 | 2015-11-20 |
| 1467829440 | Jessica Atkinson | Physician Assistant | 5414 S Broadway Ave, Tyler, TX 75703-1335 | 2015-08-26 |
| 1366849101 | Elizabeth Cross Roe | Physician Assistant | 2017 Rickety Ln, Tyler, TX 75703-1706 | 2014-11-21 |
| 1760890693 | Neal Alton Burgess | Physician Assistant | 700 Olympic Plaza Cir, Suite 700, Tyler, TX 75701-1951 | 2014-07-23 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.