Abilene/San Angelo - Blue Cross and Blue Shield of Texas

Transcription

Abilene/San Angelo - Blue Cross and Blue Shield of Texas
HMO Blue TexasSM
bmk_toc
Table of Contents
Independent Provider Network (IPN)
Primary Care Physicians ......................................................................................... 2
Specialists.............................................................................................................. 14
Supervised and Sponsored Providers ................................................................... 54
Hospitals ................................................................................................................ 58
Quest Diagnostics (Quest)..................................................................................... 59
Ancillary Providers ................................................................................................. 60
Listing of Providers ................................................................................................ 63
Behavioral Health Providers (including Chemical Dependency Providers) ................... 67
Behavioral Health Hospitals........................................................................................... 80
Index of Primary Care Providers.................................................................................... 81
Index of Specialists ........................................................................................................ 83
Search Criteria
Product Type:
Subregion:
Last Updated:
HMO
ABILENE
October 17, 2016
Limited Provider Networks
Your primary care physician is part of a provider network or association of health care professionals who work together to provide a full range of
health care services. That means, when you choose your primary care physician, you are also choosing a limited provider network and in most
instances, for services to be covered by your health care benefit plan, you are not allowed to receive services from any physician or health care
professional that is not also part of your primary care physician’s network. You will not be able to select any physician or provider outside of your
primary care physician’s network, even if that physician or provider is participating in HMO Blue Texassm. All of your care will be provided by or
arranged for within the limited provider network to which your primary care physician belongs, so make sure that your primary care physician’s
network includes the specialists and hospitals that you prefer.
ATTENTION FEMALE ENROLLEES: Choosing OB/GYN Services
In selecting your primary care physician, remember that your primary care physician’s network affects your choice of an OB/GYN. For preventive
care (well-woman exams), gynecological conditions, or maternity care, female members may see a network OB/GYN without first obtaining a
referral from their primary care physician. If you choose to select an OB/GYN, the OB/GYN you select must belong to the same limited provider
network as your primary care physician. This is another reason to make certain that your primary care physician’s network includes the specialists,
particularly the OB/GYN, and hospitals that you prefer. You are not required to select an OB/GYN; you may elect to receive your OB/GYN services
from your primary care physician.
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,
an Independent Licensee of the Blue Cross and Blue Shield Association
ABILENE
Independent Provider Network (IPN)
bmk_pin_pcp
OCTOBER 17, 2016
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
INDEPENDENT
O
ctober 17, 2016PROVIDER NETW ORK ( IPN)
ABILENE
FAMILY PRACTICE
Calvo, Raul N, MD
Gender: Male
PCP # 83807701
NPI: 1073501904
1150 N Eighth St Ste 300
J (325) 437-8615
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
Abilene
" Cooksey, Robbie J, DO
Abilene
J
Gender: Male
PCP # 8K190001
NPI: 1992701437
23 Hospital Dr
(325) 695-6370
!
PCP # 8FD89501
NPI: 1992701437
23 Hospital Dr
Ste 102
(325) 695-6370
!
PCP # 8DH18201
NPI: 1992701437
4009 Ridgemont Dr
(325) 232-8830
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Scenic Mountain Medical Center
Clinic Affiliation: Abilene Family Medical
Assoc, Abilene Primary Care Assoc PLLC
Participat, Affordacare
Board Certified Specialties: Family
Practice
" Crumbliss, Joseph H, MD
Abilene
Gender: Male
PCP # 8EU75601
NPI: 1962491829
1680 Antilley Rd
Ste 135
(325) 428-5540
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Joseph Howe Crumbliss
MD
Board Certified Specialties: Family
Practice
Hazelip, Sandra J, DO
Gender: Female
PCP # 8P657001
NPI: 1689637209
3101 S 27th St
J (325) 695-1289
Hospital Affiliation: Eastland Memorial
Hospital
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties: None
" Fullerton, Douglas B, MD
Abilene
J
Gender: Male
PCP # 8CZ50501
NPI: 1831253863
6300 Regional Plz
Ste 875
(325) 691-1899
Hospital Affiliation: Abilene Regional
Medical Center, Baylor Scott White Med
Garland
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties: Family
Practice
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
PCP # 8EP43901
NPI: 1164721809
6250 Regional Plz
Ste 1070
J (325) 428-5650
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties: Family
Practice
Holland, Gary M, MD
Gender: Male
PCP # 83806601
NPI: 1902895725
1150 N 18th St
Ste 300
J (325) 670-6373
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Purpura, James J, DO
Gender: Male
PCP # 8F898201
NPI: 1215926878
1665 Antilley Rd
Ste 200
J (325) 793-5290
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
Jordan, Donna M, DO
Gender: Female
! PCP # 0009GX01
NPI: 1518990464
23 Hospital Dr
Ste 100
J (325) 698-8500
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
Abilene
Randell, David J, DO
Gender: Male
PCP # 8CR53001
NPI: 1932198611
35 Windmill Cir
J (325) 698-4221
PCP # 8EK32001
NPI: 1932198611
4542 S 14th St
(325) 701-9961
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Family Medical
Clinic LLC, Abilene Physicians Group
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
Longley, David W, DO
Gender: Male
! PCP # 8FD81201
NPI: 1023014560
23 Hospital Dr
Ste 102
(325) 695-6370
PCP # 87265G01
NPI: 1023014560
23 Hospital Dr Ste 102
J (325) 695-6370
!
