Ichabod L Balkcom Iv
TRINITY CLINIC


Address: 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227
Phone: 9034737234

Ichabod L Balkcom Iv (NPI# 1922001817, PAC ID# 3779494943) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1922001817
PAC ID by PECOS 3779494943
Professional Enrollment ID I20040528000571
Full Name Ichabod L Balkcom Iv
Organization Legal Name TRINITY CLINIC
Address 650 E Lennon Dr
Christus Trinity Clinic
Emory
TX 75440-3227
Phone Number 9034737234
Gender M
Credential MD
Graduation Year 1984
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 3072426741
Number of Group Practice Members 595
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450236 CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS
450352 HUNT REGIONAL MEDICAL CENTER
450102 MOTHER FRANCES HOSPITAL

Other Locations

Address Phone Organization
650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227 9034737234 TRINITY CLINIC
100 Medical Cir, Sulphur Springs, TX 75482-2138 9034394700 TRINITY CLINIC
101 Medical Plz, Sulphur Springs, TX 75482-2136 9038856534 TRINITY CLINIC
103 B Medical Plz, Sulphur Springs, TX 75482-2136 9038856688 TRINITY CLINIC
105 Medical Plz, Sulphur Springs, TX 75482-2136 9038853181 TRINITY CLINIC
111 Medical Cir, Sulphur Springs, TX 75482-2138 9035581850 TRINITY CLINIC
113 Medical Cir, Sulphur Springs, TX 75482-2138 9038856688 TRINITY CLINIC
620 S Fleishel Ave, Christus Trinity Clinic, Tyler, TX 75701-2041 9035108888 TRINITY CLINIC
630 S Fleishel Ave, Christus Trinity Clinic, Tyler, TX 75701-2041 9035108888 TRINITY CLINIC

Organization Information

Organization Legal Name TRINITY CLINIC
Physicians 607

Physicians with the same organization

Name Specialty Organization Address
Chimdi Mfebe Nurse Practitioner Trinity Clinic 100 Medical Cir, Sulphur Springs, TX 75482-2138
Sally G Herring Nurse Practitioner Trinity Clinic 701 E Marshall Ave, 200 Christus Trinity Clinic, Longview, TX 75601-5544
James Edward Applebury Physical Medicine and Rehabilitation Trinity Clinic 3131 Troup Hwy, Tyler, TX 75701-8350
Charity U Eko Family Medicine Trinity Clinic 815 S Washington Ave, 303 Christus Trinity Clinic, Marshall, TX 75670-5358
Mojirayo A Sarumi Obstetrics/gynecology Trinity Clinic 1720 S Beckham Ave, 104 Christus Trinity Clinic, Tyler, TX 75701-4464
John T Mccurdy Nurse Practitioner Trinity Clinic 116 Medical Dr, Palestine, TX 75801-4780
Blake A Cross Family Medicine Trinity Clinic 105 Medical Plz, Sulphur Springs, TX 75482-2136
Brandi F Dunford Nurse Practitioner Trinity Clinic 910 E Houston St, 330 Christus Trinity Clinic, Tyler, TX 75702-8368
Jennifer J Flowers Nurse Practitioner Trinity Clinic 630 S Fleishel Ave, Christus Trinity Clinic, Tyler, TX 75701-2041
Kathleen F Rice Nurse Practitioner Trinity Clinic 2101 W Loop, 281 Christus Trinity Clinic, Longview, TX 75604-2506

Office Location

Street Address 650 E LENNON DR
CHRISTUS TRINITY CLINIC
City EMORY
State TX
Zip 75440-3227

Physicians in the same location

Name Specialty Organization Address
Steven J Cohen Rheumatology Trinity Clinic 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227
Gregory Vincent Barrett Physician Assistant Trinity Clinic 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227
Loren Ost Urology Trinity Clinic 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227
Jordan Potts Nurse Practitioner Trinity Clinic 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227
Holly K Duplechain Internal Medicine Trinity Clinic 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227
James E Gulde Internal Medicine Trinity Clinic 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227
Michael David Duchamp Orthopedic Surgery Hopkins County Physician Services 650 E Lennon Dr, Emory, TX 75440-3227

Physicians in the same zip code

Name Specialty Organization Address
Paul B Bacon Physical Therapy 903 E Lennon St, Suite 101, Emory, TX 75440-0753
Alisha Neal Clinical Social Worker Senior Psychological Care Dallas I LLC 983 N Texas St, Emory, TX 75440-2450
Eric Lee Ketchum Optometry 886 E Lennon Dr, Suite 102, Emory, TX 75440-3216
Eddy Jason Rabe Chiropractic Rabe Chiropractic, P.C. 410 E Lennon, Suite D, Emory, TX 75440-3243
Korey J Young Chiropractic Rabe Chiropractic, P.C. 410 E Lennon, Suite D, Emory, TX 75440-3243

Competitor

Search similar physicians

City EMORY
Zip Code 75440
Specialty FAMILY MEDICINE
City + Specialty EMORY + FAMILY MEDICINE

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Dataset Information

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.

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