Zackary D Coco (NPI# 1194236935, PAC ID# 6709117526) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194236935 |
| PAC ID by PECOS | 6709117526 |
| Professional Enrollment ID | I20191009002102 |
| Full Name | Zackary D Coco |
| Organization Legal Name | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| Address |
101 Cynthia St Judsonia AR 72081-9766 |
| Phone Number | 5017293823 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4587950589 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 101 Cynthia St, Judsonia, AR 72081-9766 | 5017293823 | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| 8401 Ranch Blvd, Little Rock, AR 72223-4402 | 5018686270 | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| Organization Legal Name | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syreeta Van Ross | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Jei Martin | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 5400 Executive Centre Pkwy, Villages of St Peters Mo, Saint Peters, MO 63376-2594 |
| Rajendra Rao Gavini | General Practice | Ipc Pac Healthcare Services of Missouri Inc | 5303 Bermuda Dr, Saint Louis, MO 63121-1407 |
| Shobha L Dixit | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 322 Old State Rd, Ellisville, MO 63021-5917 |
| Gopal K Nair | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 35 Sugar Maple Ln, Saint Charles, MO 63303-5740 |
| William F Sudholt | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Tiffany L Nelson | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Cierra Nicole Dillard | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Gina Iheonu Uzendu | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 1200 Graham Rd, Florissant, MO 63031-8015 |
| James L Paulsgrove | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Street Address |
101 CYNTHIA ST |
| City | JUDSONIA |
| State | AR |
| Zip | 72081-9766 |
| City | JUDSONIA |
| Zip Code | 72081 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JUDSONIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Zackary D Coco.
| 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.