Matthew T Pattillo (NPI# 1295994770, PAC ID# 2961666581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1295994770 |
| PAC ID by PECOS | 2961666581 |
| Professional Enrollment ID | I20120612000244 |
| Full Name | Matthew T Pattillo |
| Organization Legal Name | PROVIDENCE HEALTH ALLIANCE |
| Address |
340 Richland W Cir Waco Lung Associates Waco TX 76712-7919 |
| Phone Number | 2545376600 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2008 |
| Primary Specialty | PULMONARY DISEASE |
| 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 |
| 451303 | LIMESTONE MEDICAL CENTER |
| 451385 | GOODALL WITCHER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 340 Richland W Cir, Waco Lung Associates, Waco, TX 76712-7919 | 2545376600 | 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 |
| 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 |
| Scott E Blattman | Family Medicine | Providence Health Alliance | 301 Richland W Cir, Providence Internal Medicine Clinic, Waco, TX 76712-7932 |
| Street Address |
340 RICHLAND W CIR WACO LUNG ASSOCIATES |
| City | WACO |
| State | TX |
| Zip | 76712-7919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ntiense Covey | Clinical Social Worker | 200 W Hwy 6, Suite 217, Waco, TX 76712 | |
| Todd Moffatt | General Surgery | 1000 W Hwy 6, Suite 410, Waco, TX 76712 | |
| Eric F Oneill | Plastic and Reconstructive Surgery | 1000 W Hwy 6, Suite 500, Waco, TX 76712 | |
| Lute George Oas | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| Justin Wylie Wray | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| David J Schickner | Neurosurgery | David J. Schickner, M.d., P.a. | 6901 Medical Pkwy, Waco, TX 76712-2589 |
| Charles W Guy | Plastic and Reconstructive Surgery | 101 Burnett Ct, Suite B, Waco, TX 76712-3100 | |
| Mark A Antonacci | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Nina Wilson | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Travis Gene Volcik | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Find all physicians in zip 76712 | |||
| City | WACO |
| Zip Code | 76712 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | WACO + PULMONARY DISEASE |
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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.