Smart Idemudia (NPI# 1154364974, PAC ID# 8820093230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154364974 |
| PAC ID by PECOS | 8820093230 |
| Professional Enrollment ID | I20060918000456 |
| Full Name | Smart Idemudia |
| Address |
200 W Southwest Pkwy Lewisville TX 75067-7769 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450669 | MEDICAL CENTER OF LEWISVILLE |
| 670068 | TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND |
| Address | Phone | Organization |
|---|---|---|
| 200 W Southwest Pkwy, Lewisville, TX 75067-7769 |
| Street Address |
200 W SOUTHWEST PKWY |
| City | LEWISVILLE |
| State | TX |
| Zip | 75067-7769 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott F Mcgough | Physical Therapy | Advanced Physical Therapy, Inc | 724 W Main, Suite 180, Lewisville, TX 75067 |
| Cody C Burns | Physical Therapy | Advanced Physical Therapy, Inc | 724 W Main, Suite 180, Lewisville, TX 75067 |
| Michelle Lynn Bergamini-bjornberg | Physical Therapy | Advanced Physical Therapy, Inc | 724 W Main, Suite 180, Lewisville, TX 75067 |
| Larry J Portales | Optometry | 2401 S Stemmons Fwy, Suite 2000, Lewisville, TX 75067-2304 | |
| Devki Jaiswal | Family Medicine | American Current Care Pa | 2403 S Stemmons Fwy, Suite 103, Lewisville, TX 75067-2314 |
| Majdouleen M Georgeos | Family Medicine | American Current Care Pa | 2403 S Stemmons Fwy, Suite 103, Lewisville, TX 75067-2314 |
| Christine E Morgan | Family Medicine | American Current Care Pa | 2403 S Stemmons Fwy, Suite 103, Lewisville, TX 75067-2314 |
| Feyisetan S Lott | Family Medicine | American Current Care Pa | 2403 S Stemmons Fwy, Suite 103, Lewisville, TX 75067-2314 |
| Tori Deanna Comeau | Nurse Practitioner | American Current Care Pa | 2403 S Stemmons Fwy, Suite 103, Lewisville, TX 75067-2314 |
| Don B Cauthen | Family Practice | 1318 W Main A, Lewisville, TX 75067-3326 | |
| Find all physicians in zip 75067 | |||
| City | LEWISVILLE |
| Zip Code | 75067 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LEWISVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Smart Idemudia.
| 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.