Jerome Douglas Kizzart (NPI# 1750329140, PAC ID# 4880587849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1750329140 |
| PAC ID by PECOS | 4880587849 |
| Professional Enrollment ID | I20040204000160 |
| Full Name | Jerome Douglas Kizzart |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Address |
540 W 15th St Hereford TX 79045-2820 |
| Phone Number | 8063642141 |
| Gender | M |
| Credential | MD |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), EMERGENCY MEDICINE, SLEEP MEDICINE |
| Group Practice PAC ID | 0446296818 |
| Number of Group Practice Members | 204 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451382 | COMANCHE COUNTY MEDICAL CENTER |
| 450144 | PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO |
| 450155 | HEREFORD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10201 Hwy 16, Comanche, TX 76442-4462 | 2548794900 | COMANCHE COUNTY MEDICAL CENTER COMPANY |
| 540 W 15th St, Hereford, TX 79045-2820 | 8063642141 | CONCORD MEDICAL GROUP 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 |
540 W 15TH ST |
| City | HEREFORD |
| State | TX |
| Zip | 79045-2820 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Brooke Jones | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Sean D Wengroff | Obstetrics/gynecology | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Carmen B Flood | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Michelle Lynn Williams | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| John T Gregg | General Surgery | 540 W 15th St, John T Gregg Md, Hereford, TX 79045-2820 | |
| Mary Ellen Avila | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Marinda Dawn Newkirk | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| John E Hartin | Certified Registered Nurse Anesthetist (crna) | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Imtiaz A Khan | Emergency Medicine | Concord Medical Group Pllc | 540 W 15th St, Hereford, TX 79045-2820 |
| Carolyn S Jansa | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Layne S Barnes | Family Medicine | 540 W, 15th, Hereford, TX 79045 | |
| Susan Cruz | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Trevor Rohm | Family Medicine | 540 W 15th St, Hereford, TX 79045-2820 | |
| Howard R Johnson | Family Medicine | 540 W 15th St, Hereford, TX 79045-2820 | |
| Rosa Angelica Miranda | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| David M Gordon | General Surgery | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Joseph S Graves | Family Practice | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Michael J Ellis | Chiropractic | 121 W Park Ave, Hereford, TX 79045-4201 | |
| Michael C Nash | Family Medicine | Regence Health Network Inc | 125 W Park Ave, Hereford, TX 79045-4234 |
| Amy M Stovall | Nurse Practitioner | Regence Health Network Inc | 125 W Park Ave, Hereford, TX 79045-4234 |
| Find all physicians in zip 79045 | |||
| City | HEREFORD |
| Zip Code | 79045 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HEREFORD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jerome Douglas Kizzart.
| 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.