Melencio F Juan (NPI# 1942386248, PAC ID# 5890688295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1942386248 |
| PAC ID by PECOS | 5890688295 |
| Professional Enrollment ID | I20040207000033 |
| Full Name | Melencio F Juan |
| Organization Legal Name | MARTIN COUNTY HOSPITAL DISTRICT |
| Address |
600 E Suite 20 Stanton TX 79782-0640 |
| Phone Number | 43260732003225 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8527958552 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451333 | MARTIN COUNTY HOSPITAL DISTRICT |
| 450133 | MIDLAND MEMORIAL HOSPITAL |
| 450653 | SCENIC MOUNTAIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 600 E, Suite 20, Stanton, TX 79782-0640 | 43260732003225 | MARTIN COUNTY HOSPITAL DISTRICT |
| Organization Legal Name | MARTIN COUNTY HOSPITAL DISTRICT |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith R Gist | Certified Registered Nurse Anesthetist (crna) | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Megan S Chandler | Nurse Practitioner | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Linda F Wiebe | Nurse Practitioner | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Calvin L Cargill | Family Medicine | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Street Address |
600 E SUITE 20 |
| City | STANTON |
| State | TX |
| Zip | 79782-0640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith R Gist | Certified Registered Nurse Anesthetist (crna) | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Theodore A Sutton | Chiropractic | 600 E, 1st, Ogallala, NE 69153-2717 | |
| Megan S Chandler | Nurse Practitioner | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Linda F Wiebe | Nurse Practitioner | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Tara C Sutton | Chiropractic | 600 E, 1st, Ogallala, NE 69153-2717 | |
| Calvin L Cargill | Family Medicine | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Tu | Family Medicine | Concord Medical Group Pllc | 600 Interstate 20, Stanton, TX 79782-0640 |
| Dora E Howard | Physician Assistant | Alvarado Alliance, LLC | 600e Interstate 20 D120, Stanton, TX 79782-0640 |
| Rolando Rodriguez | Family Medicine | Concord Medical Group Pllc | 600 Interstate 20, Stanton, TX 79782-0640 |
| Segun B Awosemo | Internal Medicine | Concord Medical Group Pllc | 600 Interstate 20, Stanton, TX 79782-0640 |
| Brittany K Roberts | Physician Assistant | Pablo Cortez Teveni Md Pa | 600 E Ih, Stanton, TX 79782-1209 |
| City | STANTON |
| Zip Code | 79782 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | STANTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Melencio F Juan.
| 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.