Mary Ellen Avila (NPI# 1205354578, PAC ID# 8921364167) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205354578 |
| PAC ID by PECOS | 8921364167 |
| Professional Enrollment ID | I20171103002653 |
| Full Name | Mary Ellen Avila |
| Organization Legal Name | DEAF SMITH COUNTY HOSPITAL DISTRICT |
| Address |
540 W 15th St Hereford TX 79045-2820 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8123923497 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450155 | HEREFORD REGIONAL MEDICAL CENTER |
| 450231 | BAPTIST ST ANTHONY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 540 W 15th St, Hereford, TX 79045-2820 | DEAF SMITH COUNTY HOSPITAL DISTRICT | |
| 540 W 15th St, Hereford Health Clinic, Hereford, TX 79045-2820 | 8063647512 | DEAF SMITH COUNTY HOSPITAL DISTRICT |
| Organization Legal Name | DEAF SMITH COUNTY HOSPITAL DISTRICT |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Brooke Jones | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Sean D Wengroff | Obstetrics/gynecology | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Carmen B Flood | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Michelle Lynn Williams | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Marinda Dawn Newkirk | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| John E Hartin | Certified Registered Nurse Anesthetist (crna) | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Carolyn S Jansa | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Susan Cruz | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Rosa Angelica Miranda | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| David M Gordon | General Surgery | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Street Address |
540 W 15TH ST |
| City | HEREFORD |
| State | TX |
| Zip | 79045-2820 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Brooke Jones | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Sean D Wengroff | Obstetrics/gynecology | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Carmen B Flood | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Michelle Lynn Williams | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| John T Gregg | General Surgery | 540 W 15th St, John T Gregg Md, Hereford, TX 79045-2820 | |
| Marinda Dawn Newkirk | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| John E Hartin | Certified Registered Nurse Anesthetist (crna) | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Imtiaz A Khan | Emergency Medicine | Concord Medical Group Pllc | 540 W 15th St, Hereford, TX 79045-2820 |
| Carolyn S Jansa | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Susan Cruz | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Layne S Barnes | Family Medicine | 540 W, 15th, Hereford, TX 79045 | |
| Jerome Douglas Kizzart | Internal Medicine | Concord Medical Group Pllc | 540 W 15th St, Hereford, TX 79045-2820 |
| Trevor Rohm | Family Medicine | 540 W 15th St, Hereford, TX 79045-2820 | |
| Howard R Johnson | Family Medicine | 540 W 15th St, Hereford, TX 79045-2820 | |
| Rosa Angelica Miranda | Nurse Practitioner | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| David M Gordon | General Surgery | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Joseph S Graves | Family Practice | Deaf Smith County Hospital District | 540 W 15th St, Hereford, TX 79045-2820 |
| Michael J Ellis | Chiropractic | 121 W Park Ave, Hereford, TX 79045-4201 | |
| Michael C Nash | Family Medicine | Regence Health Network Inc | 125 W Park Ave, Hereford, TX 79045-4234 |
| Amy M Stovall | Nurse Practitioner | Regence Health Network Inc | 125 W Park Ave, Hereford, TX 79045-4234 |
| Find all physicians in zip 79045 | |||
| City | HEREFORD |
| Zip Code | 79045 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HEREFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Ellen Avila.
| 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.