| Calvary Medical, Pa | |
|
108 South William Barnett Ave Cleveland TX 77327 | |
| (281) 659-2355 | |
| (281) 592-1570 |
| Full Name | Calvary Medical, Pa |
|---|---|
| Speciality | Legal Medicine |
| Location | 108 South William Barnett Ave, Cleveland, Texas |
| Authorized Official Name and Position | Joseph E Goin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2816592355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvary Medical, Pa 108 S. William Barnett Ave Cleveland TX 77327 Ph: (281) 659-2355 | Calvary Medical, Pa 108 South William Barnett Ave Cleveland TX 77327 Ph: (281) 659-2355 |
| NPI Number | 1265568042 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 12/04/2024 |
| Medicare PECOS PAC ID | 7719876218 |
|---|---|
| Medicare Enrollment ID | O20040312000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265568042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 173000000X | Legal Medicine | K5963 (Texas) | Primary |
| Provider Name | Jyothi N Achi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023029287 PECOS PAC ID: 4688635881 Enrollment ID: I20041021000268 |
| Provider Name | Gloria Willoughby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831143627 PECOS PAC ID: 3375550593 Enrollment ID: I20060314000185 |
| Provider Name | Raoul Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285697615 PECOS PAC ID: 9032274972 Enrollment ID: I20090210000377 |
| Provider Name | Joseph E Goin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730189408 PECOS PAC ID: 2264321785 Enrollment ID: I20100708000498 |
| Provider Name | Keith I G Spooner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821171166 PECOS PAC ID: 1759371099 Enrollment ID: I20100825001148 |
| Provider Name | Chikku Paul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386841237 PECOS PAC ID: 5496943276 Enrollment ID: I20101221000221 |
| Provider Name | Wendy R Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043537509 PECOS PAC ID: 2961674346 Enrollment ID: I20111006000515 |
| Provider Name | Latresha J Mcbride |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255522447 PECOS PAC ID: 7012151277 Enrollment ID: I20130910000630 |
| Provider Name | Freda D Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922293356 PECOS PAC ID: 1254524648 Enrollment ID: I20150629000056 |
| Provider Name | Tantasha L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386075497 PECOS PAC ID: 9537430038 Enrollment ID: I20170802000052 |
| Provider Name | Jennifer Tata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548662976 PECOS PAC ID: 2264704758 Enrollment ID: I20170817003011 |
| Provider Name | Brittany R Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548704158 PECOS PAC ID: 1355616343 Enrollment ID: I20170929003151 |
| Provider Name | Angela A Adomako |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821399411 PECOS PAC ID: 2668643396 Enrollment ID: I20171016002873 |
| Provider Name | Melanie Domkam Fombang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447779590 PECOS PAC ID: 2365787967 Enrollment ID: I20190102000734 |
| Provider Name | James Darrick Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326090804 PECOS PAC ID: 7315016706 Enrollment ID: I20211008002753 |
| Provider Name | Lito B Justo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720731284 PECOS PAC ID: 2860886173 Enrollment ID: I20220303000081 |
| Provider Name | Christine Natasha Thorpe-gilpin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194462986 PECOS PAC ID: 2365825171 Enrollment ID: I20220811001240 |
| Provider Name | Yalonda G Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114788114 PECOS PAC ID: 6901349398 Enrollment ID: I20240828003944 |
| Provider Name | Lorrie A Richardson Oneal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821095670 PECOS PAC ID: 1355328683 Enrollment ID: I20240910001228 |
Prime Medic Network, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S College Ave, Cleveland, TX 77327 Phone: 281-592-8622 Fax: 281-592-8699 | |
Dona Nicole Coleman, Aprn, Fnp-c, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 N College Ave Ste 2001, Cleveland, TX 77327 Phone: 832-318-9800 | |
Health Center Of Southeast Texas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 N William Barnett Ave, Cleveland, TX 77327 Phone: 281-592-2224 Fax: 281-592-2225 | |
Prime Medic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 S College Ave, Cleveland, TX 77327 Phone: 281-592-8622 Fax: 281-592-8699 | |
Health Center Of Southeast Texas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 871 Cr 3549, Cleveland, TX 77327 Phone: 281-592-2224 | |
Memorial Rehab Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 N College Ave, Suite 1001, Cleveland, TX 77327 Phone: 281-592-2426 Fax: 281-593-0060 |