Ricky Lynn Childers (NPI# 1396855458, PAC ID# 0547265357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1396855458 |
| PAC ID by PECOS | 0547265357 |
| Professional Enrollment ID | I20140131000126 |
| Full Name | Ricky Lynn Childers |
| Organization Legal Name | NORTH CENTRAL TEXAS FOOT AND ANKLE, LLC |
| Address |
1713 S Fm 51 Suite 103 Decatur TX 76234-3644 |
| Phone Number | 9406276976 |
| Gender | M |
| Credential | DPM |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1658500277 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670116 | WISE HEALTH SYSTEM |
| 450271 | WISE REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 | 9406276976 | NORTH CENTRAL TEXAS FOOT AND ANKLE, LLC |
| Organization Legal Name | NORTH CENTRAL TEXAS FOOT AND ANKLE, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Lyn Childers | Podiatry | North Central Texas Foot and Ankle, LLC | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Street Address |
1713 S FM 51 SUITE 103 |
| City | DECATUR |
| State | TX |
| Zip | 76234-3644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall W Mckenna | Orthopedic Surgery | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Troy B Chandler | Physician Assistant | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Christian B Helm | Physical Medicine and Rehabilitation | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 | |
| Brad Alan Matlock | Physical Therapy | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Samantha Lyn Childers | Podiatry | North Central Texas Foot and Ankle, LLC | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley J Jordan | Clinical Psychologist | 506 N Miller St, Decatur, TX 76234-1114 | |
| Tad Billmire | Optometry | 104 S Washburn St, Decatur, TX 76234-1608 | |
| Edward H Fries | Optometry | 303 S Washburn St, Dba Decatur Eye Center, Decatur, TX 76234-1633 | |
| Ronald W Westbrook | Chiropractic | 1700 W Business, Suite 380, Decatur, TX 76234-3232 | |
| Sanjoy Sundaresan | Pain Management | 1100 W Business, 380 Unit F, Decatur, TX 76234-3268 | |
| Joanne Pham | Otolaryngology | Ent and Allergy Clinic Pa | 1600 W Us Business, 380 Suite A, Decatur, TX 76234-3271 |
| Julie Mistic | Qualified Audiologist | Ent and Allergy Clinic Pa | 1600 W Us Business, 380 Suite A, Decatur, TX 76234-3271 |
| Meria G Aulds | Internal Medicine | 1816 S Fm, 51 Suite 1200, Decatur, TX 76234-3700 | |
| Faridy Maya Mombeleur | Nurse Practitioner | Haroon Siddique, Md, Pa | 2000 S Fm, Suite 51, Decatur, TX 76234-3702 |
| Lea Anne Gilley | Nurse Practitioner | Wise Clinical Care Associates | 2000 S Fm, Suite 51, Decatur, TX 76234-3702 |
| Find all physicians in zip 76234 | |||
| City | DECATUR |
| Zip Code | 76234 |
| Specialty | PODIATRY |
| City + Specialty | DECATUR + PODIATRY |
Please comment or provide details below to improve the information on Ricky Lynn Childers.
| 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.