PCP # 8DH18303
NPI: 1023014560
3101 S 27th St
(325) 701-9270
!
PCP # 8DH18301
NPI: 1023014560
4009 Ridgemont Dr
(325) 232-8830
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Family Medical
Assoc, Abilene Primary Care Assoc PLLC
Participat, Affordacare
Board Certified Specialties: None
" Wray, John A, DO
Abilene
!
!
J
!
Gender: Male
PCP # 8FD80001
NPI: 1700882230
23 Hospital Dr
Ste 102
(325) 695-6370
PCP # 84Z21001
NPI: 1700882230
23 Hospital Dr Ste 102
(325) 695-6370
PCP # 8FR14501
NPI: 1700882230
3101 S 27th
(325) 704-5037
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Family Medical
Assoc, Abilene Primary Care Assoc PLLC,
Affordacare
Practice Information: No Patients Under 1
yrs old, No Patients Under 18 yrs old
Board Certified Specialties: Family
Practice
Abilene
Abilene
" Fosah, Henry M, MD
J
Abilene
Abilene
Abilene
Gender: Male
PCP # 8DJ86001
NPI: 1992935456
1210 N 18th St
(325) 670-5530
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Family
Practice
" Olivas, Luis, DO
Abilene
" Salvi, Sambhitab S, MD
Abilene
Gender: Male
PCP # 8DP02201
NPI: 1659302008
6250 Regional Plaza
Ste 1050
J (325) 428-5740
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties: Family
Practice
" Toro, Maria T, MD
Abilene
Gender: Female
# PCP # 8DJ50201
NPI: 1952591554
1665 Antilley Rd
Ste 210
(325) 793-5140
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Family
Practice
" Martin, Timothy S, MD
Abilene
Gender: Male
# PCP # 0064DP01
NPI: 1386716686
2110 N Willis St
Ste B
J (325) 232-8675
Hospital Affiliation: Hendrick Medical
Center
Board Certified Specialties: Family
Practice
Van Acht, Vincent L, MD
Gender: Male
PCP # 8EL65501
NPI: 1184919110
1665 Antilley Rd
Ste 200
J (325) 793-5237
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
" Nelson, Brian S, MD
Abilene
Gender: Male
PCP # 8FG05401
NPI: 1255499943
23 Hospital Dr
Ste 102
(325) 695-6370
PCP # 8GA12301
NPI: 1255499943
4009 Ridgemont Dr
(325) 232-8830
Clinic Affiliation: Abilene Family Medical
Assoc, Affordacare
Board Certified Specialties: Family
Practice
Wray, Thomas J, DO
Gender: Male
! PCP # 8FD90001
! PCP # 84Z20901
NPI: 1003812108
23 Hospital Dr
Ste 102
(325) 695-6370
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Family Medical
Assoc, Abilene Primary Care Assoc PLLC
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
Abilene
INTERNAL MEDICINE
" Cedeno Sanchez, Gibel S, MD
Abilene
Gender: Female
PCP # 8EU75701
NPI: 1730301615
1680 Antilley Rd
Ste 200
(325) 428-5630
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties: Internal
Medicine
" Creppy, Amy G, MD
Abilene
J
Gender: Female
PCP # 8EX31101
NPI: 1588973101
1850 Hickory St
Ste 105
(325) 704-2570
Clinic Affiliation: Totoe Medical Group
PLLC
Board Certified Specialties: Internal
Medicine
Daggubati, Subbarao, MD
Gender: Male
PCP # 00AD1801
NPI: 1538179916
1309 Hickory
J (325) 673-1322
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Board Certified Specialties: None
Abilene
" Edwards, Jeffrey, MD
Abilene
Gender: Male
PCP # 8FC75001
NPI: 1801152152
5302 Buffalo Gap Rd
Ste 104
(325) 307-6226
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Internal
Medicine
J - Wheelchair Access
2
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmki_pn_pcp
ALBANY
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Striegler, Robert L, MD
Gender: Male
PCP # 8BT43101
NPI: 1790864528
1904 Pine St
Ste 200
J (325) 670-5570
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: None
" Hudman II, Eugene V, MD
Abilene
ABILENE Cont
INTERNAL MEDICINE Cont
" Ferguson, Sarah B, MD
Abilene
Gender: Female
PCP # 8CA77801
NPI: 1366489908
