Kathleen E. Humphries (NPI# 1639135734, PAC ID# 1254433162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1639135734 |
| PAC ID by PECOS | 1254433162 |
| Professional Enrollment ID | I20070223000419 |
| Full Name | Kathleen E. Humphries |
| Organization Legal Name | MEDHEALTH |
| Address |
820 S Carrier Pkwy Methodist Family Health Center Central Grand Prairie TX 75051-1517 |
| Phone Number | 9722621425 |
| Gender | F |
| Credential | DO |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9931001567 |
| Number of Group Practice Members | 167 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450723 | METHODIST CHARLTON MEDICAL CENTER |
| 450051 | METHODIST DALLAS MEDICAL CENTER |
| 450675 | MEDICAL CITY ARLINGTON |
| Address | Phone | Organization |
|---|---|---|
| 4116 S Carrier Pkwy, 250 Methodist Family Health Center South, Grand Prairie, TX 75052-3244 | 9722635272 | MEDHEALTH |
| 820 S Carrier Pkwy, Methodist Family Health Center Central, Grand Prairie, TX 75051-1517 | 9722621425 | MEDHEALTH |
| Organization Legal Name | MEDHEALTH |
| Physicians | 185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niladri Basu | Orthopedic Surgery | Medhealth | 3430 Wheatland Rd Pav I, 216 Dallas Orthopaedic Trauma Institute, Dallas, TX 75237-3447 |
| Michelle Dyan Morton | Nurse Practitioner | Medhealth | 2821 E President George Bush Freeway, 304 Methodist Transplant Specialists, Richardson, TX 75082-4277 |
| Nabeel Samir Koro | Gastroenterology | Medhealth | 3450 W Wheatland Rd Pob II, 340 Methodist Surgical Associates, Dallas, TX 75237-3470 |
| Kai-soon Chen Yang | Family Medicine | Medhealth | 4430 Lavon Dr, Suite 350, Garland, TX 75040-2976 |
| Jasper Elisabet Pena | Nurse Practitioner | Medhealth | 1700 N Hwy 77 210, Methodist Family Health Center Waxahachie, Waxahachie, TX 75165-7832 |
| Idania Hidalgo | Family Medicine | Medhealth | 820 S Carrier Pkwy, Methodist Family Health Center Central, Grand Prairie, TX 75051-1517 |
| Whitney L Mcclung | Nurse Practitioner | Medhealth | 2821 E President George Bush Hwy 410, Methodist Brain and Spine Institute, Richardson, TX 75082-4278 |
| Melissa Ann Hataway | Nurse Practitioner | Medhealth | 950 E Beltline Rd, 100 Family Health Center Cedar Hill East, Cedar Hill, TX 75104-2423 |
| George Andrew Williams | Emergency Medicine | Medhealth | 613 S Hwy 78 200, Methodist Wylie First Aid Family Care, Wylie, TX 75098-5525 |
| Derek Edwin Williams | Thoracic Surgery | Medhealth | 2821 E Pres George Bush Hwy 404, Methodist Richardson Breckinridge Family Medical, Richardson, TX 75082-4278 |
| Street Address |
820 S CARRIER PKWY METHODIST FAMILY HEALTH CENTER CENTRAL |
| City | GRAND PRAIRIE |
| State | TX |
| Zip | 75051-1517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Idania Hidalgo | Family Medicine | Medhealth | 820 S Carrier Pkwy, Methodist Family Health Center Central, Grand Prairie, TX 75051-1517 |
| Olga S Jones | Internal Medicine | Medhealth | 820 S Carrier Pkwy, Methodist Family Health Center Central, Grand Prairie, TX 75051-1517 |
| Evelyn Corley | Nurse Practitioner | Medhealth | 820 S Carrier Pkwy, Methodist Family Health Center Central, Grand Prairie, TX 75051-1517 |
| Juan C Gavalda | Family Medicine | Medhealth | 820 S Carrier Pkwy, Methodist Family Health Center Central, Grand Prairie, TX 75051-1517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvette E Forbes-baker | Podiatry | 2705 Hospital Blvd, Suite 103, Grand Prairie, TX 75051-0928 | |
| Elo Edith Omakor | Nurse Practitioner | Dallas County Mental Health and Mental Retardation Center | 832 S Carrier Pkwy, Grand Prairie, TX 75051-0942 |
| Adeel M Raza | Pathology | Dfw 501a Corporation | 2709 Hospital Blvd, Pathology Department, Grand Prairie, TX 75051-1017 |
| Ralph T Wiegman | Obstetrics/gynecology | 643 S Great Southwest Pkwy, Suite 102, Grand Prairie, TX 75051-1056 | |
| Michael Reid Mccullough | Obstetrics/gynecology | 643 S Great Southwest Pkwy, Suite 101, Grand Prairie, TX 75051-1056 | |
| Frank P Cundari | Ophthalmology | 647 S Great Southwest Pkwy, Suite 101, Grand Prairie, TX 75051-1058 | |
| Judith I Udabor | Nurse Practitioner | 2801 Osler Dr, Suite 120, Grand Prairie, TX 75051-1059 | |
| Karey Gleason | Certified Registered Nurse Anesthetist (crna) | Innate Pain and Anesthesia Pllc | 2507 Medical Row, Suite 101, Grand Prairie, TX 75051-1070 |
| David R Arrington | Certified Registered Nurse Anesthetist (crna) | Innate Pain and Anesthesia Pllc | 2507 Medical Row, Suite 101, Grand Prairie, TX 75051-1070 |
| Cynthia A Podsednik | Certified Registered Nurse Anesthetist (crna) | Innate Pain and Anesthesia Pllc | 2507 Medical Row, Suite 101, Grand Prairie, TX 75051-1070 |
| Find all physicians in zip 75051 | |||
| City | GRAND PRAIRIE |
| Zip Code | 75051 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | GRAND PRAIRIE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kathleen E. Humphries.
| 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.