Gareth S Bridge (NPI# 1811332992, PAC ID# 8729382254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1811332992 |
| PAC ID by PECOS | 8729382254 |
| Professional Enrollment ID | I20160817003403 |
| Full Name | Gareth S Bridge |
| Organization Legal Name | SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE |
| Address |
410 Cheyenne Satanta KS 67870-8748 |
| Phone Number | 6206492771 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991616054 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171324 | SATANTA DISTRICT HOSPITAL |
| 170023 | ST CATHERINE HOSPITAL |
| 170068 | SOUTHWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 410 Cheyenne, Satanta, KS 67870-8748 | 6206492771 | SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE |
| Organization Legal Name | SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra J Koehn | Nurse Practitioner | Satanta District Hospital and Long-term Care | 410 Cheyenne, Satanta, KS 67870-8748 |
| Amy R Nightengale | Nurse Practitioner | Satanta District Hospital and Long-term Care | 410 Cheyenne, Satanta, KS 67870-8748 |
| Peggy A Parker | Nurse Practitioner | Satanta District Hospital and Long-term Care | 410 Cheyenne, Satanta, KS 67870-8748 |
| Doug S Neef | Family Medicine | Satanta District Hospital and Long-term Care | 410 Cheyenne, Satanta, KS 67870-8748 |
| Scarlett L Gard | Family Medicine | Satanta District Hospital and Long-term Care | 410 Cheyenne, Satanta, KS 67870-8748 |
| Street Address |
410 CHEYENNE |
| City | SATANTA |
| State | KS |
| Zip | 67870-8748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra J Koehn | Nurse Practitioner | Satanta District Hospital and Long-term Care | 410 Cheyenne, Satanta, KS 67870-8748 |
| Amy R Nightengale | Nurse Practitioner | Satanta District Hospital and Long-term Care | 410 Cheyenne, Satanta, KS 67870-8748 |
| Peggy A Parker | Nurse Practitioner | Satanta District Hospital and Long-term Care | 410 Cheyenne, Satanta, KS 67870-8748 |
| Doug S Neef | Family Medicine | Satanta District Hospital and Long-term Care | 410 Cheyenne, Satanta, KS 67870-8748 |
| Scarlett L Gard | Family Medicine | Satanta District Hospital and Long-term Care | 410 Cheyenne, Satanta, KS 67870-8748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Kirk | Nurse Practitioner | St Catherine Hospital | 401 Cheyenne, Satanta, KS 67870-8748 |
| City | SATANTA |
| Zip Code | 67870 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SATANTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gareth S Bridge.
| 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.