Martin E Gilliland (NPI# 1376509190, PAC ID# 0648201061) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1376509190 |
| PAC ID by PECOS | 0648201061 |
| Professional Enrollment ID | I20101122000953 |
| Full Name | Martin E Gilliland |
| Organization Legal Name | DEEP EAST TEXAS MATERNAL AND FAMILY HEALTH PA |
| Address |
315 W Houston St Complete Healthcare Services Pa Jasper TX 75951-4013 |
| Phone Number | 4093843430 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7113958539 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450573 | CHRISTUS JASPER MEMORIAL HOSPITAL |
| 451360 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE |
| 451361 | SABINE COUNTY HOSPITAL |
| 450211 | CHI ST LUKES HEALTH MEMORIAL LUFKIN |
| Address | Phone | Organization |
|---|---|---|
| 315 W Houston St, Complete Healthcare Services Pa, Jasper, TX 75951-4013 | 4093843430 | DEEP EAST TEXAS MATERNAL AND FAMILY HEALTH PA |
| Organization Legal Name | DEEP EAST TEXAS MATERNAL AND FAMILY HEALTH PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy A Walton | Nurse Practitioner | Deep East Texas Maternal and Family Health Pa | 315 W Houston St, Complete Healthcare Services Pa, Jasper, TX 75951-4013 |
| Shaunde J Smith | Nurse Practitioner | Deep East Texas Maternal and Family Health Pa | 315 W Houston St, Complete Healthcare Services Pa, Jasper, TX 75951-4013 |
| Burton N Lakey | Nurse Practitioner | Deep East Texas Maternal and Family Health Pa | 315 W Houston St, Complete Healthcare Services Pa, Jasper, TX 75951-4013 |
| Debra L Wendel | Nurse Practitioner | Deep East Texas Maternal and Family Health Pa | 315 W Houston St, Complete Healthcare Services Pa, Jasper, TX 75951-4013 |
| Street Address |
315 W HOUSTON ST COMPLETE HEALTHCARE SERVICES PA |
| City | JASPER |
| State | TX |
| Zip | 75951-4013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy A Walton | Nurse Practitioner | Deep East Texas Maternal and Family Health Pa | 315 W Houston St, Complete Healthcare Services Pa, Jasper, TX 75951-4013 |
| Shaunde J Smith | Nurse Practitioner | Deep East Texas Maternal and Family Health Pa | 315 W Houston St, Complete Healthcare Services Pa, Jasper, TX 75951-4013 |
| Burton N Lakey | Nurse Practitioner | Deep East Texas Maternal and Family Health Pa | 315 W Houston St, Complete Healthcare Services Pa, Jasper, TX 75951-4013 |
| Debra L Wendel | Nurse Practitioner | Deep East Texas Maternal and Family Health Pa | 315 W Houston St, Complete Healthcare Services Pa, Jasper, TX 75951-4013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary E Tatum | Optometry | 922 N Wheeler St, Jasper, TX 75951-3129 | |
| Cary Malone | Physical Therapy | Theraspecialists Inc | 296 Marvin Hancock Dr, Jasper, TX 75951-3479 |
| Hannah Elaine Wilkerson | Physical Therapy | Theraspecialists Inc | 296 Marvin Hancock Dr, Jasper, TX 75951-3479 |
| Matthew Stephen Lambeth | Physical Therapy | Theraspecialists Inc | 296 Marvin Hancock Dr, Jasper, TX 75951-3479 |
| Nadean E Carter | Physical Therapy | Theraspecialists Inc | 296 Marvin Hancock Dr, Jasper, TX 75951-3479 |
| Geeta Singh | Family Medicine | Jasper Diagnostic Clinic | 300 Marvin Hancock Dr, Jasper, TX 75951-3480 |
| Saurabh Singh | Internal Medicine | Jasper Diagnostic Clinic | 300 Marvin Hancock Dr, Jasper, TX 75951-3480 |
| Lee T Popejoy Jr. | General Practice | 162 E Lamar St, Jasper, TX 75951-4100 | |
| Maged Ramzy Botros | Urology | 215 E Water St, Jasper, TX 75951-4421 | |
| Terry K Wheeler | Chiropractic | 145 Curtis St, Jasper, TX 75951-4505 | |
| Find all physicians in zip 75951 | |||
| City | JASPER |
| Zip Code | 75951 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JASPER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Martin E Gilliland.
| 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.