Richard M Childs Jr. (NPI# 1538111885, PAC ID# 3375509409) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1538111885 |
| PAC ID by PECOS | 3375509409 |
| Professional Enrollment ID | I20041209000523 |
| Full Name | Richard M Childs Jr. |
| Organization Legal Name | CLEARWATER ANESTHESIA PLLC |
| Address |
3712 W 7th St A Monticello Diagnostic Imaging Lp Fort Worth TX 76102-2536 |
| Phone Number | 8173773800 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1999 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1759347875 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450271 | WISE REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 3712 W 7th St A, Monticello Diagnostic Imaging Lp, Fort Worth, TX 76102-2536 | 8173773800 | CLEARWATER ANESTHESIA PLLC |
| 6551 Harris Pkwy, Suite 100, Fort Worth, TX 76132-6105 | 8173463800 | CLEARWATER ANESTHESIA PLLC |
| Organization Legal Name | CLEARWATER ANESTHESIA PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey D Weertman | Certified Registered Nurse Anesthetist (crna) | Clearwater Anesthesia Pllc | 6551 Harris Pkwy, Suite 100, Fort Worth, TX 76132-6105 |
| Street Address |
3712 W 7TH ST A MONTICELLO DIAGNOSTIC IMAGING LP |
| City | FORT WORTH |
| State | TX |
| Zip | 76102-2536 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn Lee Chamberlain | Physician Assistant | American Visiting Doctors, LLC | 2601 Tandy Ave, Suite 400, Ft Worth, TX 76102-2552 |
| Ryan Edward Jones | Internal Medicine | Vpa of Texas Pllc | 1301 W 7th St, Suite 121, Fort Worth, TX 76102-2604 |
| Dean Cabansag | Family Medicine | Vpa of Texas Pllc | 1301 W 7th St, Suite 121, Fort Worth, TX 76102-2604 |
| Deborah G Ungles | Nurse Practitioner | Vpa of Texas Pllc | 1301 W 7th St, Suite 121, Fort Worth, TX 76102-2604 |
| Janette Zdanuk | Nurse Practitioner | Vpa of Texas Pllc | 1301 W 7th St, Suite 121, Fort Worth, TX 76102-2604 |
| Teresa Manax | Family Medicine | Vpa of Texas Pllc | 1301 W 7th St, Suite 121, Fort Worth, TX 76102-2604 |
| Tambra Guinn | Nurse Practitioner | Vpa of Texas Pllc | 1301 W 7th St, Suite 121, Fort Worth, TX 76102-2604 |
| Jennifer I Ogbeide | Nurse Practitioner | Vpa of Texas Pllc | 1301 W 7th St, Suite 121, Fort Worth, TX 76102-2604 |
| Michael S Phillips | Family Medicine | Vpa of Texas Pllc | 1301 W 7th St, Suite 121, Fort Worth, TX 76102-2604 |
| Laura W Makarwich | Certified Registered Nurse Anesthetist (crna) | 412 Henderson St, Fort Worth, TX 76102-2774 | |
| Find all physicians in zip 76102 | |||
| City | FORT WORTH |
| Zip Code | 76102 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FORT WORTH + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.