Prince A Buzombo (NPI# 1811337504, PAC ID# 7719279199) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1811337504 |
| PAC ID by PECOS | 7719279199 |
| Professional Enrollment ID | I20160705001026 |
| Full Name | Prince A Buzombo |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Address |
310 W S St Henrietta TX 76365-3346 |
| Phone Number | 9405385621 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0446296818 |
| Number of Group Practice Members | 204 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450653 | SCENIC MOUNTAIN MEDICAL CENTER |
| 160082 | IOWA METHODIST MEDICAL CENTER |
| 450694 | EL CAMPO MEMORIAL HOSPITAL |
| 450686 | UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1215 Pleasant St, Suite 400, Des Moines, IA 50309-1418 | 5152414019 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| 303 Sandy Corner Rd, El Campo, TX 77437-9535 | 9795436251 | CONCORD MEDICAL GROUP PLLC |
| 310 W S St, Henrietta, TX 76365-3346 | 9405385621 | CONCORD MEDICAL GROUP PLLC |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Physicians | 212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Lamb | Emergency Medicine | Concord Medical Group Pllc | 110 Shult Dr, Columbus, TX 78934-3016 |
| Elizabeth Tu | Family Medicine | Concord Medical Group Pllc | 600 Interstate 20, Stanton, TX 79782-0640 |
| Ilona Nekhayeva | Family Medicine | Concord Medical Group Pllc | 705 E Felt St, Brownfield, TX 79316-3449 |
| Anas Albrejawi Alhomsi | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Stephanie K Denison | Emergency Medicine | Concord Medical Group Pllc | 304 S Daugherty Ave, Eastland, TX 76448-2609 |
| Stephen George | Family Practice | Concord Medical Group Pllc | 400 Southwest 25th Ave, Mineral Wells, TX 76067-8246 |
| Danny L Farley Jr. | Family Medicine | Concord Medical Group Pllc | 125 Newman St, Fairfield, TX 75840-1419 |
| Derrick E Randdolf | Family Medicine | Concord Medical Group Pllc | 305 N Mckinney St, Sweeny, TX 77480-2801 |
| Michael L Gaines | Nurse Practitioner | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Dawn M Simons | Nurse Practitioner | Concord Medical Group Pllc | 311 Green Ave, Palacios, TX 77465-3213 |
| Street Address |
310 W S ST |
| City | HENRIETTA |
| State | TX |
| Zip | 76365-3346 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anas Albrejawi Alhomsi | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Sergio E Venegas | Physician Assistant | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Thomas David Greer | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Timothy R Tappana | Internal Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Matthew David Lewis | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| James Allen Clark | Emergency Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Eric Lee Madarang | Internal Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Crhistian Noemi Guerrero | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Wyman O Gilmore Iii | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Melissa Renne Nelson | Internal Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Mitchell | Family Medicine | 100 S Archer St, Henrietta, TX 76365-2746 | |
| Tara A Berry | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Michel J Adonis | Pediatric Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Mark William Schneider | Emergency Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| David M Lifshutz | General Surgery | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Susan R Davis | Internal Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Keenan David Atwood | General Practice | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Merlin L Shriner | Emergency Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| John Brooks | Emergency Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Daniel P Mcdonald | Obstetrics/gynecology | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Find all physicians in zip 76365 | |||
| City | HENRIETTA |
| Zip Code | 76365 |
| Specialty | HOSPITALIST |
| City + Specialty | HENRIETTA + HOSPITALIST |
Please comment or provide details below to improve the information on Prince A Buzombo.
| 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.