Christina Marie Wade (NPI# 1508336470, PAC ID# 1254667397) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508336470 |
| PAC ID by PECOS | 1254667397 |
| Professional Enrollment ID | I20190726000029 |
| Full Name | Christina Marie Wade |
| Organization Legal Name | SUPRACARE FAMILY HEALTH PLLC |
| Address |
310 E Hoskins St New Boston TX 75570-2727 |
| Phone Number | 9036287877 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486880283 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450801 | CHRISTUS ST MICHAEL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 310 E Hoskins St, New Boston, TX 75570-2727 | 9036287877 | SUPRACARE FAMILY HEALTH PLLC |
| Organization Legal Name | SUPRACARE FAMILY HEALTH PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik I Jacobsen | Family Medicine | Supracare Family Health Pllc | 310 E Hoskins St, New Boston, TX 75570-2727 |
| Trey Weldon Pirkey | Nurse Practitioner | Supracare Family Health Pllc | 310 E Hoskins St, New Boston, TX 75570-2727 |
| Dixie A Robinson | Nurse Practitioner | Supracare Family Health Pllc | 310 E Hoskins St, New Boston, TX 75570-2727 |
| Street Address |
310 E HOSKINS ST |
| City | NEW BOSTON |
| State | TX |
| Zip | 75570-2727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik I Jacobsen | Family Medicine | Supracare Family Health Pllc | 310 E Hoskins St, New Boston, TX 75570-2727 |
| Trey Weldon Pirkey | Nurse Practitioner | Supracare Family Health Pllc | 310 E Hoskins St, New Boston, TX 75570-2727 |
| Dixie A Robinson | Nurse Practitioner | Supracare Family Health Pllc | 310 E Hoskins St, New Boston, TX 75570-2727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bobby R English | Chiropractic | 308 C Hwy 82 W, New Boston, TX 75570 | |
| Mary Ann Dutchover | Nurse Practitioner | C H Wilkinson Physician Network | 910 James Bowie Dr, New Boston, TX 75570-2335 |
| Mary P Stanley | Nurse Practitioner | C H Wilkinson Physician Network | 910 James Bowie Dr, New Boston, TX 75570-2335 |
| Valerie Jean Crawford | Nurse Practitioner | New Boston Medical Group LLP | 114 W Us Hwy 82, New Boston, TX 75570-2804 |
| Paul T Wiggins | Optometry | 101 Tyson St, New Boston, TX 75570-2821 | |
| Paul A Smith | Nurse Practitioner | Collom and Carney Clinic | 128 N Ellis, New Boston, New Boston, TX 75570-2904 |
| Balbir Singh | Family Medicine | 212 N Ctr, New Boston, TX 75570-2915 | |
| Leah M White | Physical Therapy | Mount Pleasant Physical Therapy, P.C. | 303 N Ctr St, New Boston, TX 75570-2918 |
| David Allen Harmon | Physical Therapy | Mount Pleasant Physical Therapy, P.C. | 303 N Ctr St, New Boston, TX 75570-2918 |
| Wade R Batchelor | Physical Therapy | Mount Pleasant Physical Therapy, P.C. | 303 N Ctr St, New Boston, TX 75570-2918 |
| Find all physicians in zip 75570 | |||
| City | NEW BOSTON |
| Zip Code | 75570 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEW BOSTON + NURSE PRACTITIONER |
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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.