1904 Pine St
Ste 200
(325) 670-5570
Hospital Affiliation: Hendrick Medical
Center, Rolling Plains Memorial Hospital
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Internal
Medicine
Gender: Male
PCP # 8CA33301
NPI: 1114922713
1904 Pine St
Ste 1E
(325) 670-6900
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Bopanna Muckatira MD
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Internal
Medicine
PCP # 87266G01
NPI: 1316946841
6200 Regional Plz
Ste 1450
J (325) 795-9288
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene International Med
Assoc, Abilene Primary Care Assoc PLLC
Participat
Board Certified Specialties: Internal
Medicine
Gao, Min, MD
Gender: Male
PCP # 8BT43201
NPI: 1134155005
1904 Pine St
Ste 200
J (325) 670-5570
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Abilene
J
" Headstream, Thomas L, MD
Abilene
Gender: Male
PCP # 83806101
NPI: 1053300863
1665 Antilley Rd
Ste 200
J (325) 793-5130
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Williams Jr, George T, MD
Abilene
Gender: Male
PCP # 8B818301
NPI: 1730275041
1904 Pine St
Ste 200
(325) 670-5570
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
J
OBSTETRICS-GYNECOLOGY
Sinclair, Jerry W, MD
Gender: Male
PCP # 8CF24701
NPI: 1255350211
1680 Antilley Rd
Ste 320
(325) 691-1122
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Jerry W Sinclair MD
Board Certified Specialties: None
Abilene
" Robinson Jr, Noel K, MD
Abilene
Gender: Male
PCP # 86Y90501
NPI: 1972592517
1150 N 18th St
Ste 300
(325) 670-6466
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Internal
Medicine
J
" Goodman, Samantha H, MD
Gender: Female
PCP # 8GA30201
NPI: 1154558781
1801 Hickory St
J (325) 704-5087
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 14
yrs old
Board Certified Specialties: Internal
Medicine
J
Robinson, Lynn M, MD
Gender: Female
# PCP # 8F898401
NPI: 1184613747
1665 Antilley Rd
Ste 120
J (325) 793-5148
Hospital Affiliation: Abilene Regional
Medical Center, Abilene Regional Medical
Center Snf, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 18
yrs old, No patients under 3 months
Board Certified Specialties: None
Abilene
PEDIATRICS
Adams, Jami A, MD
Gender: Female
PCP # 8AJ33601
NPI: 1457322109
6300 Regional Plz
Ste 250
(325) 695-1600
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Jami Adams MD
Board Certified Specialties: None
Niebelski, Andrzej L, MD
Gender: Male
PCP # 0079CA01
NPI: 1518923804
1680 Antilley Rd Ste 360
J (325) 795-1225
Hospital Affiliation: Abilene Regional
Medical Center
Board Certified Specialties: None
Abilene
Steadman, Brent M, MD
Gender: Male
PCP # 89383G01
NPI: 1821087461
1665 Antilley Rd
Ste 150
J (325) 437-5912
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
Abilene
ALBANY
FAMILY PRACTICE
" Gibson, Ray N, DO
Albany
Gender: Male
PCP # 8CL16101
NPI: 1750324836
450 Kenshalo St
(325) 762-3661
Hospital Affiliation: Stamford Memorial
Hospital
Clinic Affiliation: Shackelford County
Health Clinic
Board Certified Specialties: Family
Practice
Abilene
" Rosario Feliciano, Ralphie A, MD
Abilene
Gender: Male
PCP # 8X715601
NPI: 1013005875
1665 Antilley Rd
Ste 200
(325) 793-5223
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
J
Garcia Marrero, Hector M, MD
Gender: Male
PCP # 8EX64101
NPI: 1700040094
6300 Regional Plaza
Ste 650
(325) 692-5800
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
Abilene
Gender: Male
PCP # 8EX30801
NPI: 1336354331
1850 Hickory St
Ste 105
(325) 704-2570
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Totoe Medical Group
PLLC
Board Certified Specialties: Internal
Medicine
Abilene
!
