Philip E Fidler (NPI# 1689643637, PAC ID# 9739241118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1689643637 |
| PAC ID by PECOS | 9739241118 |
| Professional Enrollment ID | I20151105002173 |
| Full Name | Philip E Fidler |
| Organization Legal Name | BURN AND RECONSTRUCTIVE CENTERS OF TEXAS |
| Address |
3675 J Dewey Gray Circle Suite 300 Augusta GA 30909-1868 |
| Phone Number | 7068639595 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 4981913092 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450651 | MEDICAL CITY PLANO |
| Address | Phone | Organization |
|---|---|---|
| 3675 J Dewey Gray Circle, Suite 300, Augusta, GA 30909-1868 | 7068639595 | BURN AND RECONSTRUCTIVE CENTERS OF TEXAS |
| 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 | 7068639595 | BURN AND RECONSTRUCTIVE CENTERS OF TEXAS |
| 3901 W 15th St, Plano, TX 75075-7738 | 7068639595 | BURN AND RECONSTRUCTIVE CENTERS OF TEXAS |
| Organization Legal Name | BURN AND RECONSTRUCTIVE CENTERS OF TEXAS |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Cross | Critical Care (intensivists) | Burn and Reconstructive Centers of Texas | 3901 W 15th St, Plano, TX 75075-7738 |
| Erick Norwood | Physician Assistant | Burn and Reconstructive Centers of Texas | 3901 W 15th St, Plano, TX 75075-7738 |
| Jonathan Chong | General Surgery | Burn and Reconstructive Centers of Texas | 3901 W 15th St, Plano, TX 75075-7738 |
| Vicki Lee Redpath | Nurse Practitioner | Burn and Reconstructive Centers of Texas | 3901 W 15th St, Plano, TX 75075-7738 |
| John Hershman | Plastic and Reconstructive Surgery | Burn and Reconstructive Centers of Texas | 3675 J Dewey Gray Circle, Suite 300, Augusta, GA 30909-1868 |
| Jacqueline Moraa Mogusu | Nurse Practitioner | Burn and Reconstructive Centers of Texas | 3901 W 15th St, Plano, TX 75075-7738 |
| Daniel Wu | General Surgery | Burn and Reconstructive Centers of Texas | 3901 W 15th St, Plano, TX 75075-7738 |
| Street Address |
3675 J DEWEY GRAY CIRCLE SUITE 300 |
| City | AUGUSTA |
| State | GA |
| Zip | 30909-1868 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Hershman | Plastic and Reconstructive Surgery | Burn and Reconstructive Centers of Texas | 3675 J Dewey Gray Circle, Suite 300, Augusta, GA 30909-1868 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan E Reimer | Family Medicine | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Kent M Plowman | Interventional Pain Management | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Edgar R Bohannon | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Tarak V Patel | Infectious Disease | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Russell L Stephens | Anesthesiology | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Amanda S Battey | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Rebecca B Hopkins | Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Augusta, GA 30909 |
| Dale Patrick | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| George Herman Hamiter Iii | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Miguel Angel Bosch | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Find all physicians in zip 30909 | |||
| City | AUGUSTA |
| Zip Code | 30909 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | AUGUSTA + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Philip E Fidler.
| 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.