Wesley S Nickens (NPI# 1043405913, PAC ID# 4486707858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043405913 |
| PAC ID by PECOS | 4486707858 |
| Professional Enrollment ID | I20090803000200 |
| Full Name | Wesley S Nickens |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Address |
1500 S Sunset Ave Littlefield TX 79339-4899 |
| Phone Number | 8063856411 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0446296818 |
| Number of Group Practice Members | 204 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450231 | BAPTIST ST ANTHONY'S HOSPITAL |
| 450040 | COVENANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1616 S Kentucky St, Suite 100, Amarillo, TX 79102-2252 | 8063589400 | FMC MEDICAL FOUNDATION INC |
| 603 Quail Creek Dr, Spc 300, Amarillo, TX 79124-1647 | 8063508980 | FMC MEDICAL FOUNDATION INC |
| 1500 S Sunset Ave, Littlefield, TX 79339-4899 | 8063856411 | CONCORD MEDICAL GROUP PLLC |
| 1500 S Sunset Ave, Littlefield, TX 79339-4899 | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Physicians | 212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Lamb | Emergency Medicine | Concord Medical Group Pllc | 110 Shult Dr, Columbus, TX 78934-3016 |
| Elizabeth Tu | Family Medicine | Concord Medical Group Pllc | 600 Interstate 20, Stanton, TX 79782-0640 |
| Ilona Nekhayeva | Family Medicine | Concord Medical Group Pllc | 705 E Felt St, Brownfield, TX 79316-3449 |
| Anas Albrejawi Alhomsi | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Stephanie K Denison | Emergency Medicine | Concord Medical Group Pllc | 304 S Daugherty Ave, Eastland, TX 76448-2609 |
| Stephen George | Family Practice | Concord Medical Group Pllc | 400 Southwest 25th Ave, Mineral Wells, TX 76067-8246 |
| Danny L Farley Jr. | Family Medicine | Concord Medical Group Pllc | 125 Newman St, Fairfield, TX 75840-1419 |
| Derrick E Randdolf | Family Medicine | Concord Medical Group Pllc | 305 N Mckinney St, Sweeny, TX 77480-2801 |
| Michael L Gaines | Nurse Practitioner | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Dawn M Simons | Nurse Practitioner | Concord Medical Group Pllc | 311 Green Ave, Palacios, TX 77465-3213 |
| Street Address |
1500 S SUNSET AVE |
| City | LITTLEFIELD |
| State | TX |
| Zip | 79339-4899 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren F Swartz | Family Medicine | 1500 S Sunset Ave, Lamb Healthcare Center, Littlefield, TX 79339-4899 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Lorenz | Chiropractic | 200 E Waylon Jennings Blvd, Littlefield, TX 79339-3829 | |
| Cindy Lea George | Family Medicine | 1600 S Sunset Ave, Littlefield, TX 79339-4810 | |
| Joe I Onofre | Physical Therapy | 1506 S Sunset Ave B, Littlefield, TX 79339-4813 | |
| Tamara Davis Klatt | Physical Therapy | Physical Therapy Today of Lubbock Lp | 1506 S Sunset Ave, Suite B, Littlefield, TX 79339-4813 |
| City | LITTLEFIELD |
| Zip Code | 79339 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LITTLEFIELD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Wesley S Nickens.
| 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.