Gender: Female
# PCP # 00F32J01
NPI: 1346259991
6250 Regional Plaza Ste 1030
J (325) 692-2777
Hospital Affiliation: Abilene Regional
Medical Center
Practice Information: No Patients Over 16
yrs old
Board Certified Specialties: Pediatrics
" Totoe, Robert A, MD
" Muckatira, Bopanna, MD
" Ganesh, Brian R, MD
" Garcia, Elvira, MD
Abilene
Abilene
Abilene
Abilene
Gender: Male
PCP # 8FF73701
NPI: 1316946841
6200 Regional Plaza
Ste 1450
(325) 795-9288
Abilene
Gender: Male
PCP # 8CQ96601
NPI: 1093718793
6250 Regional Plaza
Ste 1060
(325) 428-5660
Hospital Affiliation: Abilene Regional
Medical Center, Scenic Mountain Medical
Center
Clinic Affiliation: Abilene Physicians Group
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Internal
Medicine
Capra, Jay D, MD
Gender: Male
PCP # 89380G01
NPI: 1942298872
6300 Regional Plz
Ste 650
J (325) 692-5800
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Abilene
Ryali, Neelima D, MD
Gender: Female
PCP # 8DD85001
NPI: 1508874918
1904 Pine St
Ste 200
(325) 670-5570
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: None
Abilene
" Kincheloe, Albert M, DO
Albany
Gender: Male
PCP # 8S242207
NPI: 1306806039
725 Pate St
J (325) 762-2447
Hospital Affiliation: Abilene Regional
Medical Center, Stephens Memorial Hospital
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: Family
Practice
J - Wheelchair Access
3
ALBANY
Independent Provider Network (IPN)
bmk_pin_pcp
OCTOBER 17, 2016
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Morgan, Mark E, DO
Brady
ALBANY Cont
FAMILY PRACTICE Cont
McGee, Michael V, DO
Gender: Male
PCP # 0026EP01
NPI: 1912967621
725 Pate
J (325) 762-2447
Albany
PCP # 8FG04501
NPI: 1912967621
725 Pate St
(325) 762-2447
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
Albany
Paulk, Jo Anne C, DO
Gender: Female
PCP # 8CF46804
NPI: 1700848850
725 Pate St
(325) 762-2447
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
BAIRD
FAMILY PRACTICE
" Kincheloe, Albert M, DO
Baird
Gender: Male
# PCP # 8S242206
NPI: 1306806039
128 W Fourth St
J (325) 854-1365
Hospital Affiliation: Abilene Regional
Medical Center, Stephens Memorial Hospital
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: Family
Practice
Baird
FAMILY PRACTICE
" Gibson, Ray N, DO
Ans on
J
Gender: Male
PCP # 89204S01
NPI: 1750324836
215 Ave J
(325) 823-3209
Hospital Affiliation: Stamford Memorial
Hospital
Clinic Affiliation: Anson General ER
Physicians
Board Certified Specialties: Family
Practice
Kapu, Gopichand, MD
Gender: Male
PCP # 8AJ16901
PCP # 8F654501
NPI: 1891719357
215 N Ave J
J (325) 823-3296
(915) 823-3296
Hospital Affiliation: Anson General Hospital
Clinic Affiliation: Anson General ER
Physicians, Kapu Medical Clinic
Board Certified Specialties: None
Ans on
Ans on
McGee, Michael V, DO
Gender: Male
PCP # 8ED42401
NPI: 1912967621
215 N Ave J
(325) 823-3209
Clinic Affiliation: Anson General ER
Physicians
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
INTERNAL MEDICINE
" Perry, Cynthia A, MD
Brec kenridge
Gender: Female
PCP # 8CX33801
NPI: 1710093497
2802 W Walker St
(254) 559-7215
Hospital Affiliation: Stephens Memorial
Hospital
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: Internal
Medicine
" Mays, Jeffry P, MD
Gender: Male
PCP # 8B108001
NPI: 1942288857
2026 S Bridge St
J (325) 597-2901
Hospital Affiliation: Anson General
Hospital, Concho County Hospital, Heart Of
Texas Memorial Hospital, Kimble Hospital
Clinic Affiliation: Heart of Texas Medical
Assoc PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Perry, Cynthia A, MD
Gender: Female
PCP # 8CX33804
NPI: 1710093497
128 W Fourth St
(325) 854-1365
Hospital Affiliation: Stephens Memorial
Hospital
