Vivian T Powtakien (NPI# 1295123842, PAC ID# 3476874918) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295123842 |
| PAC ID by PECOS | 3476874918 |
| Professional Enrollment ID | I20191212001783 |
| Full Name | Vivian T Powtakien |
| Organization Legal Name | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| Address |
400 Sw 25th Ave Mineral Wells TX 76067-8246 |
| Phone Number | 9403257891 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810117223 |
| Number of Group Practice Members | 232 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 9403257891 | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| Organization Legal Name | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth W Peters | Emergency Medicine | Concord Medical Group of Texas Pllc | 303 Sandy Corner Rd, El Campo, TX 77437-9535 |
| Steven M Wiese | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Gerald B Cobb | Emergency Medicine | Concord Medical Group of Texas Pllc | 1353 N Travis St, Liberty, TX 77575-3549 |
| Timothy M Dannemiller | Family Medicine | Concord Medical Group of Texas Pllc | 1601 W 11th Pl, Big Spring, TX 79720-4114 |
| Robert G Cochran | Family Medicine | Concord Medical Group of Texas Pllc | 44 N Cummings St, Bellville, TX 77418-1347 |
| Conrado J Ordonez | Emergency Medicine | Concord Medical Group of Texas Pllc | 1601 W 11th Pl, Big Spring, TX 79720-4114 |
| Darren E Hamm | Family Medicine | Concord Medical Group of Texas Pllc | 1601 W 11th Pl, Big Spring, TX 79720-4114 |
| Shery Malaty | Family Medicine | Concord Medical Group of Texas Pllc | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 |
| David N Whitten | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| John E Jones | Family Medicine | Concord Medical Group of Texas Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Street Address |
400 SW 25TH AVE |
| City | MINERAL WELLS |
| State | TX |
| Zip | 76067-8246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn P Zarr | Emergency Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Linda N White | Certified Registered Nurse Anesthetist (crna) | Palo Pinto County Hospital District | 400 Sw 25th Ave, Palo Pinto General Hospital, Mineral Wells, TX 76067-8246 |
| Kapil J Dave | Internal Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| John Crim | General Surgery | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Deborah K Vines Lowe | Certified Registered Nurse Anesthetist (crna) | Palo Pinto County Hospital District | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| John E Jones | Family Medicine | Concord Medical Group of Texas Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Louis J Graham Iii | Nurse Practitioner | Concord Medical Group of Texas Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Lawrence Quan | Family Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Maxwell C Scarlett | Family Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Luis C Olivas | Family Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Pray | Chiropractic | 409 W Hubbard, Mineral Wells, TX 76067-4846 | |
| Eric R Brock | Orthopedic Surgery | 715 W Hubbard St, Mineral Wells, TX 76067-4852 | |
| Chris Erwin | Nurse Practitioner | 109 Nw 2nd St, Mineral Wells, TX 76067-4940 | |
| Patrick W Hisel | Family Medicine | Patrick W Hisel, Md, Pa | 101 Holly Hill Rd, Mineral Wells, TX 76067-5043 |
| Daniel L Cottrell | Physician Assistant | Patrick W Hisel, Md, Pa | 101 Holly Hill Rd, Mineral Wells, TX 76067-5043 |
| Michael J Gremminger | Physical Therapy | 711 Sw 1st St, Mineral Wells, TX 76067-5117 | |
| Alice Ramsey | Family Medicine | 108 Sw 6th Ave, Mineral Wells, TX 76067-5151 | |
| Gail C Brothers | Psychologist, Clinical | 103 Sw 7th Ave, Mineral Wells, TX 76067-5164 | |
| John E Lockyer | Podiatry | 505 Sw 1st St, Mineral Wells, TX 76067-5207 | |
| Janardhana P Reddy | Thoracic Surgery | 400 S E 1st St B, Mineral Wells, TX 76067-5300 | |
| Find all physicians in zip 76067 | |||
| City | MINERAL WELLS |
| Zip Code | 76067 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MINERAL WELLS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Vivian T Powtakien.
| 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.