Kimberly L Calderon (NPI# 1538681754, PAC ID# 8022374271) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538681754 |
| PAC ID by PECOS | 8022374271 |
| Professional Enrollment ID | I20171104000100 |
| Full Name | Kimberly L Calderon |
| Organization Legal Name | WALLIS DERMATOLOGY ASSOCIATES PLLC |
| Address |
6 Doctor Cir Longview TX 75605-5050 |
| Phone Number | 9037573881 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749440188 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6 Doctor Cir, Longview, TX 75605-5050 | 9037573881 | WALLIS DERMATOLOGY ASSOCIATES PLLC |
| 1900 S Washington Ave, Suite E, Marshall, TX 75670-6845 | 9035037330 | WALLIS DERMATOLOGY ASSOCIATES PLLC |
| Organization Legal Name | WALLIS DERMATOLOGY ASSOCIATES PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammi M Short | Nurse Practitioner | Wallis Dermatology Associates Pllc | 1111 N 6th St, Longview, TX 75601-5537 |
| Herold S Osborne | Physician Assistant | Wallis Dermatology Associates Pllc | 1111 N 6th St, Longview, TX 75601-5537 |
| Robert S Taylor Iii | Dermatology | Wallis Dermatology Associates Pllc | 1111 N 6th St, Longview, TX 75601-5537 |
| Rachel M Smith | Physician Assistant | Wallis Dermatology Associates Pllc | 6 Doctor Cir, Longview, TX 75605-5050 |
| Mark S Wallis | Dermatology | Wallis Dermatology Associates Pllc | 1111 N 6th St, Longview, TX 75601-5537 |
| Laura P Fite | Dermatology | Wallis Dermatology Associates Pllc | 1111 N 6th St, Longview, TX 75601-5537 |
| Street Address |
6 DOCTOR CIR |
| City | LONGVIEW |
| State | TX |
| Zip | 75605-5050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel M Smith | Physician Assistant | Wallis Dermatology Associates Pllc | 6 Doctor Cir, Longview, TX 75605-5050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne J Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Cody R Hopson | Chiropractic | 2901 Judson Rd, Longview, TX 75605-1803 | |
| Leslie A Sanders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Joseph H Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Brenton Robinson | Nurse Practitioner | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy A, Longview, TX 75605-2102 |
| Gregory K Wacasey | Optometry | 2834 Bill Owens Pkwy, Longview, TX 75605-2102 | |
| Edward C Ledbetter | Chiropractic | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy, Suite A, Longview, TX 75605-2102 |
| Candis R Mendoza | Chiropractic | 2706 Bill Owens Pkwy, Longview, TX 75605-2136 | |
| Alex J Smith | Internal Medicine | 2107 Courthouse Dr, Suite 103, Longview, TX 75605-2355 | |
| Rajani Ruth Caesar | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Find all physicians in zip 75605 | |||
| City | LONGVIEW |
| Zip Code | 75605 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LONGVIEW + NURSE PRACTITIONER |
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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.