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: Internal
Medicine
BROWNWOOD
FAMILY PRACTICE
Cox, Tamara M, MD
Gender: Female
PCP # 8DS15401
NPI: 1558359976
125 S Park Dr
Ste D
(325) 641-2500
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
Brownwood
BRECKENRIDGE
BALLINGER
FAMILY PRACTICE
FAMILY PRACTICE
" Adegbesan, Susan, MD
Breckenridge
Gender: Female
PCP # 8FU83201
NPI: 1184989642
101 S Hartford St
(254) 559-3363
Hospital Affiliation: Stephens Memorial
Hospital
Clinic Affiliation: Breckenridge Medical
Center
Board Certified Specialties: Family
Practice
" Burns, Eldridge G, MD
Ballinger
Gender: Male
PCP # 8CX93801
NPI: 1295872943
2001 Hutchings Ave
Ste C
J (325) 365-5737
Hospital Affiliation: Ballinger Memorial
Hospital
Clinic Affiliation: Ballinger Memorial
Hospital District
Board Certified Specialties: Family
Practice
Maples, Larry L, DO
Gender: Male
PCP # 8FH20601
NPI: 1033166616
101 S Hartford
J (254) 559-3363
Hospital Affiliation: Eastland Memorial
Hospital, Stephens Memorial Hospital
Clinic Affiliation: Breckenridge Medical
Center
Board Certified Specialties: None
Breckenridge
BRADY
FAMILY PRACTICE
Brady
PCP # 8FJ72601
NPI: 1700956539
207 S Geneva
(254) 559-2221
Hospital Affiliation: Stephens Memorial
Hospital
Clinic Affiliation: Stephens Memorial
Hospital, Stephens Memorial Hospital Physic
Board Certified Specialties: Family
Practice
Brady
Baird
" Perry, Cynthia A, MD
Gender: Male
# PCP # 8M613401
NPI: 1700956539
200 S Geneva St
(254) 559-2221
INTERNAL MEDICINE
INTERNAL MEDICINE
Albany
ANSON
Vickers, Lonnie L, MD
Gender: Male
PCP # 8G729001
NPI: 1356327704
2010 Nine Rd
J (325) 597-2114
Hospital Affiliation: Heart Of Texas
Memorial Hospital
Clinic Affiliation: Heart of Texas Memorial
Hospital
Board Certified Specialties: None
" Prater Jr, William E, MD
Brec kenridge
Brady
McGee, Michael V, DO
Gender: Male
PCP # 8FG04502
NPI: 1912967621
128 W Fourth St
(325) 854-1365
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
INTERNAL MEDICINE
Gender: Female
PCP # 8CX33803
NPI: 1710093497
725 Pate St
(325) 762-2447
Hospital Affiliation: Stephens Memorial
Hospital
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: Internal
Medicine
Gender: Male
PCP # 8FP81101
NPI: 1457640526
2010 Nine Rd
(325) 597-2114
Clinic Affiliation: Heart of Texas Memorial
Hospital
Board Certified Specialties: Family
Practice
Castro, Pedro, DO
Gender: Male
PCP # 8CK02802
NPI: 1700862166
2010 Nine Rd
(325) 597-0102
Hospital Affiliation: Concho County
Hospital
Clinic Affiliation: Frontera Healthcare
Network
Board Certified Specialties: None
McGee, Michael V, DO
Gender: Male
PCP # 8FG04503
NPI: 1912967621
2802 W Walker St
(254) 559-7215
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
Breckenridge
McDonough, Frederick C, DO
Gender: Male
PCP # 8CE75001
NPI: 1780677179
2010 Nine Rd
J (325) 597-2114
Hospital Affiliation: Heart Of Texas
Memorial Hospital, Tmc Bonham Hospital
Clinic Affiliation: Heart of Texas Memorial
Hospital
Board Certified Specialties: None
Brady
Paulk, Jo Anne C, DO
Gender: Female
PCP # 8CF46805
NPI: 1700848850
2802 W Walker St
(254) 559-7215
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
Breckenridge
Dickey, Stephen H, DO
Gender: Male
PCP # 88022Y04
NPI: 1407863939
104 S Park Dr
J (325) 646-0704
Brownwood
J
PCP # 88022Y03
NPI: 1407863939
3804 Hwy 377 S
(325) 643-5167
Hospital Affiliation: Comanche County
Medical Ctr
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
" Livingston, Ronald P, DO
Brownwood
Gender: Male
# PCP # 8H430003
NPI: 1487870655
3804 Hwy 377 S S
J (325) 643-5167
Hospital Affiliation: Comanche County
Medical Ctr
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: Family
