Roderick David Ekmark (NPI# 1063693398, PAC ID# 8426291873) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063693398 |
| PAC ID by PECOS | 8426291873 |
| Professional Enrollment ID | I20130904000176 |
| Full Name | Roderick David Ekmark |
| Organization Legal Name | WILSON COUNTY MEMORIAL HOSPITAL DISTRICT |
| Address |
13857 Us Hwy 87 W La Vernia TX 78121-5919 |
| Phone Number | 8303931630 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6204878606 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450108 | CONNALLY MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 | 8303931630 | WILSON COUNTY MEMORIAL HOSPITAL DISTRICT |
| Organization Legal Name | WILSON COUNTY MEMORIAL HOSPITAL DISTRICT |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia C Lucio | Nurse Practitioner | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Shauna M Kurz | Nurse Practitioner | Wilson County Memorial Hospital District | 495 10th St, Floresville, TX 78114-3163 |
| Kristina A Hosek | Nurse Practitioner | Wilson County Memorial Hospital District | 499 10th St, Floresville, TX 78114-3175 |
| Rebecca Rohrs | Physician Assistant | Wilson County Memorial Hospital District | 104 Turner Ln, Floresville, TX 78114-3171 |
| Devraj U Nayak | Cardiovascular Disease (cardiology) | Wilson County Memorial Hospital District | 495 10th St, Suite 101, Floresville, TX 78114-3163 |
| Nathan Michael Eshenroder | Family Medicine | Wilson County Memorial Hospital District | 497 10th St, Suite 101, Floresville, TX 78114-3178 |
| Jeffrey Alan Faulkner | Otolaryngology | Wilson County Memorial Hospital District | 495 10th St, Suite 103, Floresville, TX 78114-3163 |
| Frederick Ryan Wade Krause | Orthopedic Surgery | Wilson County Memorial Hospital District | 495 10th St, Floresville, TX 78114-3163 |
| Matthew A Hendley | Family Medicine | Wilson County Memorial Hospital District | 497 10th St, Suite 101, Floresville, TX 78114-3178 |
| Marlene Herrera | Nurse Practitioner | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Street Address |
13857 US HWY 87 W |
| City | LA VERNIA |
| State | TX |
| Zip | 78121-5919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia C Lucio | Nurse Practitioner | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Marlene Herrera | Nurse Practitioner | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Meghan B Wilson | Nurse Practitioner | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Juanita Solis | Nurse Practitioner | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Heather R Grohman | Nurse Practitioner | Wilson County Memorial Hospital District | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Kurt Fossum | Physician Assistant | Yucab Management LLC | 13857 Us Hwy 87 W, La Vernia, TX 78121-5919 |
| Michael E Nesbitt | Physician Assistant | Yucab Management LLC | 13857 Us Hwy 87 W, Connally Memorial Urgent Care, La Vernia, TX 78121-5919 |
| James A Ruley | Physician Assistant | Yucab Management LLC | 13857 Us Hwy 87 W, Connally Memorial Urgent Care, La Vernia, TX 78121-5919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Bridges | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 13857 Us, Suite 102, La Vernia, TX 78121 |
| Kim M Ross | Dermatology | 309 Silverado, La Vernia, TX 78121-4948 |
| City | LA VERNIA |
| Zip Code | 78121 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LA VERNIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Roderick David Ekmark.
| 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.