THERESA CHADWICK (NPI# 1427127638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427127638 |
| Entity Type | Individual |
| Full Name | THERESA CHADWICK |
| Credential | PA-C |
| Practice Address |
409 Cottage Rd Carthage TX 75633-1466 |
| Practice Telephone | 9036933841 |
| Practice Fax Number | 9036944633 |
| Mailing Telephone | 9036933841 |
| Mailing Fax Number | 9036944661 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2011-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01697 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0063445303 | 05 | |
| TX | BLUE CROSS OF TEXAS | 00374K | 01 |
| TX | 063445302 | 05 |
| Street Address |
409 COTTAGE RD |
| City | CARTHAGE |
| State | TX |
| Zip Code | 75633-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699760074 | Oak Hill Radiology Assoc Inc | Radiology | 409 Cottage Rd, Carthage, TX 75633-1466 | 2005-09-13 |
| 1386118628 | Melissa Dawn Walters | Nurse Practitioner | 409 Cottage Rd, Carthage, TX 75633-1466 | 2019-01-21 |
| 1184125908 | Carthage Hospital, LLC | Nurse Anesthetist, Certified Registered | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-27 |
| 1225538614 | Carthage Hospital, LLC | Internal Medicine | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-13 |
| 1598264954 | Carthage Hospital, LLC | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-12 |
| 1538667035 | Carthage Hospital, LLC | General Acute Care Hospital | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-01-30 |
| 1457775645 | Lilly Michael | Physician Assistant | 409 Cottage Rd, Carthage, TX 75633-1466 | 2014-02-10 |
| 1306912209 | East Texas Medical Center Carthage | Medicare Defined Swing Bed Unit | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-24 |
| 1215003116 | East Texas Medical Center Carthage | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-24 |
| 1023182086 | East Texas Medical Center Carthage | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1770666208 | Prakash Malviya | Pediatrics | 409 Cottage Road, Etmc, Carthage, TX 75633 | 2006-10-20 |
| 1457448011 | Johnny Edwin Majors | Dentist | 103 North Sycamore, Carthage, TX 75633 | 2006-10-06 |
| 1740374164 | Clayton H. Brakeville | Physical Therapist | 107 S. Daniels St, Carthage, TX 75633 | 2006-10-02 |
| 1205927761 | Dennis D Golden Sr. | Optometrist | 105 Cottage Rd, Carthage, TX 75633 | 2006-09-27 |
| 1770685059 | Tom M Jones | Dentist | 311 West Sabine, Carthage, TX 75633 | 2006-09-05 |
| 1124037031 | Izzy Inc | Durable Medical Equipment & Medical Supplies | 106 N Shelby St, Carthage, TX 75633 | 2006-08-07 |
| 1699705756 | Iraj Roshan | Internal Medicine | 1519 W Panola St, Carthage, TX 75633 | 2006-07-04 |
| 1073504437 | Charles Deron Lewis | Durable Medical Equipment & Medical Supplies | 310 N Adams Street, Carthage, TX 75633 | 2005-11-03 |
| 1538157300 | Slp Carthage LLC | Skilled Nursing Facility | 701 S Market St, Carthage, TX 75633 | 2005-10-06 |
| Find all providers in zip 75633 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427122712 | William John Spearance II | Physician Assistant | 36500 State Route 26, Carthage, NY 13619-9506 | 2006-11-20 |
| 1568098812 | Laura Elizabeth Richardson | Physician Assistant | 3071 S Grand Ave, Carthage, MO 64836-7851 | 2020-03-19 |
| 1700245628 | Asefa K Gebre | Physician Assistant | 327 E Airport Dr, Carthage, MO 64836-3402 | 2016-02-19 |
| 1740566777 | Anna Kirby Locke | Physician Assistant | 130 Lebanon Hwy, Suite B, Carthage, TN 37030-2955 | 2011-10-21 |
| 1003835414 | Michael Eugene Flaherty | Physician Assistant | 1001 West St, Carthage, NY 13619-9703 | 2006-07-18 |
| 1356387989 | Panola Emergency Medicine Associates Pa | Physician Assistant | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-06-21 |
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|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
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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.