Mark Joseph Ardoin (NPI# 1114454659, PAC ID# 4688910961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114454659 |
| PAC ID by PECOS | 4688910961 |
| Professional Enrollment ID | I20190108000237 |
| Full Name | Mark Joseph Ardoin |
| Organization Legal Name | OPGT, INC. |
| Address |
4225 Woods Pl Abilene TX 79602-7991 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6901029206 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4225 Woods Pl, Abilene, TX 79602-7991 | OPGT, INC. | |
| 3300 S Fm, Suite 1788, Midland, TX 79706-2601 | 4325615915 | OPGT, INC. |
| Organization Legal Name | OPGT, INC. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kochuparampil T Varghese | Psychiatry | Opgt, Inc. | 3300 S Fm, Suite 1788, Midland, TX 79706-2601 |
| Duane C Miller | Psychiatry | Opgt, Inc. | 4225 Woods Pl, Abilene, TX 79602-7991 |
| Folasade Olufunmilola Olayiwole | Nurse Practitioner | Opgt, Inc. | 4225 Woods Pl, Abilene, TX 79602-7991 |
| Seshakrishna Kotapati | Psychiatry | Opgt, Inc. | 3300 S Fm, Suite 1788, Midland, TX 79706-2601 |
| Candes Dotson | Psychiatry | Opgt, Inc. | 3300 S Fm, Suite 1788, Midland, TX 79706-2601 |
| Sarah Katherine Stringer | Physician Assistant | Opgt, Inc. | 3300 S Fm, Midland, TX 79706-2601 |
| Street Address |
4225 WOODS PL |
| City | ABILENE |
| State | TX |
| Zip | 79602-7991 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olusegun A Bello | Psychiatry | 4225 Woods Pl, Abilene, TX 79602-7991 | |
| Duane C Miller | Psychiatry | Opgt, Inc. | 4225 Woods Pl, Abilene, TX 79602-7991 |
| Folasade Olufunmilola Olayiwole | Nurse Practitioner | Opgt, Inc. | 4225 Woods Pl, Abilene, TX 79602-7991 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Eugene Stuckey | Clinical Social Worker | 100 Chestnut St, Abilene, TX 79602-1440 | |
| Roger A Russell | Psychologist, Clinical | 500 Chestnut St, Suite 1001, Abilene, TX 79602-1477 | |
| Maxey D Mcknight Jr. | Family Medicine | 1181 Lytle Way, Suite F, Abilene, TX 79602-4236 | |
| James T Gilley | Internal Medicine | Health and Human Services Commission | 2501 Maple St, Abilene, TX 79602-5058 |
| Robert J Harden | Psychiatry | Health and Human Services Commission | 2501 Maple St, Abilene, TX 79602-5058 |
| Harvey Miller Richert Ii | Ophthalmology | Dr. Brettly J. Teague, LLC | 4342 Treanor Dr, Abilene, TX 79602-7012 |
| Kyle R Thaxton | Optometry | Dr. Brettly J. Teague, LLC | 4342 Treanor Dr, Abilene, TX 79602-7012 |
| Brettly J Teague | Ophthalmology | Dr. Brettly J. Teague, LLC | 4342 Treanor Dr, Abilene, TX 79602-7012 |
| Waseem Ahmed | Psychiatry | New Hope Behavioral Health LLC | 1500 Industrial Blvd, Suite 202, Abilene, TX 79602-7969 |
| Robert S Brown | Clinical Psychologist | 1500 Industrial Blvd, Abilene, TX 79602-7969 | |
| Find all physicians in zip 79602 | |||
| City | ABILENE |
| Zip Code | 79602 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ABILENE + PHYSICIAN ASSISTANT |
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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.