Justin D Pelham (NPI# 1548671035, PAC ID# 7618195462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1548671035 |
| PAC ID by PECOS | 7618195462 |
| Professional Enrollment ID | I20140820001737 |
| Full Name | Justin D Pelham |
| Organization Legal Name | SODEXO OPERATIONS LLC |
| Address |
4920 Ne Stallings Dr Nacogdoches Medical Center Nacogdoches TX 75965-1254 |
| Phone Number | 9365583693 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 9739092875 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4920 Ne Stallings Dr, Nacogdoches Medical Center, Nacogdoches, TX 75965-1254 | 9365583693 | SODEXO OPERATIONS LLC |
| Organization Legal Name | SODEXO OPERATIONS LLC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aftan Bryant | Registered Dietitian Or Nutrition Professional | Sodexo Operations LLC | 6767 S Spruce St, Suite 125, Englewood, CO 80112-1284 |
| Lauren Kate Robinson | Registered Dietitian Or Nutrition Professional | Sodexo Operations LLC | 900 Ne 13th St, Oklahoma University Medical Center, Oklahoma City, OK 73104-5008 |
| Gabrielle Vandergriff | Registered Dietitian Or Nutrition Professional | Sodexo Operations LLC | 6767 S Spruce St, Suite 125, Englewood, CO 80112-1284 |
| Jillian Hill | Registered Dietitian Or Nutrition Professional | Sodexo Operations LLC | 1503 Lansdowne Ave, Darby, PA 19023-1330 |
| Laura J Scheihing | Registered Dietitian Or Nutrition Professional | Sodexo Operations LLC | 1 S Bryant Ave, Edmond, OK 73034-6309 |
| Robert L Carrara | Registered Dietitian Or Nutrition Professional | Sodexo Operations LLC | 1325 N Highland Ave, Aurora, IL 60506-1449 |
| Jessica R Kollmann | Registered Dietitian Or Nutrition Professional | Sodexo Operations LLC | 500 W Court St, Kankakee, IL 60901-3661 |
| Amanda D Bower | Registered Dietitian Or Nutrition Professional | Sodexo Operations LLC | 1 S Bryant Ave, Edmond, OK 73034-6309 |
| Angelica M Anselm | Registered Dietitian Or Nutrition Professional | Sodexo Operations LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Kellie Bailey | Registered Dietitian Or Nutrition Professional | Sodexo Operations LLC | 333 N Madison St, Joliet, IL 60435-8200 |
| Street Address |
4920 NE STALLINGS DR NACOGDOCHES MEDICAL CENTER |
| City | NACOGDOCHES |
| State | TX |
| Zip | 75965-1254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy J Batzloff | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 4920 Ne Stallings Dr, Nacogdoches Medical Center, Nacogdoches, TX 75965-1254 |
| Angela C Thomas Brown | Family Medicine | Stone Fort Inpatient Services Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 |
| Christie P Lathan | Nurse Practitioner | Stone Fort Inpatient Services Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 |
| Niki M Fincher | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 4920 Ne Stallings Dr, Nacogdoches Medical Center, Nacogdoches, TX 75965-1254 |
| Ethan Taylor | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 4920 Ne Stallings Dr, Nacogdoches Medical Center, Nacogdoches, TX 75965-1254 |
| Jacob J Reinen | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 4920 Ne Stallings Dr, Nacogdoches Medical Center, Nacogdoches, TX 75965-1254 |
| Silvia V Bautista | Nurse Practitioner | Stone Fort Inpatient Services Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 |
| Jeffrey W Fidone | Pulmonary Disease | Stone Fort Inpatient Services Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 |
| John Q Nguyen | Internal Medicine | Stone Fort Inpatient Services Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 |
| James R Young | Cardiac Surgery | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1207 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Polk | General Surgery | 4800 Ne Stalling Dr, Nacogdoches, TX 75965 | |
| Jamie Cook | Nurse Practitioner | Bhs Physicians Network Inc | 4800 Ne Stallings Dr, Suite 1500, Nacogdoches, TX 75965-1207 |
| Carey Jynette Lindemann | Family Medicine | Bhs Physicians Network Inc | 4800 Ne Stallings Dr, Suite 1500, Nacogdoches, TX 75965-1207 |
| Joseph Scamardo | Neurology | Bhs Physicians Network Inc | 4848 Ne Stallings Dr, Suite 103, Nacogdoches, TX 75965-1208 |
| Carl A Davis | Family Medicine | 212 Russell Blvd, Nacogdoches, TX 75965-1237 | |
| Aaron C Polk Jr. | Family Medicine | 212 Russell Blvd, Nacogdoches, TX 75965-1237 | |
| Gary A Barkocy | Cardiovascular Disease (cardiology) | 4848 N E Stallings Dr, Suite 102, Nacogdoches, TX 75965-1239 | |
| Donald E Cagle | General Surgery | 320 Russell Blvd, Nacogdoches, TX 75965-1240 | |
| Carl R Jones | Gastroenterology | 522 Russell Blvd, Nacogdoches, TX 75965-1244 | |
| Gregory S Tate | Maxillofacial Surgery | 508 Russell Blvd, Nacogdoches, TX 75965-1244 | |
| Find all physicians in zip 75965 | |||
| City | NACOGDOCHES |
| Zip Code | 75965 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | NACOGDOCHES + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
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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.