| Imed Physician Network, Inc. | |
|
2700 W Pleasant Run Rd Ste 340 Lancaster TX 75146-1074 | |
| (972) 865-4454 | |
| (214) 888-4450 |
| Full Name | Imed Physician Network, Inc. |
|---|---|
| Speciality | Pain Medicine |
| Location | 2700 W Pleasant Run Rd Ste 340, Lancaster, Texas |
| Authorized Official Name and Position | Raji Kumar (CEO) |
| Authorized Official Contact | 9728654454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imed Physician Network, Inc. 2700 W Pleasant Run Rd Ste 340 Lancaster TX 75146-1074 Ph: (972) 865-4454 | Imed Physician Network, Inc. 2700 W Pleasant Run Rd Ste 340 Lancaster TX 75146-1074 Ph: (972) 865-4454 |
| NPI Number | 1063809465 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 12/29/2023 |
| Medicare PECOS PAC ID | 6608103155 |
|---|---|
| Medicare Enrollment ID | O20190807001189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063809465 | NPI | - | NPPES |
| Provider Name | Henry C Dees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659371375 PECOS PAC ID: 1254320930 Enrollment ID: I20040507001233 |
| Provider Name | Eugene Jonathan Wyszynski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760431845 PECOS PAC ID: 0143207100 Enrollment ID: I20040707000883 |
| Provider Name | Terry Douglas Madsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518071653 PECOS PAC ID: 0840250759 Enrollment ID: I20041014001139 |
| Provider Name | Gregg T Podleski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376596395 PECOS PAC ID: 7618968199 Enrollment ID: I20050420000766 |
| Provider Name | Marcus Newton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558353706 PECOS PAC ID: 4486698990 Enrollment ID: I20050615000825 |
| Provider Name | Jack M Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306924626 PECOS PAC ID: 5991731796 Enrollment ID: I20050713000400 |
| Provider Name | Michael Olaleye Olatunji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750303863 PECOS PAC ID: 3476585233 Enrollment ID: I20050901000456 |
| Provider Name | Francisco J Batlle |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720073786 PECOS PAC ID: 1850301102 Enrollment ID: I20060501000639 |
| Provider Name | Muhammad Zulqarnain |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1700813946 PECOS PAC ID: 0446256713 Enrollment ID: I20061010000087 |
| Provider Name | Peter Grays |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306868716 PECOS PAC ID: 9234028119 Enrollment ID: I20061121000097 |
| Provider Name | David A Slater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477526994 PECOS PAC ID: 2567462161 Enrollment ID: I20070104000441 |
| Provider Name | Raymond T Fulp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770585994 PECOS PAC ID: 1759370513 Enrollment ID: I20070709000433 |
| Provider Name | Alok Pratap Kushwaha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922039155 PECOS PAC ID: 3971512807 Enrollment ID: I20071022000308 |
| Provider Name | Ola Yinka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134167711 PECOS PAC ID: 5193790939 Enrollment ID: I20080118000455 |
| Provider Name | Martha L Santamaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174713754 PECOS PAC ID: 9931288768 Enrollment ID: I20080506000274 |
| Provider Name | Amir Malik |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801814520 PECOS PAC ID: 0840373759 Enrollment ID: I20081105000191 |
| Provider Name | David L Masel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417937426 PECOS PAC ID: 3476689456 Enrollment ID: I20100329000995 |
| Provider Name | Brian B Rogers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184828261 PECOS PAC ID: 7416089727 Enrollment ID: I20100722000573 |
| Provider Name | Joaquin Francisco Oronoz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447229166 PECOS PAC ID: 9739281411 Enrollment ID: I20100729000200 |
| Provider Name | Nicholaos C Bellos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962471128 PECOS PAC ID: 9133159627 Enrollment ID: I20100924000871 |
| Provider Name | Robert Earl Wolf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912974932 PECOS PAC ID: 8426116641 Enrollment ID: I20101023000291 |
| Provider Name | Gary L Pritchett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023122504 PECOS PAC ID: 1557336005 Enrollment ID: I20110429000139 |
| Provider Name | Eric R Naifeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386677094 PECOS PAC ID: 1052582665 Enrollment ID: I20110912000244 |
| Provider Name | Susan Chiusano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518213156 PECOS PAC ID: 8325295942 Enrollment ID: I20120904000166 |
| Provider Name | Chelsea L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740543628 PECOS PAC ID: 0143466961 Enrollment ID: I20130424000572 |
| Provider Name | Ravi S Mydur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215198163 PECOS PAC ID: 9638202328 Enrollment ID: I20130918000684 |
| Provider Name | Uchechukwu S Elendu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073858809 PECOS PAC ID: 4981834504 Enrollment ID: I20140227001217 |
| Provider Name | Kara A Bragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992061147 PECOS PAC ID: 6901039916 Enrollment ID: I20140428001663 |
| Provider Name | Nicole S Matysiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851529606 PECOS PAC ID: 6800019415 Enrollment ID: I20140529002284 |
| Provider Name | Ravindra Chandrashekhar |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1245422955 PECOS PAC ID: 6901985019 Enrollment ID: I20141003002012 |
| Provider Name | Scott A Moulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710040761 PECOS PAC ID: 7214954924 Enrollment ID: I20141007002635 |
| Provider Name | Dilip K Sengupta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184656282 PECOS PAC ID: 1355314725 Enrollment ID: I20141201000222 |
