Jeffrey Markham (NPI# 1487858569, PAC ID# 0941333629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1487858569 |
| PAC ID by PECOS | 0941333629 |
| Professional Enrollment ID | I20100802000471 |
| Full Name | Jeffrey Markham |
| Organization Legal Name | SMI IMAGING LLC |
| Address |
615 Lake Park Dr Coppell TX 75019-6094 |
| Phone Number | 8886853907 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2005 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3476696220 |
| Number of Group Practice Members | 128 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 615 Lake Park Dr, Coppell, TX 75019-6094 | 8886853907 | SMI IMAGING LLC |
| 615 Lake Park Dr, Coppell, TX 75019-6094 | 2144761498 | SIMONMED IMAGING FLORIDA LLC |
| 11375 S Sam Houston Pkwy W, Suite 150, Houston, TX 77031-2347 | 2818796800 | SMI IMAGING LLC |
| 2256 W Holcombe Blvd, Simonmed Imaging, Houston, TX 77030-2008 | 7133498585 | SMI IMAGING LLC |
| 3201 S Maryland Pkwy, Suite 102, Las Vegas, NV 89109-2423 | 7022545004 | KITTUSAMY LLP |
| 7500 Smoke Ranch Rd, Suite 100, Las Vegas, NV 89128-0373 | 7022545004 | KITTUSAMY LLP |
| 2121 S Orange Ave, Kaley II, Orlando, FL 32804-5534 | 8666148555 | SIMONMED IMAGING FLORIDA LLC |
| 146 E Hollywood Ave, Michael A Tall Md, San Antonio, TX 78212-2309 | 8886853907 | SMI IMAGING LLC |
| Organization Legal Name | SMI IMAGING LLC |
| Physicians | 107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanne M Balintona | Diagnostic Radiology | Smi Imaging LLC | 36297 N Gantzel Rd, Suite 101, Queen Creek, AZ 85140-7324 |
| Anthony K Hasselbach | Diagnostic Radiology | Smi Imaging LLC | 14301 E Cedar Ave, Unit E, Aurora, CO 80012-1433 |
| Taryar M Zaw | Diagnostic Radiology | Smi Imaging LLC | 10013 Bentcross Dr, Potomac, MD 20854-4739 |
| Emma C Diponio | Diagnostic Radiology | Smi Imaging LLC | 16 Dorado Bch E, Emma C Diponio Md, Dorado, PR 00646-2046 |
| Tejas K Patel | Diagnostic Radiology | Smi Imaging LLC | 70 Oriole Ln, Glendale Heights, IL 60139-1866 |
| Baxter D Tharin | Diagnostic Radiology | Smi Imaging LLC | 16702 Yellowstone Cir, Eagle River, AK 99577-9407 |
| Scott J Brandman | Diagnostic Radiology | Smi Imaging LLC | 325 Sacramento St, San Francisco, CA 94111-3601 |
| Kevin Wayne Taylor | Diagnostic Radiology | Smi Imaging LLC | 6301 Mountain Vista St, Suite 103, Henderson, NV 89014-2365 |
| David Michael Evans | Diagnostic Radiology | Smi Imaging LLC | 1598 Uluhao St, Kailua, HI 96734-4463 |
| Aditi Modi | Diagnostic Radiology | Smi Imaging LLC | 5653 171st Ave Se, Bellevue, WA 98006-5505 |
| Street Address |
615 LAKE PARK DR |
| City | COPPELL |
| State | TX |
| Zip | 75019-6094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie M Irizarry | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Amy L Goddard | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Gail D Kaiser | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Kathleen Shirley | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Steven White | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Zahoor Ahmed | Family Medicine | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Theodore Bulacan Mendoza Iii | Nurse Practitioner | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Anna T Mathew | Nurse Practitioner | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Nadia R Emerick | Nurse Practitioner | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Mehar C Oad | Emergency Medicine | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Find all physicians in zip 75019 | |||
| City | COPPELL |
| Zip Code | 75019 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | COPPELL + DIAGNOSTIC RADIOLOGY |
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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.