Jeremiah Havins (NPI# 1427217009, PAC ID# 7416261334) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1427217009 |
| PAC ID by PECOS | 7416261334 |
| Professional Enrollment ID | I20150805007066 |
| Full Name | Jeremiah Havins |
| Organization Legal Name | HEART OF TEXAS CATH LAB PLLC |
| Address |
7003 Woodway Dr Suite 307 Woodway TX 76712-6163 |
| Phone Number | 2542351122 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 2668767021 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450101 | BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST |
| 450348 | FALLS COMMUNITY HOSPITAL AND CLINIC |
| 450042 | PROVIDENCE HEALTH CENTER |
| 451393 | |
| 451382 | COMANCHE COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 322 Coleman St, Marlin, TX 76661-2358 | 2548033561 | FALLS COMMUNITY HOSPITAL AND CLINIC |
| 300 Richland W Cir, Suite 2, Waco, TX 76712-7935 | 2543008807 | J PHILLIP MYATT MD PLLC |
| 321 Richland W Circle, Waco, TX 76712-7919 | 2542359355 | J PHILLIP MYATT MD PLLC |
| 7003 Woodway Dr, Suite 307, Woodway, TX 76712-6163 | 2542351122 | HEART OF TEXAS CATH LAB PLLC |
| Organization Legal Name | HEART OF TEXAS CATH LAB PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Bawduniak | General Surgery | Heart of Texas Cath Lab Pllc | 7003 Woodway Dr, Suite 307, Woodway, TX 76712-6163 |
| James Phillip Myatt | Cardiovascular Disease (cardiology) | Heart of Texas Cath Lab Pllc | 7003 Woodway Dr, Suite 307, Woodway, TX 76712-6163 |
| Street Address |
7003 WOODWAY DR SUITE 307 |
| City | WOODWAY |
| State | TX |
| Zip | 76712-6163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Bawduniak | General Surgery | Heart of Texas Cath Lab Pllc | 7003 Woodway Dr, Suite 307, Woodway, TX 76712-6163 |
| Lianda M Martinez | Family Medicine | Providence Health Alliance | 7003 Woodway Dr, 312 Providence Clinic Londonderry, Waco, TX 76712-6163 |
| Valerie Evett Davidson | Nurse Practitioner | Providence Health Alliance | 7003 Woodway Dr, 312 Providence Clinic Londonderry, Waco, TX 76712-6163 |
| Shannon Renee Smith | Nurse Practitioner | Providence Health Alliance | 7003 Woodway Dr, 312 Providence Clinic Londonderry, Waco, TX 76712-6163 |
| Roy A Franklin | Nurse Practitioner | Providence Health Alliance | 7003 Woodway Dr, 311 Providence Express Care, Waco, TX 76712-6163 |
| Jennifer Ann Harwell | Nurse Practitioner | Providence Health Alliance | 7003 Woodway Dr, 311 Providence Express Care, Waco, TX 76712-6163 |
| Jeffrey Don Martin | Nurse Practitioner | Providence Health Alliance | 7003 Woodway Dr, 311 Providence Express Care, Waco, TX 76712-6163 |
| Rebecca G Slonaker | Nurse Practitioner | Providence Health Alliance | 7003 Woodway Dr, 311 Providence Express Care, Waco, TX 76712-6163 |
| Garret Pool | Family Medicine | Providence Health Alliance | 7003 Woodway Dr, 311 Providence Express Care, Waco, TX 76712-6163 |
| Cathryn Burbidge | Family Medicine | Providence Health Alliance | 7003 Woodway Dr, 312 Providence Clinic Londonderry, Waco, TX 76712-6163 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ntiense Covey | Clinical Social Worker | 200 W Hwy 6, Suite 217, Waco, TX 76712 | |
| Todd Moffatt | General Surgery | 1000 W Hwy 6, Suite 410, Waco, TX 76712 | |
| Eric F Oneill | Plastic and Reconstructive Surgery | 1000 W Hwy 6, Suite 500, Waco, TX 76712 | |
| Lute George Oas | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| Justin Wylie Wray | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| David J Schickner | Neurosurgery | David J. Schickner, M.d., P.a. | 6901 Medical Pkwy, Waco, TX 76712-2589 |
| Charles W Guy | Plastic and Reconstructive Surgery | 101 Burnett Ct, Suite B, Waco, TX 76712-3100 | |
| Mark A Antonacci | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Nina Wilson | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Travis Gene Volcik | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Find all physicians in zip 76712 | |||
| City | WOODWAY |
| Zip Code | 76712 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | WOODWAY + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Jeremiah Havins.
| 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.