Teodoro D Jimenez (NPI# 1619994563, PAC ID# 3779573860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1619994563 |
PAC ID by PECOS | 3779573860 |
Professional Enrollment ID | I20040512000896 |
Full Name | Teodoro D Jimenez |
Organization Legal Name | SUMMERS EMERGENCY PHYSICIANS LLC |
Address |
115 Summers Hospital Rd Hinton WV 25951-5172 |
Phone Number | 3044661000 |
Gender | M |
Credential | MD |
Graduation Year | 1970 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 9133216997 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
511310 | SUMMERS COUNTY ARH HOSPITAL |
Address | Phone | Organization |
---|---|---|
115 Summers Hospital Rd, Hinton, WV 25951-5172 | 3044661000 | SUMMERS EMERGENCY PHYSICIANS LLC |
Organization Legal Name | SUMMERS EMERGENCY PHYSICIANS LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Seth Benjamin Larson | Family Medicine | Summers Emergency Physicians LLC | 115 Summers Hospital Rd, Hinton, WV 25951-5172 |
Street Address |
115 SUMMERS HOSPITAL RD |
City | HINTON |
State | WV |
Zip | 25951-5172 |
Name | Specialty | Organization | Address |
---|---|---|---|
Matthew J Haag | Family Medicine | Appalachian Regional Healthcare Inc. | 115 Summers Hospital Rd, Hinton, WV 25951-5172 |
Ajay Anand | Cardiovascular Disease (cardiology) | Appalachian Regional Healthcare Inc. | 115 Summers Hospital Rd, Hinton, WV 25951-5172 |
Robyn T Adkins | Nurse Practitioner | Appalachian Regional Healthcare Inc. | 115 Summers Hospital Rd, Hinton, WV 25951-5172 |
Michael G Anderson | Clinical Social Worker | Appalachian Regional Healthcare Inc. | 115 Summers Hospital Rd, Hinton, WV 25951-5172 |
Sara M Cales | Physician Assistant | Appalachian Regional Healthcare Inc. | 115 Summers Hospital Rd, Hinton, WV 25951-5172 |
Waheed A Khan | Emergency Medicine | 115 Summers Hospital Rd, Suite 105, Hinton, WV 25951-5172 | |
Sharif Sahib Shammaa | Physician Assistant | Appalachian Regional Healthcare Inc. | 115 Summers Hospital Rd, Hinton, WV 25951-5172 |
Dheeraj Kodali | Hematology/oncology | Appalachian Regional Healthcare Inc. | 115 Summers Hospital Rd, Hinton, WV 25951-5172 |
Jamie L Stuart | Certified Registered Nurse Anesthetist (crna) | Appalachian Regional Healthcare Inc. | 115 Summers Hospital Rd, Hinton, WV 25951-5172 |
Seth Benjamin Larson | Family Medicine | Summers Emergency Physicians LLC | 115 Summers Hospital Rd, Hinton, WV 25951-5172 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Patricia Lynne Grady | Clinical Social Worker | 411 Temple St, Hinton, WV 25951-2226 | |
Gleynora J Gilbhrighde | Internal Medicine | Appalachian Regional Healthcare Inc. | 197 Pleasant St, Hinton, WV 25951-2540 |
Michael Montgomery | Family Medicine | Appalachian Regional Healthcare Inc. | 197 Pleasant St, Hinton, WV 25951-2540 |
Angela Elkins | Physician Assistant | Appalachian Regional Healthcare Inc. | 197 Pleasant St, Hinton, WV 25951-2540 |
Alisa Sue Lane | Nurse Practitioner | Appalachian Regional Healthcare Inc. | 197 Pleasant St, Hinton, WV 25951-2540 |
Stanley Day | Family Practice | Appalachian Regional Healthcare, Inc. | 197 Pleasant St, Hinton, WV 25951-2540 |
Amarinder S Chhabra | Internal Medicine | Appalachian Regional Healthcare Inc | 1500 Terrace St, Summers Cty Arh Clinic, Hinton, WV 25951-9768 |
Tanya Pratt | Physician Assistant | Appalachian Regional Healthcare Inc | 1500 Terrace St, Hinton, WV 25951-9768 |
City | HINTON |
Zip Code | 25951 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | HINTON + EMERGENCY MEDICINE |
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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.