Practice
Malla, Sunitha, MD
Gender: Female
# PCP # 8EP95204
NPI: 1346534302
104 S Park Dr
J (325) 646-0704
Brownwood
# PCP # 8EP95203
NPI: 1346534302
3804 Hwy 377 S
J (325) 643-5167
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
J - Wheelchair Access
4
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmki_pn_pcp
DE LEON
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Paulk, Jo Anne C, DO
Gender: Female
PCP # 8CF46801
NPI: 1700848850
301 S Main St
(254) 725-4311
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
Cros s Plains
BROWNWOOD Cont
FAMILY PRACTICE Cont
Odell Sr, David M, MD
Gender: Male
PCP # 8EW72303
NPI: 1366611261
104 S Park Dr
J (325) 646-0704
Brownwood
# PCP # 8EW72301
NPI: 1366611261
3804 Hwy 377 S
J (325) 643-5167
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
CISCO
FAMILY PRACTICE
Cisco
Atudonyang, Nicholas O, MD
Gender: Male
PCP # 8FE65001
NPI: 1063738474
707 Conrad Hilton Blvd
(254) 761-5909
Hospital Affiliation: Tx Hlth Presbyterian
Hosp Allen
Clinic Affiliation: Affinity Family Health
PLLC
Board Certified Specialties: None
COLEMAN
FAMILY PRACTICE
FAMILY PRACTICE
" Atwood, Darron T, MD
Byrd, Richard W, MD
Gender: Male
PCP # 00QV1701
NPI: 1538108147
201 Valley Forge
J (325) 356-5595
Hospital Affiliation: Comanche County
Medical Ctr
Board Certified Specialties: None
Coleman
Comanc he
Gender: Male
!# PCP # 8AW35101
NPI: 1265481113
310 S Pecos St Fl 2
J (325) 625-3533
Hospital Affiliation: Coleman County
Medical Center
Clinic Affiliation: Darron T Atwood MD
Board Certified Specialties: Family
Practice
" Davis, Garry T, DO
Comanc he
" Reynolds, J Paul, MD
Gender: Male
!# PCP # 8BF21401
NPI: 1255335782
310 S Pecos St
Fl 2
J (325) 625-3533
Hospital Affiliation: Coleman County
Medical Center
Clinic Affiliation: J Paul Reynolds MD
Board Certified Specialties: Family
Practice
" Donham, Guyle P, DO
Gender: Male
# PCP # 8U350101
NPI: 1659386001
10201 Hwy 16
J (254) 879-4910
Hospital Affiliation: Comanche County
Medical Ctr
Clinic Affiliation: Doctors Medical Center
Board Certified Specialties: Family
Practice
COLORADO CITY
" Roach, Dee A, MD
Colorado City
J
Gender: Male
PCP # 00QE4101
NPI: 1275542854
997 W I 20
(325) 728-2693
" Miller, Dwayne C, MD
Comanc he
Clyde
Clyde
McGee, Michael V, DO
Gender: Male
PCP # 8FG04504
NPI: 1912967621
1712 N Access Rd
(325) 893-4010
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
Paulk, Jo Anne C, DO
Gender: Female
PCP # 8CF46803
NPI: 1700848850
1712 N Access Rd
(254) 725-4311
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
INTERNAL MEDICINE
" Perry, Cynthia A, MD
Clyde
J
PCP # 87T82101
NPI: 1275542854
997 W Interstate 20
(325) 728-2693
Hospital Affiliation: Mitchell County
Hospital District
Clinic Affiliation: Family Medical Assoc
Board Certified Specialties: Family
Practice
J
Scott, Joseph D, MD
Gender: Male
PCP # 00PH5301
NPI: 1063421428
997 W I 20
J (325) 728-2693
Colorado City
CROSS PLAINS
FAMILY PRACTICE
" Kincheloe, Albert M, DO
Cross Plains
J
PCP # 87T82301
NPI: 1063421428
997 W Interstate 20
(325) 728-2693
Hospital Affiliation: Mitchell County
Hospital District
Clinic Affiliation: Family Medical Assoc
Board Certified Specialties: None
Gender: Male
# PCP # 8S242203
NPI: 1306806039
200 N Main St
J (254) 725-4311
PCP # 8S242205
NPI: 1306806039
301 S Main St
(254) 725-4311
Hospital Affiliation: Abilene Regional
Medical Center, Stephens Memorial Hospital
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: Family
Practice
" Sherwood, Brent W, MD
Colorado City
J
Gender: Male
PCP # 8DY13101
NPI: 1366540197
997 W Interstate 20
(325) 728-2693
Hospital Affiliation: Baptist St Anthonys
Health System, Memorial Hospital, Mitchell
