Jerry White (NPI# 1336359017, PAC ID# 9032296363) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1336359017 |
| PAC ID by PECOS | 9032296363 |
| Professional Enrollment ID | I20080410000235 |
| Full Name | Jerry White |
| Organization Legal Name | BIGEYE EMERGENCY PHYSICIANS LLC |
| Address |
10 S Hospital Dr Fulton MO 65251-2513 |
| Phone Number | 5736423376 |
| Gender | M |
| Medical School | COLLEGE OF PHYSICIANS AND SURGEONS (IOWA) |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0244550408 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260209 | FULTON MEDICAL CENTER LLC |
| Address | Phone | Organization |
|---|---|---|
| 10 S Hospital Dr, Fulton, MO 65251-2513 | 5736423376 | BIGEYE EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | BIGEYE EMERGENCY PHYSICIANS LLC |
| Physicians | 1 |
| Street Address |
10 S HOSPITAL DR |
| City | FULTON |
| State | MO |
| Zip | 65251-2513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarmistha Bhalla | Psychiatry | Refound Psychiatry Services LLC | 10 S Hospital Dr, Fulton, MO 65251-2510 |
| Elizabeth A Lambird | Family Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Syed Imam | Psychiatry | Refound Psychiatry Services LLC | 10 S Hospital Dr, Fulton, MO 65251-2510 |
| Philip R Brackett | Family Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Stanley R Horner | Allergy/immunology | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Ravi K Kotha | Emergency Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Matthew R Mcclure | Family Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Sudheer C Atluri | Emergency Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Jack W Wenkel | Physician Assistant | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian M Hoselton | Chiropractic | 710 S Business, Suite 54, Fulton, MO 65251-1403 | |
| Adam Kolin Kramer | Chiropractic | Koelling Family Chiropractic PC | 621 Commons Dr, Fulton, MO 65251-1489 |
| Bryce D Koelling | Chiropractic | Koelling Family Chiropractic PC | 621 Commons Dr, Fulton, MO 65251-1489 |
| Sharon K Batek | Optometry | 405 Court St, Fulton, MO 65251-1724 | |
| Brandy Baczwaski | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Lee Ann Mcvay | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Alicia Loraine Pardee | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Jessica Ann Peterson | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Kayla Collier | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Jennie L Brooks | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Find all physicians in zip 65251 | |||
| City | FULTON |
| Zip Code | 65251 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | FULTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Jerry White.
| 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.