Edward T Paget (NPI# 1003087891, PAC ID# 3779642277) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1003087891 |
PAC ID by PECOS | 3779642277 |
Professional Enrollment ID | I20081112000279 |
Full Name | Edward T Paget |
Address |
1401 Bailey Ave Needles CA 92363-3103 |
Phone Number | 7603260083 |
Gender | M |
Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1965 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | GENERAL SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
051323 | COLORADO RIVER MEDICAL CENTER |
030117 | VALLEY VIEW MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1401 Bailey Ave, Needles, CA 92363-3103 | 7603260083 | |
1402 Bailey Ave, Needles, CA 92363-3104 | 7603260222 | TRI-STATE COMMUNITY HEALTHCARE CENTER |
Street Address |
1401 BAILEY AVE |
City | NEEDLES |
State | CA |
Zip | 92363-3103 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brad C Barth | Anesthesiology | Community Healthcare Partner Inc | 1401 Bailey Ave, Needles, CA 92363-3103 |
Ian Anthony Butler | Emergency Medicine | Community Healthcare Partner Inc | 1401 Bailey Ave, Needles, CA 92363-3103 |
Donovan J Anderson | Family Practice | 1401 Bailey Ave, Needles, CA 92363-3103 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph Moza | Emergency Medicine | 1401 Bailey Ave A, Needles, CA 92363-3103 | |
Robert A Richardson | Geriatric Medicine | Tri-state Community Healthcare Center | 1402 Bailey Ave, Needles, CA 92363-3104 |
Anaresia M Richard | Nurse Practitioner | Tri-state Community Healthcare Center | 1402 Bailey Ave, Needles, CA 92363-3104 |
Stephanie J Jones | Clinical Social Worker | County of San Bernardino | 1600 Bailey Ave, Suite 2, Needles, CA 92363-3105 |
Bruce V Graff | Optometry | 1406 Bailey Ave, Suite C, Needles, CA 92363-3115 | |
Andrea M Wade | Nurse Practitioner | County of San Bernardino | 1406 Bailey Ave, Suite D, Needles, CA 92363-3115 |
William R Lansford | Chiropractic | 1050 E Broadway St, Needles, CA 92363-3815 |
City | NEEDLES |
Zip Code | 92363 |
Specialty | FAMILY MEDICINE |
City + Specialty | NEEDLES + FAMILY 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.