Staci Nichole Stough (NPI# 1114396322, PAC ID# 8224338355) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114396322 |
| PAC ID by PECOS | 8224338355 |
| Professional Enrollment ID | I20151123000183 |
| Full Name | Staci Nichole Stough |
| Organization Legal Name | COMMUNITY HEALTH SERVICE AGENCY, INC |
| Address |
91 W Side Sq Carevide Cooper TX 75432-1725 |
| Phone Number | 9033950586 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305735150 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450352 | HUNT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 91 W Side Sq, Carevide, Cooper, TX 75432-1725 | 9033950586 | COMMUNITY HEALTH SERVICE AGENCY, INC |
| 111 N Johnson, Carevide, Farmerville, TX 75442-2103 | 9727826131 | COMMUNITY HEALTH SERVICE AGENCY, INC |
| Organization Legal Name | COMMUNITY HEALTH SERVICE AGENCY, INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Brittmon | Nurse Practitioner | Community Health Service Agency, Inc | 920 N Ctr St, Carevide, Bonham, TX 75418-3751 |
| Sherby Patrice Holloway | Physician Assistant | Community Health Service Agency, Inc | 4311 Wesley St, Carevide, Greenville, TX 75401-5639 |
| Glenn D Pabody | Physician Assistant | Community Health Service Agency, Inc | 91 W Side Sq, Carevide, Cooper, TX 75432-1725 |
| Ronald J Peron | Emergency Medicine | Community Health Service Agency, Inc | 101 N Houston St, Carevide, Kaufamn, TX 75142-1949 |
| Benjamin David Hanssen | Nurse Practitioner | Community Health Service Agency, Inc | 4311 Wesley St, Carevide, Greenville, TX 75401-5639 |
| Jessica N Brooks | Nurse Practitioner | Community Health Service Agency, Inc | 4311 Wesley St, Carevide, Greenville, TX 75401-5639 |
| Kelly Lee Peters | Nurse Practitioner | Community Health Service Agency, Inc | 4311 Wesley St, Carevide, Greenville, TX 75401-5639 |
| Rebecca T Willeford | Nurse Practitioner | Community Health Service Agency, Inc | 4311 Wesley St, Carevide, Greenville, TX 75401-5639 |
| Trixie D Newkirk | Nurse Practitioner | Community Health Service Agency, Inc | 101 N Houston St, Carevide, Kaufamn, TX 75142-1949 |
| Kara Marie Cizdziel | Family Medicine | Community Health Service Agency, Inc | 4311 Wesley St, Carevide, Greenville, TX 75401-5639 |
| Street Address |
91 W SIDE SQ CAREVIDE |
| City | COOPER |
| State | TX |
| Zip | 75432-1725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn D Pabody | Physician Assistant | Community Health Service Agency, Inc | 91 W Side Sq, Carevide, Cooper, TX 75432-1725 |
| Christy Quillen | Nurse Practitioner | Community Health Service Agency, Inc | 91 W Side Sq, Carevide, Cooper, TX 75432-1725 |
| Deborah S Hughes | Nurse Practitioner | Community Health Service Agency, Inc | 91 W Side Sq, Carevide, Cooper, TX 75432-1725 |
| City | COOPER |
| Zip Code | 75432 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COOPER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Staci Nichole Stough.
| 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.