Susan L Wingo (NPI# 1730170168, PAC ID# 0840186649) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1730170168 |
| PAC ID by PECOS | 0840186649 |
| Professional Enrollment ID | I20040511000131 |
| Full Name | Susan L Wingo |
| Organization Legal Name | SDS EMERGENCY STAFFING LLC |
| Address |
1175 Pine St Arcadia LA 71001-3121 |
| Phone Number | 3182634700 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9830493709 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191320 | BIENVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1175 Pine St, Arcadia, LA 71001-3121 | 3182634700 | SDS EMERGENCY STAFFING LLC |
| Organization Legal Name | SDS EMERGENCY STAFFING LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc Edwin Borton | Emergency Medicine | Sds Emergency Staffing LLC | 24 Norris St, Eureka Springs, AR 72632-3541 |
| Louis E Mire | Emergency Medicine | Sds Emergency Staffing LLC | 24 Norris St, Eureka Springs, AR 72632-3541 |
| Street Address |
1175 PINE ST |
| City | ARCADIA |
| State | LA |
| Zip | 71001-3121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William K Johnson | Nurse Practitioner | Bienville Parish | 1175 Pine St, Suite 100, Arcadia, LA 71001-3122 |
| Angelia V Cooper | Nurse Practitioner | Bienville Parish | 1175 Pine St, Suite 100, Arcadia, LA 71001-3122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Thomas | Nurse Practitioner | 2084 Myrtle St, Arcadia, LA 71001-3052 | |
| Terry B Gardner | Family Medicine | Green Clinic LLC | 1285 Pine St, Suite 104, Arcadia, LA 71001-3120 |
| City | ARCADIA |
| Zip Code | 71001 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ARCADIA + EMERGENCY MEDICINE |
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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.