Tera K Waldroup (NPI# 1710250055, PAC ID# 7719204320) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1710250055 |
| PAC ID by PECOS | 7719204320 |
| Professional Enrollment ID | I20150319000947 |
| Full Name | Tera K Waldroup |
| Organization Legal Name | CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT |
| Address |
202 N Main St San Angelo TX 76903-4842 |
| Phone Number | 3256587750368 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719936533 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450571 | SHANNON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 202 N Main St, San Angelo, TX 76903-4842 | 3256587750368 | CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT |
| Organization Legal Name | CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlotte L Lindsey | Nurse Practitioner | Concho Valley Center for Human Advancement | 1501 W Beauregard, San Angelo, TX 76901-4004 |
| Sherry D Crowder | Nurse Practitioner | Concho Valley Center for Human Advancement | 1501 W Beauregard, San Angelo, TX 76901-4004 |
| Heath B Foreman | Psychiatry | Concho Valley Center for Human Advancement | 1501 W Beauregard, San Angelo, TX 76901-4004 |
| John D Walsh | Nurse Practitioner | Concho Valley Center for Human Advancement | 1501 W Beauregard, San Angelo, TX 76901-4004 |
| Street Address |
202 N MAIN ST |
| City | SAN ANGELO |
| State | TX |
| Zip | 76903-4842 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal A Frutchey | Physician Assistant | Carolinas Physicians Network Inc | 202 N Main St, Mt. Gilead, NC 27306-9250 |
| Michael R Comstock | Chiropractic | 202 N Main St, Hedrick, IA 52563-9321 | |
| Alan P Lewis | Chiropractic | 202 N Main St, Jefferson, WI 53549-1149 | |
| Mark Alan Couts | Optometry | 202 N Main St, Culver, IN 46511-1516 | |
| Michael S Mcleod | Family Medicine | Carolinas Physicians Network Inc | 202 N Main St, Mt. Gilead, NC 27306-9250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaushal Sondarwa | Nephrology | Shannon Clinic | 220 E Harris, San Angelo, TX 76903 |
| Roxanne Timm | Nurse Practitioner | Shannon Clinic | 225 E Beauregard, San Angelo, TX 76903 |
| Maegin M Carlile | Nurse Practitioner | Shannon Clinic | 120 E Beauregard, San Angelo, TX 76903 |
| Brandi Lynn Whitehead | Physician Assistant | Shannon Clinic | 102 N Magdalen, San Angelo, TX 76903 |
| David R Nichols | Emergency Medicine | Shannon Clinic | 120 E Harris, San Angelo, TX 76903 |
| Susan L Schultz | Clinical Nurse Specialist | Shannon Clinic | 2030 Pullian, San Angelo, TX 76903 |
| Michelle D Crawford | Chiropractic | 107 N Main, San Angelo, TX 76903 | |
| Kimberly S Coon | Clinical Nurse Specialist | Shannon Clinic | 215 E College, San Angelo, TX 76903 |
| Irvin E Zeitler Jr. | Family Medicine | Shannon Clinic | 120 E Beauregard, San Angelo, TX 76903 |
| Charles E Greeson | Dermatology | Shannon Clinic | 120 E Beauregard, San Angelo, TX 76903 |
| Find all physicians in zip 76903 | |||
| City | SAN ANGELO |
| Zip Code | 76903 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAN ANGELO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tera K Waldroup.
| 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.