Nelson D Destaffany (NPI# 1376598912, PAC ID# 8022929058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1376598912 |
| PAC ID by PECOS | 8022929058 |
| Professional Enrollment ID | I20060627000378 |
| Full Name | Nelson D Destaffany |
| Organization Legal Name | MID TEX ANESTHESIA ASSOC |
| Address |
6901 Medical Pkwy Waco TX 76712-7910 |
| Phone Number | 2547760266 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1979 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 5395815369 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450042 | PROVIDENCE HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 | 2547760266 | MID TEX ANESTHESIA ASSOC |
| 6901 Medical Pkwy, Waco, TX 76712-7910 | 2547760266 | MID TEX ANESTHESIA ASSOC |
| Organization Legal Name | MID TEX ANESTHESIA ASSOC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle D Sulak | Anesthesiology | Mid Tex Anesthesia Assoc | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 |
| Joseph V Augeri | Certified Registered Nurse Anesthetist (crna) | Mid Tex Anesthesia Assoc | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 |
| Thomas M White | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Sandra D Lynn | Certified Registered Nurse Anesthetist (crna) | Mid Tex Anesthesia Assoc | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 |
| Holly Davis | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Casey Hector | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Jeffrey T Manning | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Benjamin Lagrone | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Mark L Johnson | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Hannah M Soukup | Certified Registered Nurse Anesthetist (crna) | Mid Tex Anesthesia Assoc | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7920 |
| Street Address |
6901 MEDICAL PKWY |
| City | WACO |
| State | TX |
| Zip | 76712-7910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent J Bauer | Orthopedic Surgery | Providence Health Alliance | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Jennifer S Armstrong | Nurse Practitioner | Healogics Specialty Physicians of Texas Pllc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Soni Jose | Internal Medicine | Mclennan County Hospitalist Services Pa | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Morgan Estes | Certified Nurse Midwife (cnm) | Providence Health Alliance | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| John C Biboa | Emergency Medicine | Mclennan County Hospitalist Services Pa | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Adam M Borowski | Diagnostic Radiology | Central Texas Radiological Associates Pa | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Thomas M White | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Roxann M Samples | Internal Medicine | Mclennan County Hospitalist Services Pa | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Holly Davis | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Casey Hector | Anesthesiology | Mid Tex Anesthesia Assoc | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ntiense Covey | Clinical Social Worker | 200 W Hwy 6, Suite 217, Waco, TX 76712 | |
| Todd Moffatt | General Surgery | 1000 W Hwy 6, Suite 410, Waco, TX 76712 | |
| Eric F Oneill | Plastic and Reconstructive Surgery | 1000 W Hwy 6, Suite 500, Waco, TX 76712 | |
| Lute George Oas | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| Justin Wylie Wray | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| David J Schickner | Neurosurgery | David J. Schickner, M.d., P.a. | 6901 Medical Pkwy, Waco, TX 76712-2589 |
| Charles W Guy | Plastic and Reconstructive Surgery | 101 Burnett Ct, Suite B, Waco, TX 76712-3100 | |
| Mark A Antonacci | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Nina Wilson | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Travis Gene Volcik | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Find all physicians in zip 76712 | |||
| City | WACO |
| Zip Code | 76712 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | WACO + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Nelson D Destaffany.
| 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.