County Hospital District
Clinic Affiliation: Family Medical Assoc
Board Certified Specialties: Family
Practice
McGee, Michael V, DO
Gender: Male
PCP # 8FG04505
NPI: 1912967621
301 S Main St
(254) 725-4311
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
Cross Plains
Gender: Female
PCP # 8CX33802
NPI: 1710093497
1712 N Access Rd
(254) 559-7215
Hospital Affiliation: Stephens Memorial
Hospital
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: Internal
Medicine
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
PCP # 8AJ44301
PCP # 8F283401
NPI: 1316957574
10201 Hwy 16
(254) 879-4910
Hospital Affiliation: Comanche County
Medical Ctr
Clinic Affiliation: Doctors Medical Center,
Dwayne C Miller MD
Board Certified Specialties: Family
Practice
!
!
Clyde
Gender: Male
# PCP # 8S242201
NPI: 1306806039
1712 N Access Rd
J (325) 762-2447
(325) 893-4010
Hospital Affiliation: Abilene Regional
Medical Center, Stephens Memorial Hospital
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: Family
Practice
" Perry, Cynthia A, MD
Cros s Plains
Gender: Female
PCP # 8CX33805
NPI: 1710093497
301 S Main St
(254) 725-4311
Hospital Affiliation: Stephens Memorial
Hospital
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: Internal
Medicine
Comanc he
FAMILY PRACTICE
FAMILY PRACTICE
INTERNAL MEDICINE
Gender: Male
PCP # 8F283601
NPI: 1699748434
10201 Hwy 16
(254) 879-4910
Hospital Affiliation: Comanche County
Medical Ctr, Fisher County Hospital District
Clinic Affiliation: Doctors Medical Center
Board Certified Specialties: Family
Practice
Coleman
CLYDE
" Kincheloe, Albert M, DO
COMANCHE
DE LEON
FAMILY PRACTICE
Dickey, Stephen H, DO
Gender: Male
PCP # 88022Y01
NPI: 1407863939
1100 W Reynosa
J (254) 893-5895
Hospital Affiliation: Comanche County
Medical Ctr
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
De Leon
" Livingston, Ronald P, DO
De Leon
Gender: Male
# PCP # 8H430001
NPI: 1487870655
1100 W Reynosa Ave
J (254) 893-5895
Hospital Affiliation: Comanche County
Medical Ctr
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: Family
Practice
Malla, Sunitha, MD
Gender: Female
# PCP # 8EP95202
NPI: 1346534302
1100 W Reynonsa Ave
J (254) 893-5895
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
De Leon
Odell Sr, David M, MD
Gender: Male
PCP # 8EW72304
NPI: 1366611261
1100 W Reynosa St
J (254) 893-5895
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
De Leon
J - Wheelchair Access
5
DEL RIO
Independent Provider Network (IPN)
bmk_pin_pcp
OCTOBER 17, 2016
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
PEDIATRICS
Mani, Palani S, MD
Gender: Male
PCP # 8AC19401
NPI: 1063474609
2209 N Bedell Ave
J (830) 774-4363
Hospital Affiliation: Anson General
Hospital, Crane Memorial Hospital, Hereford
Regional Medical Center, Ward Memorial
Hospital
Clinic Affiliation: United Medical Centers
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Del Rio
DEL RIO
FAMILY PRACTICE
Cadena, Veronica G, MD
Gender: Female
PCP # 8BG73101
NPI: 1255335592
2201 N Bedell Ave Ste A
J (830) 775-8700
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Cadena Family Practice
PLLC
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
Del Rio
Cadena Jr, Antonio, MD
Gender: Male
PCP # 8BG73001
NPI: 1962404004
2201 N Bedell Ave Ste A
J (830) 775-8700
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Cadena Family Practice
PLLC
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
Del Rio
Gutierrez, Jaime J, MD
Gender: Male
# PCP # 8DJ96901
NPI: 1922155506
612 N Bedell Ave
Ste A
J (830) 775-1166
Hospital Affiliation: Heart Of Texas
Memorial Hospital, Val Verde Regional
Medical Center
Clinic Affiliation: South Texas Urgent Care
