Tony W Deramus (NPI# 1750494985, PAC ID# 1557426442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1750494985 |
PAC ID by PECOS | 1557426442 |
Professional Enrollment ID | I20090209000664 |
Full Name | Tony W Deramus |
Organization Legal Name | SANDSTONE CHIROPRATIC, P.A. |
Address |
125 Blue Heron Dr B Montgomery TX 77316-3183 |
Phone Number | 9365820404 |
Gender | M |
Graduation Year | 1998 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 0547325466 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
125 Blue Heron Dr B, Montgomery, TX 77316-3183 | 9365820404 | SANDSTONE CHIROPRATIC, P.A. |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_182_overall | Functional Outcome Assessment | 100% |
Organization Legal Name | SANDSTONE CHIROPRATIC, P.A. |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Reese J Ochoa | Chiropractic | Sandstone Chiropratic, P.a. | 125 Blue Heron Dr B, Montgomery, TX 77316-3183 |
Street Address |
125 BLUE HERON DR B |
City | MONTGOMERY |
State | TX |
Zip | 77316-3183 |
Name | Specialty | Organization | Address |
---|---|---|---|
Reese J Ochoa | Chiropractic | Sandstone Chiropratic, P.a. | 125 Blue Heron Dr B, Montgomery, TX 77316-3183 |
Name | Specialty | Organization | Address |
---|---|---|---|
Danita R Trees | Physical Therapy | 15513 Victorias Way, Montgomery, TX 77316 | |
Jeana L Garris | Physician Assistant | Allergy and Ent Associates Pa | 123 Blue Heron Dr, Suite 101, Montgomery, TX 77316-3192 |
Matthew Snyder | Optometry | 123 Blue Heron Dr, Suite 103, Montgomery, TX 77316-3192 | |
Andy J Davis | Family Practice | 123 Blue Heron Dr, Suite 101, Montgomery, TX 77316-3192 |
City | MONTGOMERY |
Zip Code | 77316 |
Specialty | CHIROPRACTIC |
City + Specialty | MONTGOMERY + CHIROPRACTIC |
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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.