Kelly C Hallmark (NPI# 1174704373, PAC ID# 6406997196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1174704373 |
| PAC ID by PECOS | 6406997196 |
| Professional Enrollment ID | I20091231000485 |
| Full Name | Kelly C Hallmark |
| Organization Legal Name | WEST TEXAS MEDICAL ASSOCIATES |
| Address |
3605 Executive Dr San Angelo TX 76904-6884 |
| Phone Number | 3259499555 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2005 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 0244143113 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450340 | SAN ANGELO COMMUNITY MEDICAL CENTER |
| 450571 | SHANNON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3605 Executive Dr, San Angelo, TX 76904-6884 | 3259499555 | WEST TEXAS MEDICAL ASSOCIATES |
| Organization Legal Name | WEST TEXAS MEDICAL ASSOCIATES |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe Wilkinson | Orthopedic Surgery | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Terry D Boatman | Certified Registered Nurse Anesthetist (crna) | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Keith Walvoord | Otolaryngology | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Donald G Cook | Qualified Audiologist | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Kayla J Gibbs | Nurse Practitioner | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Darrell Herrington | Family Medicine | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Warren Conway | Family Medicine | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Michael Matthews | Physician Assistant | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Soheil M Daftarian | Ophthalmology | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Brian Bradley | Urology | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Street Address |
3605 EXECUTIVE DR |
| City | SAN ANGELO |
| State | TX |
| Zip | 76904-6884 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe Wilkinson | Orthopedic Surgery | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Terry D Boatman | Certified Registered Nurse Anesthetist (crna) | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Keith Walvoord | Otolaryngology | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Donald G Cook | Qualified Audiologist | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Kayla J Gibbs | Nurse Practitioner | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Darrell Herrington | Family Medicine | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Warren Conway | Family Medicine | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Michael Matthews | Physician Assistant | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Soheil M Daftarian | Ophthalmology | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Brian Bradley | Urology | West Texas Medical Associates | 3605 Executive Dr, San Angelo, TX 76904-6884 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward L Grimes | Optometry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Lance Pt Ayers | Physical Therapy | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Scott Westmoreland | Podiatry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Milo D Anderson | Podiatry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Amber Michelle Moreland | Gastroenterology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Shun H Lui | Ophthalmology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Shauna Owens | Physical Therapy | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Matthew A Goldman | Ophthalmology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Eugene W Stokes | Gastroenterology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Debra J Hamilton | Qualified Audiologist | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Find all physicians in zip 76904 | |||
| City | SAN ANGELO |
| Zip Code | 76904 |
| Specialty | PATHOLOGY |
| City + Specialty | SAN ANGELO + PATHOLOGY |
Please comment or provide details below to improve the information on Kelly C Hallmark.
| 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.