Roe Alan Laporte (NPI# 1255368239, PAC ID# 9739086430) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1255368239 |
| PAC ID by PECOS | 9739086430 |
| Professional Enrollment ID | I20031218000801 |
| Full Name | Roe Alan Laporte |
| Organization Legal Name | C DAVID GARVIN MD PA |
| Address |
101 Sherrard St Colbert OK 74733-2112 |
| Phone Number | 9034638448 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1969 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9436055720 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450324 | TEXOMA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 Sherrard St, Colbert, OK 74733-2112 | 9034638448 | C DAVID GARVIN MD PA |
| 1300 Hwy 91 N, Denison, TX 75020 | 9034638448 | C DAVID GARVIN MD PA |
| Organization Legal Name | C DAVID GARVIN MD PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya Paschen | Nurse Practitioner | C David Garvin Md Pa | 1300 Hwy 91 N, Denison, TX 75020-1167 |
| George Tompkins Iii | Physician Assistant | C David Garvin Md Pa | 1300 Hwy 91 N, Denison, TX 75020-1167 |
| C David Garvin | Family Medicine | C David Garvin Md Pa | 1300 Hwy 91 N, Denison, TX 75020-1167 |
| Philip H Yeilding | Physician Assistant | C David Garvin Md Pa | 1300 Hwy 91 N, Denison, TX 75020-1167 |
| Street Address |
101 SHERRARD ST |
| City | COLBERT |
| State | OK |
| Zip | 74733-2112 |
| City | COLBERT |
| Zip Code | 74733 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COLBERT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Roe Alan Laporte.
| 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.