Marion Jo Kitsmiller (NPI# 1811973266, PAC ID# 3577472174) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1811973266 |
| PAC ID by PECOS | 3577472174 |
| Professional Enrollment ID | I20100727000617 |
| Full Name | Marion Jo Kitsmiller |
| Organization Legal Name | HEART OF TEXAS HEALTHCARE SYSTEM |
| Address |
2008 Nine Rd Heart of Texas Healthcare Sy Brady TX 76825-7210 |
| Phone Number | 3255972901 |
| Gender | F |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5294918702 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450229 | HENDRICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2008 Nine Rd, Heart of Texas Healthcare Sy, Brady, TX 76825-7210 | 3255972901 | HEART OF TEXAS HEALTHCARE SYSTEM |
| Organization Legal Name | HEART OF TEXAS HEALTHCARE SYSTEM |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ai Qin Amanda Douglas Chen | Family Medicine | Heart of Texas Healthcare System | 2008 Nine Rd, Heart of Texas Healthcare Sy, Brady, TX 76825-7210 |
| Lonnie Vickers | Family Medicine | Heart of Texas Healthcare System | 2008 Nine Rd, Heart of Texas Healthcare Sy, Brady, TX 76825-7210 |
| Street Address |
2008 NINE RD HEART OF TEXAS HEALTHCARE SY |
| City | BRADY |
| State | TX |
| Zip | 76825-7210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ai Qin Amanda Douglas Chen | Family Medicine | Heart of Texas Healthcare System | 2008 Nine Rd, Heart of Texas Healthcare Sy, Brady, TX 76825-7210 |
| Lonnie Vickers | Family Medicine | Heart of Texas Healthcare System | 2008 Nine Rd, Heart of Texas Healthcare Sy, Brady, TX 76825-7210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Lane | Optometry | 1104 S Bridge, Brady, TX 76825-0751 | |
| Carol A Andrus | Family Practice | Frontera Healthcare Network | 1211 S Bridge St, Brady Dental Clinic, Brady, TX 76825-6229 |
| Stephen F Defiore | Chiropractic | 1407 S Bridge St, Brady, TX 76825-6609 | |
| Frederick C Mcdonough | Family Practice | 2010 Nine Rd, Brady, TX 76825-7210 | |
| Jeffry P Mays | Internal Medicine | 2026 S Bridge St, Brady, TX 76825-7421 | |
| Dennis Comstock Roberts | Clinical Psychologist | Meditelecare of Texas Pllc | 2201 Menard Hwy, Brady, TX 76825-7432 |
| George Kevin Wade | Clinical Social Worker | Frontera Healthcare Network | 2205 S Bridge St, Suite 300, Brady, TX 76825-7443 |
| Kevin Daniel Hodnett | Family Practice | Frontera Healthcare Network | 2205 S Bridge St, Suite 300, Brady, TX 76825-7443 |
| City | BRADY |
| Zip Code | 76825 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRADY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Marion Jo Kitsmiller.
| 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.