| Pampa Medical Group | |
|
3023 Perryton Pkwy Ste 101 Pampa TX 79065-2817 | |
| (806) 665-0801 | |
| Not Available |
| Full Name | Pampa Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3023 Perryton Pkwy Ste 101, Pampa, Texas |
| Authorized Official Name and Position | Twila Thomas (INTERIM CEO) |
| Authorized Official Contact | 8066635500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pampa Medical Group One Medical Plaza C/o Pampa Medical Group Pampa TX 79065-2814 Ph: (806) 663-5695 | Pampa Medical Group 3023 Perryton Pkwy Ste 101 Pampa TX 79065-2817 Ph: (806) 665-0801 |
| NPI Number | 1770716896 |
|---|---|
| Provider Enumeration Date | 08/25/2009 |
| Last Update Date | 11/03/2016 |
| Medicare PECOS PAC ID | 3375683436 |
|---|---|
| Medicare Enrollment ID | O20091221000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770716896 | NPI | - | NPPES |
| 210094301 | Medicaid | TX |
| Provider Name | Luke R Hinshaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720074859 PECOS PAC ID: 3173594819 Enrollment ID: I20040804001700 |
| Provider Name | Bobby W Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629012000 PECOS PAC ID: 7719983477 Enrollment ID: I20061020000122 |
| Provider Name | Rene P Grabato |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790851426 PECOS PAC ID: 4688718273 Enrollment ID: I20100220000073 |
| Provider Name | Laxmichand R Kamnani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598730897 PECOS PAC ID: 4183769870 Enrollment ID: I20100305000360 |
| Provider Name | Kevin D Sieck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639190770 PECOS PAC ID: 8628075447 Enrollment ID: I20100409000036 |
| Provider Name | Nirmala Kamnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801861117 PECOS PAC ID: 6204965486 Enrollment ID: I20100526000607 |
| Provider Name | Brenda S Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265574370 PECOS PAC ID: 3577744853 Enrollment ID: I20110218000763 |
| Provider Name | Stanley D Leffew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932406980 PECOS PAC ID: 3870770035 Enrollment ID: I20110615000877 |
| Provider Name | Philip S Gafford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275743502 PECOS PAC ID: 8628248291 Enrollment ID: I20130911000032 |
| Provider Name | Suzanne Presson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578605721 PECOS PAC ID: 9739404294 Enrollment ID: I20150205000154 |
| Provider Name | Vanessa Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568849362 PECOS PAC ID: 8224343108 Enrollment ID: I20150821012629 |
| Provider Name | Kaylynn Beth Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629598727 PECOS PAC ID: 2769740679 Enrollment ID: I20171226001604 |
| Provider Name | Kelvin Osagie Akhigbe |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952613051 PECOS PAC ID: 1254576630 Enrollment ID: I20191221000050 |
| Provider Name | Kristi Harden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275141194 PECOS PAC ID: 3072930445 Enrollment ID: I20200831001456 |
| Provider Name | Karla Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306421763 PECOS PAC ID: 5496163131 Enrollment ID: I20210420000172 |
| Provider Name | Tanner R Neuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386172815 PECOS PAC ID: 7214206218 Enrollment ID: I20211108000159 |
| Provider Name | Jessica Leigh Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649935057 PECOS PAC ID: 0244621878 Enrollment ID: I20211215001789 |
| Provider Name | Lashonda Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306563473 PECOS PAC ID: 7214306604 Enrollment ID: I20221206003426 |
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