Wayne Paullus Jr. (NPI# 1326154550, PAC ID# 1355408592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1326154550 |
| PAC ID by PECOS | 1355408592 |
| Professional Enrollment ID | I20100518000614 |
| Full Name | Wayne Paullus Jr. |
| Organization Legal Name | SOUTHWEST NEUROSCIENCE AND SPINE |
| Address |
11 Medical Dr Amarillo TX 79106-4137 |
| Phone Number | 8063536400 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 0345133823 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450231 | BAPTIST ST ANTHONY'S HOSPITAL |
| 450209 | NORTHWEST TEXAS HOSPITAL |
| 451369 | GOLDEN PLAINS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11 Medical Dr, Amarillo, TX 79106-4137 | 8063536400 | SOUTHWEST NEUROSCIENCE AND SPINE |
| Organization Legal Name | SOUTHWEST NEUROSCIENCE AND SPINE |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Ann Fanelli-jordan | Nurse Practitioner | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Son M Le | Physician Assistant | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Kimberly Riddlespurger | Nurse Practitioner | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Nathan Scott Pillsbury | Nurse Practitioner | Southwest Neuroscience and Spine | 7120 Sw 9th Ave, Amarillo, TX 79106-1704 |
| Jonathon B Gentry | Neurosurgery | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Wayne Clifford Paullus Iii | Neurosurgery | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Amy Sappington | Nurse Practitioner | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Bret D Errington | Neurosurgery | Southwest Neuroscience and Spine | 7120 Sw 9th Ave, Amarillo, TX 79106-1704 |
| Bradley Allen Hiser | Neurosurgery | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Street Address |
11 MEDICAL DR |
| City | AMARILLO |
| State | TX |
| Zip | 79106-4137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Ann Fanelli-jordan | Nurse Practitioner | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Son M Le | Physician Assistant | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Kimberly Riddlespurger | Nurse Practitioner | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Jonathon B Gentry | Neurosurgery | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Wayne Clifford Paullus Iii | Neurosurgery | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Amy Sappington | Nurse Practitioner | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Bradley Allen Hiser | Neurosurgery | Southwest Neuroscience and Spine | 11 Medical Dr, Amarillo, TX 79106-4137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindy L Unrau | Nurse Practitioner | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Aubrey L Smith | Orthopedic Surgery | 1600 Coulter, Bldg B, Amarillo, TX 79106 | |
| Mustafa Hussain | Psychiatry | 6900 I-40, Suite 285, Amarillo, TX 79106 | |
| Lorina Leanne Wilhelm | Nurse Practitioner | Amarillo Medical Specialists LLP | 1215 Coulter St, Amarillo, TX 79106 |
| Robert E Jackson Iii | Nuclear Medicine | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Allegra Kinzer | Nurse Practitioner | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Leonard E Dodson | Endocrinology | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Michael O Lagrone | Orthopedic Surgery | 1600 S Coulter St B, Amarillo, TX 79106-0703 | |
| Chad M Kennedy | Orthopedic Surgery | 1600 S Coulter, Building B, Amarillo, TX 79106-0703 | |
| Ronald T Morgan | Orthopedic Surgery | Thane Morgan, M.d.p.a. | 1600 S Coulter, Building B, Amarillo, TX 79106-0703 |
| Find all physicians in zip 79106 | |||
| City | AMARILLO |
| Zip Code | 79106 |
| Specialty | NEUROSURGERY |
| City + Specialty | AMARILLO + NEUROSURGERY |
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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.