| Provider Name | John Rosell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972814648 PECOS PAC ID: 4284948605 Enrollment ID: I20150729009489 |
| Provider Name | Clementina A Ogwuma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952570954 PECOS PAC ID: 8628144169 Enrollment ID: I20160422001143 |
| Provider Name | Tewodros W Teketel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386070159 PECOS PAC ID: 6103045125 Enrollment ID: I20170109002747 |
| Provider Name | Aaron C Eubanks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144422726 PECOS PAC ID: 0446341564 Enrollment ID: I20170706001522 |
| Provider Name | Tenicia W Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396051132 PECOS PAC ID: 4587934328 Enrollment ID: I20170726003778 |
| Provider Name | Edward Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891115614 PECOS PAC ID: 0749556900 Enrollment ID: I20171017000447 |
| Provider Name | Ahsan T Ali |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396835963 PECOS PAC ID: 1254234446 Enrollment ID: I20171020001998 |
| Provider Name | Derek Walter Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467932202 PECOS PAC ID: 3577816917 Enrollment ID: I20181031003159 |
| Provider Name | Payam Rafat |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760584437 PECOS PAC ID: 2668444738 Enrollment ID: I20190215000001 |
| Provider Name | Gilbert Chad Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750389003 PECOS PAC ID: 3971766098 Enrollment ID: I20190823000371 |
| Provider Name | Kelsi N Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992263032 PECOS PAC ID: 8022442508 Enrollment ID: I20191217001766 |
| Provider Name | Carissa A Ainsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578108254 PECOS PAC ID: 7911331566 Enrollment ID: I20200107002150 |
| Provider Name | Tanya Nicole Mcclendon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437698537 PECOS PAC ID: 6305106691 Enrollment ID: I20200113000405 |
| Provider Name | Christopher R Blair |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821159351 PECOS PAC ID: 6305276833 Enrollment ID: I20200423001178 |
| Provider Name | Brenda Campos-ilesanmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740807304 PECOS PAC ID: 6305261405 Enrollment ID: I20200806002139 |
| Provider Name | Victoria Michelle Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831729193 PECOS PAC ID: 8921414889 Enrollment ID: I20210302000302 |
| Provider Name | Andria Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962020701 PECOS PAC ID: 0941605836 Enrollment ID: I20210816001100 |
| Provider Name | Saad Syed Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871930594 PECOS PAC ID: 8527323385 Enrollment ID: I20210903001633 |
| Provider Name | Stacey Lynne Ready |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891396586 PECOS PAC ID: 6305242710 Enrollment ID: I20210910000877 |
| Provider Name | Rachel John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699348805 PECOS PAC ID: 5799165403 Enrollment ID: I20220712000072 |
| Provider Name | Annabelle O Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871250191 PECOS PAC ID: 3476937798 Enrollment ID: I20220905000026 |
| Provider Name | Catana I Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912582610 PECOS PAC ID: 4880053024 Enrollment ID: I20230706000053 |
| Provider Name | Brittani M Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801501457 PECOS PAC ID: 9133574742 Enrollment ID: I20231017000146 |
| Provider Name | Abdul Rashid |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821288085 PECOS PAC ID: 3476724279 Enrollment ID: I20231017003963 |
| Provider Name | Kendra Denise Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003441460 PECOS PAC ID: 2264708593 Enrollment ID: I20231219004188 |
| Provider Name | Maria Del Pilar Ponce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962133058 PECOS PAC ID: 5799138707 Enrollment ID: I20240125004090 |
| Provider Name | Anam Azeem |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043501232 PECOS PAC ID: 9537586086 Enrollment ID: I20240618002486 |
| Provider Name | Nishant Bhatt |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1699972265 PECOS PAC ID: 8628351236 Enrollment ID: I20240723004695 |
| Provider Name | Heather Elizabeth Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003445644 PECOS PAC ID: 9830639376 Enrollment ID: I20240910004971 |
| Provider Name | Sabrina Mari Florez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134945173 PECOS PAC ID: 1052848678 Enrollment ID: I20241220001742 |
| Provider Name | Ahmad Abdul-rahim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497286405 PECOS PAC ID: 6103199591 Enrollment ID: I20250204002137 |
| Provider Name | Aubri Linn Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700621224 PECOS PAC ID: 8426575317 Enrollment ID: I20250505001545 |
Neuday Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 W Pleasant Run Rd Ste 104, Lancaster, TX 75146 Phone: 325-642-0073 Fax: 682-317-1553 | |
Austin I Ogwu, Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2505 W Belt Line Rd, Lancaster, TX 75146 Phone: 972-230-8290 Fax: 972-230-8274 | |
Texas Specialty Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2700 W Pleasant Run Rd, Lancaster, TX 75146 Phone: 888-871-1883 Fax: 888-900-4530 | |
Jennifer Weatherly, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3250 W Pleasant Run Rd, 160, Lancaster, TX 75146 Phone: 972-274-5200 Fax: 972-274-5217 | |
Crescent Lancaster Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 W Pleasant Run Road, Lancaster, TX 75149 Phone: 972-230-8888 | |
Dmi Healthcare Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 323 W Park Place Dr, Lancaster, TX 75134 Phone: 214-402-0282 Fax: 214-397-4600 |