Jennifer A Weatherly (NPI# 1548279375, PAC ID# 7214923176) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1548279375 |
PAC ID by PECOS | 7214923176 |
Professional Enrollment ID | I20040424000254 |
Full Name | Jennifer A Weatherly |
Address |
3250 W Pleasant Run Suite 160 Lancaster TX 75146-1071 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
Graduation Year | 1998 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450723 | METHODIST CHARLTON MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3250 W Pleasant Run, Suite 160, Lancaster, TX 75146-1071 | ||
8637 Fredericksburg Rd, Suite 360, San Antonio, TX 78240-1285 | 2106944161 | WELLMED MEDICAL GROUP PA |
Street Address |
3250 W PLEASANT RUN SUITE 160 |
City | LANCASTER |
State | TX |
Zip | 75146-1071 |
Name | Specialty | Organization | Address |
---|---|---|---|
Damien B Mallat | Gastroenterology | 2700 W Pleasant Run Rd, Suite 240, Lancaster, TX 75146-1004 | |
Alejandro Santos | General Surgery | 2700 W Pleasant Run Rd, Suite 240, Lancaster, TX 75146-1004 | |
Scott Moulton | Nurse Practitioner | 3250 W Pleasant Run Rd, Suite 130, Lancaster, TX 75146-1041 | |
Michael L Gibson | Anesthesiology | Champion Anesthesia Consultants Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
Chengrong Zhang | Certified Registered Nurse Anesthetist (crna) | Zenith Anesthesia Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
David B Serota | Anesthesiology | Champion Anesthesia Consultants Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
Raymond T Fulp Iii | Orthopedic Surgery | 2600 W Pleasant Run Rd, Suite Admin, Lancaster, TX 75146-1114 | |
Julie B Greene | Anesthesiology | Anesthesiology Consultants of North Texas Pa | 2600 W Pleasant Run Rd, Crescent Medical Center Lancaster, Lancaster, TX 75146-1114 |
Kenya Nicole Nelson | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1850 W Pleasant Run Rd, Lancaster, TX 75146-1220 |
Ofear Moore Norris | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 1850 W Pleasant Run Rd, Lancaster, TX 75146-1220 |
Find all physicians in zip 75146 |
City | LANCASTER |
Zip Code | 75146 |
Specialty | FAMILY MEDICINE |
City + Specialty | LANCASTER + FAMILY MEDICINE |
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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.