Carlos Venegas Jr. (NPI# 1518115161, PAC ID# 2567502123) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518115161 |
| PAC ID by PECOS | 2567502123 |
| Professional Enrollment ID | I20150401000431 |
| Full Name | Carlos Venegas Jr. |
| Organization Legal Name | MERCY HOSPITAL WATONGA INC |
| Address |
500 N Clarence Nash Blvd Watonga OK 73772-2845 |
| Phone Number | 5806237211 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305002759 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371302 | MERCY HOSPITAL WATONGA, INC |
| Address | Phone | Organization |
|---|---|---|
| 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 | 5806237211 | MERCY HOSPITAL WATONGA INC |
| Organization Legal Name | MERCY HOSPITAL WATONGA INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad N Hudson | Physician Assistant | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| Jeffery Johnston | Physician Assistant | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| Jerome D Dinan | Physician Assistant | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| James C Hogan | Physician Assistant | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| Street Address |
500 N CLARENCE NASH BLVD |
| City | WATONGA |
| State | OK |
| Zip | 73772-2845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad N Hudson | Physician Assistant | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| Jeffery Johnston | Physician Assistant | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| Jerome D Dinan | Physician Assistant | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| James C Hogan | Physician Assistant | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curtis A Schenk | Family Medicine | 407 N Clarence Nash Blvd, Watonga Family Care, Watonga, OK 73772-3636 | |
| Susan Lee | Optometry | 215 N Clarence Nash Blvd, Watonga, OK 73772-3645 | |
| Timothy L Nelson | Optometry | 203 N Noble Ave, Watonga, OK 73772-3811 | |
| James Garner | General Practice | Mercy Clinic Oklahoma Communities | 203 N Weigle Ave, Mercy Clinic Watonga, Watonga, OK 73772-3840 |
| Dukheh Ahn | Psychiatry | Oklahoma Mental Health Council | 216 W A St, Watonga, OK 73772-4208 |
| Solomon Ali | General Practice | Watonga Indian Health Center | 1305 S Clarence Nash Rd, Watonga Indian Hlth, Watonga, OK 73772-4820 |
| City | WATONGA |
| Zip Code | 73772 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WATONGA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carlos Venegas Jr..
| 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.