Mathew G Krista (NPI# 1093779738, PAC ID# 2961403001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1093779738 |
| PAC ID by PECOS | 2961403001 |
| Professional Enrollment ID | I20070116000565 |
| Full Name | Mathew G Krista |
| Organization Legal Name | FMG PRIMECARE LLC |
| Address |
4126 W Main St Dothan AL 36305-9310 |
| Phone Number | 3347932120 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7012283864 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010055 | FLOWERS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 144 Virginia Ave, Daleville, AL 36322-2306 | 3347932120 | FMG PRIMECARE LLC |
| 4126 W Main St, Dothan, AL 36305-9310 | 3347932120 | FMG PRIMECARE LLC |
| Organization Legal Name | FMG PRIMECARE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Williams | Family Medicine | Fmg Primecare LLC | 4126 W Main St, Dothan, AL 36305-9310 |
| Yusef Prince Williams | Family Medicine | Fmg Primecare LLC | 4126 W Main St, Dothan, AL 36305-9310 |
| Kenneth F Cox | Physician Assistant | Fmg Primecare LLC | 4126 W Main St, Dothan, AL 36305-9310 |
| Valerie Thomley | Nurse Practitioner | Fmg Primecare LLC | 4126 W Main St, Dothan, AL 36305-9310 |
| Stephanie Head | Nurse Practitioner | Fmg Primecare LLC | 4126 W Main St, Dothan, AL 36305-9310 |
| Street Address |
4126 W MAIN ST |
| City | DOTHAN |
| State | AL |
| Zip | 36305-9310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Williams | Family Medicine | Fmg Primecare LLC | 4126 W Main St, Dothan, AL 36305-9310 |
| Yusef Prince Williams | Family Medicine | Fmg Primecare LLC | 4126 W Main St, Dothan, AL 36305-9310 |
| Kenneth F Cox | Physician Assistant | Fmg Primecare LLC | 4126 W Main St, Dothan, AL 36305-9310 |
| Valerie Thomley | Nurse Practitioner | Fmg Primecare LLC | 4126 W Main St, Dothan, AL 36305-9310 |
| Stephanie Head | Nurse Practitioner | Fmg Primecare LLC | 4126 W Main St, Dothan, AL 36305-9310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norma Faye Mcknight | Nurse Practitioner | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Kelli N Heer | Physician Assistant | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Robert M Hagler | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Tonia L Ruddock | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Laura M Tamburin | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Candace N Short | Nurse Practitioner | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| James Butler | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Craig D Omohundro | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Philip Mathew Dozier | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Christopher E Nicholls | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Find all physicians in zip 36305 | |||
| City | DOTHAN |
| Zip Code | 36305 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DOTHAN + EMERGENCY MEDICINE |
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| 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.