David John Fedro (NPI# 1710957048, PAC ID# 6507775038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1710957048 |
| PAC ID by PECOS | 6507775038 |
| Professional Enrollment ID | I20051102000382 |
| Full Name | David John Fedro |
| Organization Legal Name | FALLS COMMUNITY HOSPITAL AND CLINIC |
| Address |
322 Coleman St Marlin TX 76661-2358 |
| Phone Number | 2548033561 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 1982 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 8527959816 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450348 | FALLS COMMUNITY HOSPITAL AND CLINIC |
| 450054 | SCOTT & WHITE MEDICAL CENTER - TEMPLE |
| 450011 | CHI ST JOSEPH HEALTH |
| 450042 | PROVIDENCE HEALTH CENTER |
| 450101 | BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST |
| Address | Phone | Organization |
|---|---|---|
| 322 Coleman St, Marlin, TX 76661-2358 | 2548033561 | FALLS COMMUNITY HOSPITAL AND CLINIC |
| 200 N Pearl, Mart, TX 76664-1142 | 2548766400 | FALLS COMMUNITY HOSPITAL AND CLINIC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 97% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 60% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 64% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 92% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% |
| Organization Legal Name | FALLS COMMUNITY HOSPITAL AND CLINIC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel A Adesoba | Internal Medicine | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Gbaranen B Gbaanador | Emergency Medicine | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Todd Akins | Anesthesiology | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Jeremy A Reynolds | Physician Assistant | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Kelly Czajkoski | Chiropractic | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Allan Mahood | Family Medicine | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Street Address |
322 COLEMAN ST |
| City | MARLIN |
| State | TX |
| Zip | 76661-2358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel A Adesoba | Internal Medicine | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Gbaranen B Gbaanador | Emergency Medicine | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Todd Akins | Anesthesiology | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Jeremy A Reynolds | Physician Assistant | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Kelly Czajkoski | Chiropractic | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Allan Mahood | Family Medicine | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry W Simmons | Family Medicine | Certified Nurse Practitioners, PC | 318 Chambers St, Marlin, TX 76661-2309 |
| James S Crockett | General Practice | 307 Live Oak, Marlin, TX 76661-2365 |
| City | MARLIN |
| Zip Code | 76661 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | MARLIN + GENERAL PRACTICE |
Please comment or provide details below to improve the information on David John Fedro.
| 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.