Paul Jew (NPI# 1114086253, PAC ID# 2062317670) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114086253 |
| PAC ID by PECOS | 2062317670 |
| Professional Enrollment ID | I20031205000147 |
| Full Name | Paul Jew |
| Organization Legal Name | ACT PHYSICIAN GROUP, PA |
| Address |
3300 Interstate 40 E Suite 400 Amarillo TX 79103-4831 |
| Phone Number | 8063798552 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729261623 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450231 | BAPTIST ST ANTHONY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3300 Interstate 40 E, Suite 400, Amarillo, TX 79103-4831 | 8063798552 | ACT PHYSICIAN GROUP, PA |
| 3440 Bell St, Unit 122, Amarillo, TX 79109-4100 | 8063799225 | ACT PHYSICIAN GROUP, PA |
| Organization Legal Name | ACT PHYSICIAN GROUP, PA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sojourner Lynn Bixler | Nurse Practitioner | Act Physician Group, Pa | 3300 Interstate 40 E, Suite 400, Amarillo, TX 79103-4831 |
| Min Kyung Lee | Nurse Practitioner | Act Physician Group, Pa | 3440 Bell St, Unit 122, Amarillo, TX 79109-4100 |
| Virgina Sue Wright | Nurse Practitioner | Act Physician Group, Pa | 3300 E Interstate 40, Suite 400, Amarillo, TX 79103-4801 |
| Shauna Jean Boltz | Nurse Practitioner | Act Physician Group, Pa | 3300 Interstate 40 E, Suite 400, Amarillo, TX 79103-4831 |
| Behnoush Jaberian Doraji | Physician Assistant | Act Physician Group, Pa | 3300 Interstate 40 E, Suite 400, Amarillo, TX 79103-4831 |
| Cynthia Hewett | Nurse Practitioner | Act Physician Group, Pa | 3300 Interstate 40 E, Suite 400, Amarillo, TX 79103-4831 |
| Misty Lynn Lance | Nurse Practitioner | Act Physician Group, Pa | 3300 Interstate 40 E, Suite 400, Amarillo, TX 79103-4831 |
| Ronald R Lacy | Family Practice | Act Physician Group, Pa | 3440 Bell St, Amarillo, TX 79109-4100 |
| Amanda Beth Owens | Physician Assistant | Act Physician Group, Pa | 3440 Bell St, Amarillo, TX 79109-4100 |
| Alicia Ann Alexander | Physician Assistant | Act Physician Group, Pa | 3440 Bell St, Amarillo, TX 79109-4100 |
| Street Address |
3300 INTERSTATE 40 E SUITE 400 |
| City | AMARILLO |
| State | TX |
| Zip | 79103-4831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sojourner Lynn Bixler | Nurse Practitioner | Act Physician Group, Pa | 3300 Interstate 40 E, Suite 400, Amarillo, TX 79103-4831 |
| Shauna Jean Boltz | Nurse Practitioner | Act Physician Group, Pa | 3300 Interstate 40 E, Suite 400, Amarillo, TX 79103-4831 |
| Behnoush Jaberian Doraji | Physician Assistant | Act Physician Group, Pa | 3300 Interstate 40 E, Suite 400, Amarillo, TX 79103-4831 |
| Cynthia Hewett | Nurse Practitioner | Act Physician Group, Pa | 3300 Interstate 40 E, Suite 400, Amarillo, TX 79103-4831 |
| Misty Lynn Lance | Nurse Practitioner | Act Physician Group, Pa | 3300 Interstate 40 E, Suite 400, Amarillo, TX 79103-4831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda B. Moss | Nurse Practitioner | Fmc Medical Foundation Inc | 2329 Ross Osage St, Amarillo, TX 79103-3000 |
| Anastacia J Nix | Family Medicine | Fmc Medical Foundation Inc | 2329 Ross Osage St, Amarillo, TX 79103-3000 |
| Anita M Allison | Nurse Practitioner | Fmc Medical Foundation Inc | 2329 Ross Osage St, Amarillo, TX 79103-3000 |
| Ramona J Yarbrough | Nurse Practitioner | Fmc Medical Foundation Inc | 2329 Ross Osage St, Amarillo, TX 79103-3000 |
| Virginia Diane Carthel | Nurse Practitioner | Fmc Medical Foundation Inc | 2329 Ross Osage St, Amarillo, TX 79103-3000 |
| Virgina Sue Wright | Nurse Practitioner | Act Physician Group, Pa | 3300 E Interstate 40, Suite 400, Amarillo, TX 79103-4801 |
| City | AMARILLO |
| Zip Code | 79103 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | AMARILLO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Paul Jew.
| 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.