Thomas Jay Dehaven (NPI# 1477550184, PAC ID# 7416937594) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1477550184 |
| PAC ID by PECOS | 7416937594 |
| Professional Enrollment ID | I20040721000043 |
| Full Name | Thomas Jay Dehaven |
| Organization Legal Name | TRINITY CLINIC |
| Address |
1705 Judson Rd Longview TX 75601-2938 |
| Phone Number | 9037584421 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1985 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3072426741 |
| Number of Group Practice Members | 595 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450102 | MOTHER FRANCES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 Simpson St, Gilmer, TX 75644-2231 | 9035954144 | TRINITY CLINIC |
| 1705 Judson Rd, Longview, TX 75601-2938 | 9037584421 | TRINITY CLINIC |
| 1424 E Front St, Christus Trinity Clinic, Tyler, TX 75702-8501 | 9035954144 | TRINITY CLINIC |
| 620 S Fleishel Ave, Christus Trinity Clinic, Tyler, TX 75701-2041 | 9035108888 | TRINITY CLINIC |
| 630 S Fleishel Ave, Christus Trinity Clinic, Tyler, TX 75701-2041 | 9035108888 | TRINITY CLINIC |
| 800 E Dawson St, Christus Trinity Clinic, Tyler, TX 75701-2036 | 9035101186 | TRINITY CLINIC |
| Organization Legal Name | TRINITY CLINIC |
| Physicians | 607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chimdi Mfebe | Nurse Practitioner | Trinity Clinic | 100 Medical Cir, Sulphur Springs, TX 75482-2138 |
| Sally G Herring | Nurse Practitioner | Trinity Clinic | 701 E Marshall Ave, 200 Christus Trinity Clinic, Longview, TX 75601-5544 |
| James Edward Applebury | Physical Medicine and Rehabilitation | Trinity Clinic | 3131 Troup Hwy, Tyler, TX 75701-8350 |
| Charity U Eko | Family Medicine | Trinity Clinic | 815 S Washington Ave, 303 Christus Trinity Clinic, Marshall, TX 75670-5358 |
| Mojirayo A Sarumi | Obstetrics/gynecology | Trinity Clinic | 1720 S Beckham Ave, 104 Christus Trinity Clinic, Tyler, TX 75701-4464 |
| John T Mccurdy | Nurse Practitioner | Trinity Clinic | 116 Medical Dr, Palestine, TX 75801-4780 |
| Blake A Cross | Family Medicine | Trinity Clinic | 105 Medical Plz, Sulphur Springs, TX 75482-2136 |
| Brandi F Dunford | Nurse Practitioner | Trinity Clinic | 910 E Houston St, 330 Christus Trinity Clinic, Tyler, TX 75702-8368 |
| Jennifer J Flowers | Nurse Practitioner | Trinity Clinic | 630 S Fleishel Ave, Christus Trinity Clinic, Tyler, TX 75701-2041 |
| Kathleen F Rice | Nurse Practitioner | Trinity Clinic | 2101 W Loop, 281 Christus Trinity Clinic, Longview, TX 75604-2506 |
| Street Address |
1705 JUDSON RD |
| City | LONGVIEW |
| State | TX |
| Zip | 75601-2938 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John K Deaton | Optometry | Trinity Clinic | 1705 Judson Rd, Longview, TX 75601-2938 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daytral Matasha Brown | Nurse Practitioner | 103 Woodbine Pl A, The Beverly Clinic, Longview, TX 75601-2912 | |
| Andrea M Marjason | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Michelle Ann Vess | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Donald Winsted | Psychologist, Clinical | 103 Woodbine Pl A, Longview, TX 75601-2912 | |
| Courtney Elizabeth Treat | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Jeremiah R Sanders | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Carrie D Hinton | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Gracie M Adkisson | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Longview, TX 75601-2912 |
| Debbie L Anderson | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Sreemannaryana Jampana | Internal Medicine | 1603 Judson Rd, Longview, TX 75601-3649 | |
| Find all physicians in zip 75601 | |||
| City | LONGVIEW |
| Zip Code | 75601 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | LONGVIEW + OPHTHALMOLOGY |
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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.