Enobong C. Udo (NPI# 1124518253, PAC ID# 3072862242) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124518253 |
| PAC ID by PECOS | 3072862242 |
| Professional Enrollment ID | I20180821002634 |
| Full Name | Enobong C. Udo |
| Organization Legal Name | PYRAMID PAIN AND REHAB P.A. |
| Address |
1001 Sara Swamy Dr 220 North Texas Comprehensive Spine and Pain Center Sherman TX 75090-3124 |
| Phone Number | 9038921999 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779634373 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670076 | BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL AT SHERMA |
| Address | Phone | Organization |
|---|---|---|
| 5072 W Plano Pkwy, Suite 220, Plano, TX 75093-4475 | 4696710900 | ODETTE LOUISE CAMPBELL, MD, PA |
| 1001 Sara Swamy Dr, 220 North Texas Comprehensive Spine and Pain Center, Sherman, TX 75090-3124 | 9038921999 | PYRAMID PAIN AND REHAB P.A. |
| Organization Legal Name | PYRAMID PAIN AND REHAB P.A. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sreenadha R Vattam | Pain Management | Pyramid Pain and Rehab P.a. | 1001 Sara Swamy Dr, 220 North Texas Comprehensive Spine and Pain Center, Sherman, TX 75090-3124 |
| Street Address |
1001 SARA SWAMY DR 220 NORTH TEXAS COMPREHENSIVE SPINE AND PAIN CENTER |
| City | SHERMAN |
| State | TX |
| Zip | 75090-3124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Nocerini | Pain Management | Texoma Anesthesia P.a. | 1001 Sara Swamy Dr, Suite 220, Sherman, TX 75090-3124 |
| Kellee L Matlock | Certified Registered Nurse Anesthetist (crna) | Texoma Anesthesia P.a. | 1001 Sara Swamy Dr, Suite 220, Sherman, TX 75090-3124 |
| Sreenadha R Vattam | Pain Management | Pyramid Pain and Rehab P.a. | 1001 Sara Swamy Dr, 220 North Texas Comprehensive Spine and Pain Center, Sherman, TX 75090-3124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Cross | Psychologist, Clinical | 200 N Travis St, Suite 303, Sherman, TX 75090-0004 | |
| Jennifer L Graxiola | Nurse Practitioner | Kenneth E. Anderson Jr. M.d. P.a. | 500 E Peyton St, Sherman, TX 75090-0200 |
| Kenneth E Anderson Jr. | Anesthesiology | Kenneth E. Anderson Jr. M.d. P.a. | 500 E Peyton St, Sherman, TX 75090-0200 |
| Marla K Davy | Nurse Practitioner | Healogics Specialty Physicians of Texas Pllc | 2600 N Sam Rayburn Fwy, Sherman, TX 75090-0500 |
| Aditi Swami | Infectious Disease | 2600 N Us Hwy 75, Suite 120, Sherman, TX 75090-0500 | |
| Jamison C Alexander | Obstetrics/gynecology | Healogics Specialty Physicians of Texas Pllc | 2600 N Sam Rayburn Fwy, Sherman, TX 75090-0500 |
| Amir Ali Faridi | Hematology/oncology | Texas Oncology Pa | 2800 N Us Hwy 75, Sherman, TX 75090-0504 |
| Anand Thanwar Shivnani | Radiation Oncology | Texas Oncology Pa | 2800 N Us Hwy 75, Sherman, TX 75090-0504 |
| Lynn A Brown | Emergency Medicine | Tep Select Emergency Specialists LLC | 4226 N Us Hwy 75, Select Er Sherman Emer Rm, Sherman, TX 75090-0531 |
| Jacob B Mumm | Emergency Medicine | Tep Select Emergency Specialists LLC | 4226 N Us Hwy 75, Select Er Sherman Emer Rm, Sherman, TX 75090-0531 |
| Find all physicians in zip 75090 | |||
| City | SHERMAN |
| Zip Code | 75090 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHERMAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Enobong C. Udo.
| 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.