Craig L Pendergrass (NPI# 1700835469, PAC ID# 9537159801) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700835469 |
| PAC ID by PECOS | 9537159801 |
| Professional Enrollment ID | I20050808000189 |
| Full Name | Craig L Pendergrass |
| Organization Legal Name | PRIME CARE FAMILY MEDICINE INC |
| Address |
117 E Hickory St Neosho MO 64850-1806 |
| Phone Number | 4174514545 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5092960146 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261331 | FREEMAN NEOSHO HOSPITAL |
| 260137 | FREEMAN HEALTH SYSTEM-FREEMAN WEST |
| 260001 | MERCY HOSPITAL JOPLIN |
| Address | Phone | Organization |
|---|---|---|
| 117 E Hickory St, Neosho, MO 64850-1806 | 4174514545 | PRIME CARE FAMILY MEDICINE INC |
| Organization Legal Name | PRIME CARE FAMILY MEDICINE INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Nguyen | Nurse Practitioner | Prime Care Family Medicine Inc | 117 E Hickory St, Neosho, MO 64850-1806 |
| Jacob B Adkison | Nurse Practitioner | Prime Care Family Medicine Inc | 117 E Hickory St, Neosho, MO 64850-1806 |
| Carol L Monroe | Nurse Practitioner | Prime Care Family Medicine Inc | 117 E Hickory St, Neosho, MO 64850-1806 |
| Street Address |
117 E HICKORY ST |
| City | NEOSHO |
| State | MO |
| Zip | 64850-1806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Nguyen | Nurse Practitioner | Prime Care Family Medicine Inc | 117 E Hickory St, Neosho, MO 64850-1806 |
| Jacob B Adkison | Nurse Practitioner | Prime Care Family Medicine Inc | 117 E Hickory St, Neosho, MO 64850-1806 |
| Carol L Monroe | Nurse Practitioner | Prime Care Family Medicine Inc | 117 E Hickory St, Neosho, MO 64850-1806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie L Penn | Clinical Social Worker | Ozark Center | 204 Lincoln St, Neosho, MO 64850-1416 |
| Michael Shurley | Optometry | 426 W Coler St, Neosho, MO 64850-1441 | |
| Maria Page | Nurse Practitioner | Gateway Emergency Physicians LLP | 113 W Hickory St, Neosho Hospital, Neosho, MO 64850-1705 |
| Larry G Barnes | Internal Medicine | Freeman Neosho Hospital | 113 W Hickory, Neosho, MO 64850-1705 |
| Adam Michael Cox | Emergency Medicine | Gateway Emergency Physicians LLP | 113 W Hickory St, Neosho Hospital, Neosho, MO 64850-1705 |
| Douglas W Mcdonald | Emergency Medicine | Gateway Emergency Physicians LLP | 113 W Hickory St, Neosho Hospital, Neosho, MO 64850-1705 |
| Harold D Blankenship | Internal Medicine | Freeman Neosho Hospital | 336 S Jefferson St, Freeman Neosho Physician Group, Neosho, MO 64850-1769 |
| Vickie Lynn Blevins | Nurse Practitioner | Freeman Neosho Hospital | 336 S Jefferson St, Freeman Neosho Physician Group, Neosho, MO 64850-1769 |
| Robert C Stauffer | Cardiovascular Disease (cardiology) | Freeman Neosho Hospital | 336 S Jefferson St, Freeman Neosho Physician Group, Neosho, MO 64850-1769 |
| Darla Denise Easter | Nurse Practitioner | Freeman Neosho Hospital | 336 S Jefferson St, Freeman Neosho Physician Group, Neosho, MO 64850-1769 |
| Find all physicians in zip 64850 | |||
| City | NEOSHO |
| Zip Code | 64850 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEOSHO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Craig L Pendergrass.
| 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.