Richard M Proenza
MARK SPIVEY ORTHOPEDIC CLINIC LLC


Address: 3301 1st St E, Suite A, Vidalia, GA 30474
Phone: 9125374411

Richard M Proenza (NPI# 1982693024, PAC ID# 8123019080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1982693024
PAC ID by PECOS 8123019080
Professional Enrollment ID I20040519001394
Full Name Richard M Proenza
Organization Legal Name MARK SPIVEY ORTHOPEDIC CLINIC LLC
Address 3301 1st St E
Suite A
Vidalia
GA 30474
Phone Number 9125374411
Gender M
Credential PA
Graduation Year 2004
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 5395797336
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
111323 OPTIM MEDICAL CENTER - TATTNALL

Other Locations

Address Phone Organization
3301 1st St E, Suite A, Vidalia, GA 30474 9125374411 MARK SPIVEY ORTHOPEDIC CLINIC LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_HIE_1 Health Information Exchange 11%
ACI_EC_TRANS_MR_1 Medication Reconciliation 83%
ACI_EC_TRANS_PEA_1 Provide Patient Access 46%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 2%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 31%
ACI_EC_TRANS_SM_1 Secure Messaging 2%

Organization Information

Organization Legal Name MARK SPIVEY ORTHOPEDIC CLINIC LLC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
John Casey Spivey Orthopedic Surgery Mark Spivey Orthopedic Clinic LLC 3301 1st St E, Suite A, Vidalia, GA 30474
Archie J Champion Physician Assistant Mark Spivey Orthopedic Clinic LLC 3301 1st St E, Suite A, Vidalia, GA 30474
Charles M Spivey Orthopedic Surgery Mark Spivey Orthopedic Clinic LLC 3301 1st St E, Suite A, Vidalia, GA 30474

Office Location

Street Address 3301 1ST ST E
SUITE A
City VIDALIA
State GA
Zip 30474

Physicians in the same location

Name Specialty Organization Address
John Casey Spivey Orthopedic Surgery Mark Spivey Orthopedic Clinic LLC 3301 1st St E, Suite A, Vidalia, GA 30474
Archie J Champion Physician Assistant Mark Spivey Orthopedic Clinic LLC 3301 1st St E, Suite A, Vidalia, GA 30474
Charles M Spivey Orthopedic Surgery Mark Spivey Orthopedic Clinic LLC 3301 1st St E, Suite A, Vidalia, GA 30474

Physicians in the same zip code

Name Specialty Organization Address
Karen Pamela Mcneely Nurse Practitioner Peterson Dermatology, P.C. 305 1st St W, Vidalia, GA 30474
David H Paine Internal Medicine 1006 A Mt Vernon Rd, Vidalia, GA 30474
Walter J Revell Jr. General Surgery Peterson Dermatology, P.C. 305 1st St W, Vidalia, GA 30474
Letty Revell Peterson Dermatology Peterson Dermatology, P.C. 305 1st St W, Vidalia, GA 30474
Paul J Giles Cardiovascular Disease (cardiology) Paul Joseph Giles Md LLC 1006 Mount Vernon Rd, Vidalia, GA 30474-3029
Robert Andrew Bell Nurse Practitioner Paul Joseph Giles Md LLC 1006 Mount Vernon Rd, Vidalia, GA 30474-3029
Jeanie L Allen Nurse Practitioner Paul Joseph Giles Md LLC 1006 Mount Vernon Rd, Vidalia, GA 30474-3029
Terra Hardeman Nurse Practitioner Paul Joseph Giles Md LLC 1006 Mount Vernon Rd, Vidalia, GA 30474-3029
Ramachand R Paidi Neuropsychiatry 106 Queen St, 1a, Vidalia, GA 30474-4210
Lewis R Collins Jr. Dermatology Lewis R. Collins, Jr., M.d., P. C. 1013 E 1st St, Vidalia, GA 30474-4227
Find all physicians in zip 30474

Competitor

Search similar physicians

City VIDALIA
Zip Code 30474
Specialty PHYSICIAN ASSISTANT
City + Specialty VIDALIA + PHYSICIAN ASSISTANT

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Dataset Information

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.

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