Jared A T Criswell (NPI# 1265896146, PAC ID# 9133454101) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265896146 |
| PAC ID by PECOS | 9133454101 |
| Professional Enrollment ID | I20190712001407 |
| Full Name | Jared A T Criswell |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Address |
215 Chisholm Trl Jacksboro TX 76458-1403 |
| Phone Number | 9405676633 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0446296818 |
| Number of Group Practice Members | 204 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451382 | COMANCHE COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 S Geneva St, Breckenridge, TX 76424-4702 | 2545592241 | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| 10201 Hwy 16, Comanche, TX 76442-4462 | 2548794900 | COMANCHE COUNTY MEDICAL CENTER COMPANY |
| 215 Chisholm Trl, Jacksboro, TX 76458-1403 | 9405676633 | CONCORD MEDICAL GROUP PLLC |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Physicians | 212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Lamb | Emergency Medicine | Concord Medical Group Pllc | 110 Shult Dr, Columbus, TX 78934-3016 |
| Elizabeth Tu | Family Medicine | Concord Medical Group Pllc | 600 Interstate 20, Stanton, TX 79782-0640 |
| Ilona Nekhayeva | Family Medicine | Concord Medical Group Pllc | 705 E Felt St, Brownfield, TX 79316-3449 |
| Anas Albrejawi Alhomsi | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Stephanie K Denison | Emergency Medicine | Concord Medical Group Pllc | 304 S Daugherty Ave, Eastland, TX 76448-2609 |
| Stephen George | Family Practice | Concord Medical Group Pllc | 400 Southwest 25th Ave, Mineral Wells, TX 76067-8246 |
| Danny L Farley Jr. | Family Medicine | Concord Medical Group Pllc | 125 Newman St, Fairfield, TX 75840-1419 |
| Derrick E Randdolf | Family Medicine | Concord Medical Group Pllc | 305 N Mckinney St, Sweeny, TX 77480-2801 |
| Michael L Gaines | Nurse Practitioner | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Dawn M Simons | Nurse Practitioner | Concord Medical Group Pllc | 311 Green Ave, Palacios, TX 77465-3213 |
| Street Address |
215 CHISHOLM TRL |
| City | JACKSBORO |
| State | TX |
| Zip | 76458-1403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Gaines | Nurse Practitioner | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Surinder S Aujla | General Surgery | Jack County Hospital District | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Delbert L Mccaig | Family Medicine | Jack County Hospital District | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Matthew Brister | Nurse Practitioner | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Gary T Evans | Internal Medicine | Jack County Hospital District | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Joshua M Evans | Internal Medicine | Jack County Hospital District | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Joel H Rubin | General Surgery | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Matthew D Foster | Emergency Medicine | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Lara Marina Pierce | Family Medicine | Jack County Hospital District | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| James F Dunn | Endocrinology | Jack County Hospital District | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syed M A Jamal | Internal Medicine | Physician Services of Jacksboro Pa | 709 N 4th St, Jacksboro, TX 76458-1132 |
| Beauford Basped Jr. | Family Medicine | Physician Services of Jacksboro Pa | 709 N 4th St, Jacksboro, TX 76458-1132 |
| Sonika H Momin | Family Medicine | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Kerry L Lockett | Emergency Medicine | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Erika M Crutcher | Family Medicine | Jack County Hospital District | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Reese Graves | Family Medicine | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Shivum K Agarwal | Family Medicine | 215 Chisholm Trl, Jacksboro, TX 76458-1403 | |
| Almas Ali Syed | Diagnostic Radiology | Concord Radiology, Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Pablo R Albores | Certified Registered Nurse Anesthetist (crna) | Jack County Hospital District | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Stephen W Ricks Jr. | Nurse Practitioner | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Find all physicians in zip 76458 | |||
| City | JACKSBORO |
| Zip Code | 76458 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSBORO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jared A T Criswell.
| 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.