Devin M West (NPI# 1952707747, PAC ID# 0042566804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1952707747 |
PAC ID by PECOS | 0042566804 |
Professional Enrollment ID | I20180709002893 |
Full Name | Devin M West |
Organization Legal Name | PHILLIP W. KELLY, MD, PA |
Address |
1704 Eleventh St Phillip W. Kelly Md Pa Wichita Falls TX 76301-5020 |
Phone Number | 9407231274 |
Gender | M |
Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2014 |
Primary Specialty | OPHTHALMOLOGY |
Group Practice PAC ID | 2466572136 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450827 | KELL WEST REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1704 Eleventh St, Phillip W. Kelly Md Pa, Wichita Falls, TX 76301-5020 | 9407231274 | PHILLIP W. KELLY, MD, PA |
Organization Legal Name | PHILLIP W. KELLY, MD, PA |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles B Avera | Ophthalmology | Phillip W. Kelly, Md, Pa | 1704 Eleventh St, Phillip W. Kelly Md Pa, Wichita Falls, TX 76301-5020 |
Phillip W Kelly | Ophthalmology | Phillip W. Kelly, Md, Pa | 1704 Eleventh St, Phillip W. Kelly Md Pa, Wichita Falls, TX 76301-5020 |
Marilyn H White | Ophthalmology | Phillip W. Kelly, Md, Pa | 1704 Eleventh St, Phillip W. Kelly Md Pa, Wichita Falls, TX 76301-5020 |
Street Address |
1704 ELEVENTH ST PHILLIP W. KELLY MD PA |
City | WICHITA FALLS |
State | TX |
Zip | 76301-5020 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles B Avera | Ophthalmology | Phillip W. Kelly, Md, Pa | 1704 Eleventh St, Phillip W. Kelly Md Pa, Wichita Falls, TX 76301-5020 |
Phillip W Kelly | Ophthalmology | Phillip W. Kelly, Md, Pa | 1704 Eleventh St, Phillip W. Kelly Md Pa, Wichita Falls, TX 76301-5020 |
Marilyn H White | Ophthalmology | Phillip W. Kelly, Md, Pa | 1704 Eleventh St, Phillip W. Kelly Md Pa, Wichita Falls, TX 76301-5020 |
Name | Specialty | Organization | Address |
---|---|---|---|
Corene C Crouse | Nurse Practitioner | United Regional Physician Group | 1605 10th St, Heart Failure Clinic, Wichita Falls, TX 76301 |
Tina M Gingrich | Obstetrics/gynecology | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Barbara Anne Estment | Family Practice | North Central Texas Community Health Care Center Inc | 200 Mlk Jr Blvd, Wichita Falls, TX 76301-1152 |
Esther A Rivera Gambaro | Family Medicine | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Beverly A Wilbur | Family Medicine | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Sheryl J Harrington | Clinical Social Worker | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Daniela Johnson | Family Medicine | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Yao J Huang | Family Medicine | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Ellaheh Ebrahim | Family Medicine | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Ming Yang Bi | Family Practice | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Find all physicians in zip 76301 |
City | WICHITA FALLS |
Zip Code | 76301 |
Specialty | OPHTHALMOLOGY |
City + Specialty | WICHITA FALLS + OPHTHALMOLOGY |
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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.