Jim R Coventry (NPI# 1447251988, PAC ID# 2365425295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1447251988 |
| PAC ID by PECOS | 2365425295 |
| Professional Enrollment ID | I20040610001399 |
| Full Name | Jim R Coventry |
| Address |
1616 S Kentucky Suite 125a Amarillo TX 79102-2250 |
| Phone Number | 8064637001 |
| Gender | M |
| Credential | CSW |
| Graduation Year | 1980 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1616 S Kentucky, Suite 125a, Amarillo, TX 79102-2250 | 8064637001 |
| Street Address |
1616 S KENTUCKY SUITE 125A |
| City | AMARILLO |
| State | TX |
| Zip | 79102-2250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda Meeks | Psychologist, Clinical | 1216 S Georgia St, Amarillo, TX 79102-1310 | |
| James S Rogers, Jr | Clinical Social Worker | 1616 S Kentucky St, Suite A125, Amarillo, TX 79102-2250 | |
| Sang Tae Caleb Kim | Family Medicine | Fmc Medical Foundation Inc | 1616 S Kentucky St, Suite 100, Amarillo, TX 79102-2252 |
| David B Clarke | Family Medicine | Fmc Medical Foundation Inc | 1616 S Kentucky St, Suite 100, Amarillo, TX 79102-2252 |
| Gabriela Benavides | Nurse Practitioner | Fmc Medical Foundation Inc | 1616 S Kentucky St, Suite 100, Amarillo, TX 79102-2252 |
| Elena C Loomis | Nurse Practitioner | Fmc Medical Foundation Inc | 1616 S Kentucky St, Suite 100, Amarillo, TX 79102-2252 |
| James D Hale | Family Medicine | Fmc Medical Foundation Inc | 1616 S Kentucky St, Suite 100, Amarillo, TX 79102-2252 |
| Derrell D Deloach | Nurse Practitioner | Fmc Medical Foundation Inc | 1616 S Kentucky St, Suite 100, Amarillo, TX 79102-2252 |
| Joni Michelle Tversky | Nurse Practitioner | Fmc Medical Foundation Inc | 1616 S Kentucky St, Suite 100, Amarillo, TX 79102-2252 |
| Andrea Nicole Fuller | Physician Assistant | Fmc Medical Foundation Inc | 1616 S Kentucky St, Suite 100, Amarillo, TX 79102-2252 |
| Find all physicians in zip 79102 | |||
| City | AMARILLO |
| Zip Code | 79102 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | AMARILLO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jim R Coventry.
| 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.