Chandler N Thibodaux (NPI# 1205974045, PAC ID# 8527282961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1205974045 |
| PAC ID by PECOS | 8527282961 |
| Professional Enrollment ID | I20140605000369 |
| Full Name | Chandler N Thibodaux |
| Organization Legal Name | TARRANAT DERMATOLOGY CONSULTANTS, PA |
| Address |
1622 8th Ave Suite 100 Fort Worth TX 76104-4155 |
| Phone Number | 8179272332 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2769492008 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1622 8th Ave, Suite 100, Fort Worth, TX 76104-4155 | 8179272332 | TARRANAT DERMATOLOGY CONSULTANTS, PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 90% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% |
| Organization Legal Name | TARRANAT DERMATOLOGY CONSULTANTS, PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Harr | Physician Assistant | Tarranat Dermatology Consultants, Pa | 1622 8th Ave, Suite 100, Fort Worth, TX 76104-4155 |
| Sonya A Tanna | Physician Assistant | Tarranat Dermatology Consultants, Pa | 1622 8th Ave, Suite 100, Fort Worth, TX 76104-4155 |
| Boris Ioffe | Dermatology | Tarranat Dermatology Consultants, Pa | 1622 8th Ave, Suite 100, Fort Worth, TX 76104-4155 |
| Laura R. White | Physician Assistant | Tarranat Dermatology Consultants, Pa | 1622 8th Ave, Suite 100, Fort Worth, TX 76104-4155 |
| Douglas S Miller | Dermatology | Tarranat Dermatology Consultants, Pa | 1622 8th Ave, Suite 100, Fort Worth, TX 76104-4155 |
| Street Address |
1622 8TH AVE SUITE 100 |
| City | FORT WORTH |
| State | TX |
| Zip | 76104-4155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Anthony Carlton | Internal Medicine | Texas Health Care Pllc | 1622 8th Ave, Suite 110, Fort Worth, TX 76104-4155 |
| Lauren A Harr | Physician Assistant | Tarranat Dermatology Consultants, Pa | 1622 8th Ave, Suite 100, Fort Worth, TX 76104-4155 |
| Angela Winstead | Nurse Practitioner | Texas Health Care Pllc | 1622 8th Ave, Suite 110, Fort Worth, TX 76104-4155 |
| Molly Mae Warthan | Dermatology | Molly M Warthan Md | 1622 8th Ave, Suite 120, Fort Worth, TX 76104-4155 |
| Kira I Haydon | Family Medicine | Texas Health Care Pllc | 1622 8th Ave, Suite 110, Fort Worth, TX 76104-4155 |
| Kimberly P Mizener | Nurse Practitioner | Texas Health Care Pllc | 1622 8th Ave, Suite 110, Fort Worth, TX 76104-4155 |
| Norman Alan Davenport | Internal Medicine | Texas Health Care Pllc | 1622 8th Ave, Suite 110, Fort Worth, TX 76104-4155 |
| Cynthia A Sommer | Nurse Practitioner | Texas Health Care Pllc | 1622 8th Ave, Suite 110, Fort Worth, TX 76104-4155 |
| Sonya A Tanna | Physician Assistant | Tarranat Dermatology Consultants, Pa | 1622 8th Ave, Suite 100, Fort Worth, TX 76104-4155 |
| Meagan Anne Johnson | Physician Assistant | Molly M Warthan Md | 1622 8th Ave, Suite 120, Fort Worth, TX 76104-4155 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Find all physicians in zip 76104 | |||
| City | FORT WORTH |
| Zip Code | 76104 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORT WORTH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Chandler N Thibodaux.
| 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.