Kim A Foreman (NPI# 1245228550, PAC ID# 4183680002) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1245228550 |
| PAC ID by PECOS | 4183680002 |
| Professional Enrollment ID | I20041202000681 |
| Full Name | Kim A Foreman |
| Organization Legal Name | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| Address |
725 N 4th St Azalea Orthopedics Longview TX 75601-5412 |
| Phone Number | 9039397501 |
| Gender | F |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3274524467 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450864 | BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL |
| 450102 | MOTHER FRANCES HOSPITAL |
| 451367 | EAST TEXAS MEDICAL CENTER PITTSBURG |
| Address | Phone | Organization |
|---|---|---|
| 725 N 4th St, Azalea Orthopedics, Longview, TX 75601-5412 | 9039397501 | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| 2701 Us Hwy 271 N, Azalea Orthopedics, Pittsburg, TX 75686-4289 | 9039465442 | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| 3414 Golden Rd, Tyler, TX 75701-8336 | 9039397500 | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| 8101 S Broadway Ave, Suite 200, Tyler, TX 75703-5469 | 9039397500 | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Johnson | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| Chad J Mcneil | Physical Medicine and Rehabilitation | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Claire Tibiletti | Interventional Pain Management | Azalea Orthopedic and Sports Medicine Clinic Pa | 725 N 4th St, Azalea Orthopedics, Longview, TX 75601-5412 |
| Drew C Woock | Occupational Therapy | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Jennifer Marie Mckelva | Physician Assistant | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| Corey Lamont Starks | Occupational Therapy | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Jennifer Turner | Nurse Practitioner | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Jerry Wayne Schwarzbach | Physical Medicine and Rehabilitation | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Kevin Wade Luttrell | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| John Thomas Camp | Hand Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Street Address |
725 N 4TH ST AZALEA ORTHOPEDICS |
| City | LONGVIEW |
| State | TX |
| Zip | 75601-5412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claire Tibiletti | Interventional Pain Management | Azalea Orthopedic and Sports Medicine Clinic Pa | 725 N 4th St, Azalea Orthopedics, Longview, TX 75601-5412 |
| Todd Martin Raabe | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 725 N 4th St, Azalea Orthopedics, Longview, TX 75601-5412 |
| James P Michaels | Physical Medicine and Rehabilitation | Azalea Orthopedic and Sports Medicine Clinic Pa | 725 N 4th St, Azalea Orthopedics, Longview, TX 75601-5412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daytral Matasha Brown | Nurse Practitioner | 103 Woodbine Pl A, The Beverly Clinic, Longview, TX 75601-2912 | |
| Andrea M Marjason | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Michelle Ann Vess | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Donald Winsted | Psychologist, Clinical | 103 Woodbine Pl A, Longview, TX 75601-2912 | |
| Courtney Elizabeth Treat | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Jeremiah R Sanders | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Carrie D Hinton | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Gracie M Adkisson | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Longview, TX 75601-2912 |
| Debbie L Anderson | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Thomas Jay Dehaven | Ophthalmology | Trinity Clinic | 1705 Judson Rd, Longview, TX 75601-2938 |
| Find all physicians in zip 75601 | |||
| City | LONGVIEW |
| Zip Code | 75601 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | LONGVIEW + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Kim A Foreman.
| 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.