Darrell R Pietsch (NPI# 1780689992, PAC ID# 2365330701) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1780689992 |
| PAC ID by PECOS | 2365330701 |
| Professional Enrollment ID | I20040308001121 |
| Full Name | Darrell R Pietsch |
| Organization Legal Name | PROVIDENCE HEALTH ALLIANCE |
| Address |
6600 Fish Pond Rd Suite 202a Waco TX 76710-2582 |
| Phone Number | 2547326789 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6305731068 |
| Number of Group Practice Members | 121 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450042 | PROVIDENCE HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6600 Fish Pond Rd, Suite 202a, Waco, TX 76710-2582 | 2547326789 | PROVIDENCE HEALTH ALLIANCE |
| Organization Legal Name | PROVIDENCE HEALTH ALLIANCE |
| Physicians | 117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adel Nasser | Physician Assistant | Providence Health Alliance | 600 Franklin Ave, Suite B C, Waco, TX 76701-0002 |
| Heather Branch | Nurse Practitioner | Providence Health Alliance | 7104 New Sanger Rd, Providence Family Medicine, Waco, TX 76712-3928 |
| Sang-joon Park | Psychiatry | Providence Health Alliance | 301 Londonderry Dr, Waco, TX 76712-7915 |
| David Glen Morris | Physician Assistant | Providence Health Alliance | 305 Londonderry Dr, Waco, TX 76712-7929 |
| Matthew T Pattillo | Pulmonary Disease | Providence Health Alliance | 340 Richland W Cir, Waco Lung Associates, Waco, TX 76712-7919 |
| William H Turney | General Surgery | Providence Health Alliance | 6600 Fish Pond Rd, Waco, TX 76710-2582 |
| Eric Chudej | Family Medicine | Providence Health Alliance | 1401 Jane Ln, West, TX 76691-1013 |
| Chad S Conner | Orthopedic Surgery | Providence Health Alliance | 7125 Sanger Rd, Suite 516, Waco, TX 76712-4054 |
| Colin R Bailey | Family Medicine | Providence Health Alliance | 2100 Lake Shore Dr, Waco, TX 76708-1271 |
| John B Shelton | Family Medicine | Providence Health Alliance | 6101 Woodway Dr, 200 Providence Family Health Clinic, Waco, TX 76712-6117 |
| Street Address |
6600 FISH POND RD SUITE 202A |
| City | WACO |
| State | TX |
| Zip | 76710-2582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Turney | General Surgery | Providence Health Alliance | 6600 Fish Pond Rd, Waco, TX 76710-2582 |
| Josh Goldstrich | General Surgery | Providence Health Alliance | 6600 Fish Pond Rd, Waco, TX 76710-2582 |
| Paul M Claiborne | General Surgery | Providence Health Alliance | 6600 Fish Pond Rd, Waco, TX 76710-2582 |
| Kathleen A Sorensen | Diagnostic Radiology | Central Texas Radiological Associates Pa | 6600 Fish Pond Rd, Suite 104, Waco, TX 76710-2582 |
| Nathan B Forrest | Diagnostic Radiology | Central Texas Radiological Associates Pa | 6600 Fish Pond Rd, Suite 101, Waco, TX 76710-2582 |
| Amy Rachelle Mccourt | Diagnostic Radiology | Central Texas Radiological Associates Pa | 6600 Fish Pond Rd, Suite 104, Waco, TX 76710-2582 |
| Jeffery R White | Diagnostic Radiology | Central Texas Radiological Associates Pa | 6600 Fish Pond Rd, Suite 104, Waco, TX 76710-2582 |
| Gustavo G Villarreal Jr. | Diagnostic Radiology | Central Texas Radiological Associates Pa | 6600 Fish Pond Rd, Suite 101, Waco, TX 76710-2582 |
| Erin Prince | Diagnostic Radiology | Central Texas Radiological Associates Pa | 6600 Fish Pond Rd, Suite 101, Waco, TX 76710-2582 |
| Howard N Klaskin | Diagnostic Radiology | Central Texas Radiological Associates Pa | 6600 Fish Pond Rd, Suite 101, Waco, TX 76710-2582 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janie C Allen | Clinical Social Worker | Agency Professional Services Inc | 323 N, Waco, TX 76710 |
| Nina P Johnson | Clinical Social Worker | Agency Professional Services Inc | 323 N, Waco, TX 76710 |
| James M Hyden | Clinical Psychologist | Agency Professional Services Inc | 323 N, 29th, Waco, TX 76710 |
| Phillip Lee Chaney | Gastroenterology | Scott and White Clinic | 7700 Fish Pond Rd, Waco, TX 76710-1031 |
| Cynthia R Harr | Clinical Social Worker | 5207 Lake Shore Dr, Suite B, Waco, TX 76710-1732 | |
| Laura R Wright | Psychologist, Clinical | 5207 Lake Shore Dr, Suite B, Waco, TX 76710-1732 | |
| Kyna B Lichtenstein | Clinical Social Worker | 4555 Lake Shore Dr, Waco, TX 76710-1814 | |
| Michael A Howe | Psychologist, Clinical | 4555 Lake Shore Dr, Waco, TX 76710-1814 | |
| Linda Karen Burt Moore | Psychologist, Clinical | 4555 Lake Shore Dr, Waco, TX 76710-1814 | |
| Garrett Welch | Occupational Therapy | 2032 N Valley Mills Dr, Suite A, Waco, TX 76710-2561 | |
| Find all physicians in zip 76710 | |||
| City | WACO |
| Zip Code | 76710 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WACO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Darrell R Pietsch.
| 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.