Johnny A Colegrove (NPI# 1902999113, PAC ID# 2567449853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1902999113 |
| PAC ID by PECOS | 2567449853 |
| Professional Enrollment ID | I20040706000225 |
| Full Name | Johnny A Colegrove |
| Address |
1044 N Pacific St Mineola TX 75773-1838 |
| Phone Number | 9035696261 |
| Gender | M |
| Credential | DC |
| Graduation Year | 1985 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1044 N Pacific St, Mineola, TX 75773-1838 | 9035696261 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 2% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_182_overall | Functional Outcome Assessment | 100% |
| Street Address |
1044 N PACIFIC ST |
| City | MINEOLA |
| State | TX |
| Zip | 75773-1838 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andy Mark Hawari | Optometry | 1238 N Pacific St, Mineola, TX 75773-1002 | |
| Charles P Mcgonagill | Optometry | J. Carl Norris, Od PC | 1238 N Pacific St, Mineola, TX 75773-1002 |
| Diana C Bankhead | General Practice | 139 Maxine St, Mineola, TX 75773-1011 | |
| Jamie Johnson | Nurse Practitioner | Trinity Clinic | 1302 N Pacific St, Christus Trinity Clinic, Mineola, TX 75773-1022 |
| Teri Curington | Nurse Practitioner | 320 Greenville Ave, Mineola, TX 75773-1032 | |
| Jose Ricardo Martinez | Internal Medicine | Etmc Physician Group, Inc. | 1220 N Pacific St, Mineola, TX 75773-1054 |
| Robert M Elliott | Family Medicine | 415 W Kilpatrick, Mineola, TX 75773-2032 | |
| Danielle Gloster | Optometry | 135 Ne Loop, 564 Vision Center, Mineola, TX 75773-2913 |
| City | MINEOLA |
| Zip Code | 75773 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MINEOLA + CHIROPRACTIC |
Please comment or provide details below to improve the information on Johnny A Colegrove.
| 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.