Travis J (NPI# 1083084875, PAC ID# 4284937251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083084875 |
| PAC ID by PECOS | 4284937251 |
| Professional Enrollment ID | I20160125002851 |
| Full Name | Travis J |
| Organization Legal Name | NORTHWEST MEDICAL CENTER ASSOCIATION INC |
| Address |
1607 E Us Hwy 136 Mosaic Family Care Albany East Albany MO 64402-8223 |
| Phone Number | 6607263333 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496641896 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| 261328 | NORTHWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1607 E Us Hwy 136, Mosaic Family Care Albany East, Albany, MO 64402-8223 | 6607263333 | NORTHWEST MEDICAL CENTER ASSOCIATION INC |
| Organization Legal Name | NORTHWEST MEDICAL CENTER ASSOCIATION INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey L Karns | Physician Assistant | Northwest Medical Center Association Inc | 16 W 4th St, Grant City, MO 64456-4500 |
| Jackie S Miller | Family Medicine | Northwest Medical Center Association Inc | 705 N College St, Mosaic Medical Center Albany, Albany, MO 64402-1433 |
| Katie E Dias | Family Medicine | Northwest Medical Center Association Inc | 705 N College St, Albany, MO 64402-1433 |
| Angelia D Martin | Family Medicine | Northwest Medical Center Association Inc | 705 N College St, Albany, MO 64402-1433 |
| Callie Hunter | Nurse Practitioner | Northwest Medical Center Association Inc | 202 E Main St, Stanberry, MO 64489-1358 |
| Street Address |
1607 E US HWY 136 MOSAIC FAMILY CARE ALBANY EAST |
| City | ALBANY |
| State | MO |
| Zip | 64402-8223 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackie S Miller | Family Medicine | Northwest Medical Center Association Inc | 705 N College St, Mosaic Medical Center Albany, Albany, MO 64402-1433 |
| Mohan R Hindupur | Cardiovascular Disease (cardiology) | Heartland Regional Medical Center | 705 N College St, Northwest Medical Center, Albany, MO 64402-1433 |
| Brett R Nielson | Diagnostic Radiology | Radiology Specialists of St Joseph PC | 705 N College St, Albany, MO 64402-1433 |
| Jose F Alvarez | Diagnostic Radiology | Radiology Specialists of St Joseph PC | 705 N College St, Albany, MO 64402-1433 |
| Benjamin Philip Saverino | Diagnostic Radiology | Radiology Specialists of St Joseph PC | 705 N College St, Albany, MO 64402-1433 |
| Katie E Dias | Family Medicine | Northwest Medical Center Association Inc | 705 N College St, Albany, MO 64402-1433 |
| Gillian L Jones | General Surgery | Heartland Regional Medical Center | 705 N College St, Northwest Medical Center, Albany, MO 64402-1433 |
| David Lloyd Ewing | Neurology | Heartland Regional Medical Center | 705 N College St, Northwest Medical Center, Albany, MO 64402-1433 |
| Angelia D Martin | Family Medicine | Northwest Medical Center Association Inc | 705 N College St, Albany, MO 64402-1433 |
| Donald Sallee Ii | Interventional Radiology | Radiology Specialists of St Joseph PC | 705 N College St, Albany, MO 64402-1433 |
| Find all physicians in zip 64402 | |||
| City | ALBANY |
| Zip Code | 64402 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALBANY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Travis J.
| 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.