Raymond J Broadbent (NPI# 1609892850, PAC ID# 4183670805) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1609892850 |
| PAC ID by PECOS | 4183670805 |
| Professional Enrollment ID | I20050325000354 |
| Full Name | Raymond J Broadbent |
| Organization Legal Name | OCHILTREE HOSPITAL DISTRICT |
| Address |
3101 Garrett Dr Perryton TX 79070-5323 |
| Phone Number | 8064353606 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1993 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0749257723 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451359 | OCHILTREE GENERAL HOSPITAL |
| 450231 | BAPTIST ST ANTHONY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1600 Wallace Blvd, Amarillo Anesthesia Consultants At Baptist St. Ant, Amarillo, TX 79106-1799 | 8064778883 | U S ANESTHESIA PARTNERS OF TEXAS, PA |
| 800 Quail Creek Dr, Suite 102, Amarillo, TX 79124-1634 | 8002086014 | AMTX ANESTHESIA LLC |
| 3101 Garrett Dr, Perryton, TX 79070-5323 | 8064353606 | OCHILTREE HOSPITAL DISTRICT |
| Organization Legal Name | OCHILTREE HOSPITAL DISTRICT |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyce Ann Morton | Nurse Practitioner | Ochiltree Hospital District | 3101 Garrett Dr, Perryton, TX 79070-5323 |
| Corina Isela Ramirez | Nurse Practitioner | Ochiltree Hospital District | 3101 Garrett Dr, Perryton, TX 79070-5323 |
| Deirdre V Floyd | Nurse Practitioner | Ochiltree Hospital District | 3101 Garrett Dr, Perryton, TX 79070-5323 |
| Street Address |
3101 GARRETT DR |
| City | PERRYTON |
| State | TX |
| Zip | 79070-5323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyce Ann Morton | Nurse Practitioner | Ochiltree Hospital District | 3101 Garrett Dr, Perryton, TX 79070-5323 |
| Jennifer T Mcgaughy | Family Medicine | 3101 Garrett Dr, Perryton, TX 79070-5323 | |
| Corina Isela Ramirez | Nurse Practitioner | Ochiltree Hospital District | 3101 Garrett Dr, Perryton, TX 79070-5323 |
| Deirdre V Floyd | Nurse Practitioner | Ochiltree Hospital District | 3101 Garrett Dr, Perryton, TX 79070-5323 |
| Blake A Dewitt | Family Medicine | 3101 Garrett Dr, Perryton, TX 79070-5323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Dawn Pulpan | Optometry | 115 S Main St, Perryton, TX 79070-2658 | |
| Ricky Allen Siewert | Family Medicine | 3006 Garrett Dr, Perryton, TX 79070-5322 | |
| Manon E Childers Iii | Family Medicine | 3006 Garrett Dr, Perryton, TX 79070-5322 | |
| Rex L Mann | Family Medicine | 3019 S Main St, Perryton, TX 79070-5357 |
| City | PERRYTON |
| Zip Code | 79070 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PERRYTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.