Center of
Board Certified Specialties: None
Del Rio
Haverlah, Gene V, MD
Gender: Male
# PCP # 87449001
NPI: 1689738973
913 S Main St
J (830) 774-5534
Clinic Affiliation: United Medical Centers
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Del Rio
" Kempf, Melissa M, MD
Del Rio
Gender: Female
PCP # 8FB43604
NPI: 1568541043
1011 E Seventh St
(830) 775-8513
Hospital Affiliation: Northeast Baptist
Hospital
Clinic Affiliation: Ascend Family and
Wellness
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties: Family
Practice
" Laing III, Aurelio, MD
Martinez, Angel, MD
Gender: Male
# PCP # 85M92901
NPI: 1821085176
913 S Main St
J (830) 774-4363
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: United Medical Centers
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
J
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Nodar, Jose A, MD
Gender: Male
PCP # 8FU17501
NPI: 1871549618
1200 N Bedell Ave
(830) 774-2394
Del Rio
Del Rio
PCP # 8FV86701
NPI: 1871549618
1801 N Bedell
(830) 768-9200
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Val Verde Health Clinic,
Val Verde Hospital Corporation
Board Certified Specialties: None
Reifle, Sheila R, MD
Gender: Female
PCP # 8FM23603
NPI: 1699984146
1011 E Seventh St
(830) 775-8513
Clinic Affiliation: Ascend Family and
Wellness
Board Certified Specialties: None
Del Rio
Olaya, Jorge E, MD
Gender: Male
PCP # 8EA09101
PCP # 8FV74801
NPI: 1578753729
1801 N Bedell
J (830) 768-9200
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Val Verde Health Clinic,
Val Verde Hospital Corporation
Board Certified Specialties: None
Del Rio
GENERAL PRACTICE
Galindo III, Conrado G, MD
Gender: Male
PCP # 82Z03001
NPI: 1083668818
1300 N Bedell Ave
J (830) 775-0512
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Galindo III Conrado MD
Board Certified Specialties: None
Del Rio
DUBLIN
FAMILY PRACTICE
" Hutchins, Jeffrey C, DO
Dublin
Stogryn, Ronald S, MD
Gender: Male
PCP # 8FR67503
NPI: 1952548133
1011 E Seventh St
(830) 775-8513
Hospital Affiliation: Baptist Health System
Clinic Affiliation: Ascend Family and
Wellness
Board Certified Specialties: None
Del Rio
Gender: Male
# PCP # 8B445001
NPI: 1265483366
305 N Patrick St
J (254) 445-4900
Hospital Affiliation: Comanche County
Medical Ctr, Hamilton General Hospital, Tx
Hlth Harris Methodist Erath Co, Tx Hlth
Harris Methodist Hosp
Clinic Affiliation: Dublin Family Medicine
Board Certified Specialties: Family
Practice
INTERNAL MEDICINE
" Ramamurthy, Hariharan, MD
Del Rio
EASTLAND
Gender: Male
PCP # 8EN24701
NPI: 1942316765
913 S Main St
(830) 774-5534
Clinic Affiliation: United Medical Centers
Board Certified Specialties: Internal
Medicine
Del Rio
Gender: Male
PCP # 8CD68201
NPI: 1740312867
913 S Main St
(830) 774-5534
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: United Medical Centers
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Family
Practice
Faz, Cesar H, MD
Gender: Male
! PCP # 8P604401
NPI: 1215007224
109 W Martin St
(830) 778-5439
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Frontera Pediatrics PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
Del Rio
FAMILY PRACTICE
" Brudnak, Daniel M, MD
Eastland
Gender: Male
PCP # 8CN60802
NPI: 1396704136
1004 W Main St
J (254) 631-0111
Hospital Affiliation: Eastland Memorial
Hospital
Clinic Affiliation: Daniel M Brudnak MD
Faafp PA
Board Certified Specialties: Family
Practice
OBSTETRICS-GYNECOLOGY
Astudillo, Gerardo, MD
Gender: Male
PCP # 8G580301
NPI: 1588711295
1117 W De La Rosa St
J (830) 768-4800
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: United Medical Centers
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
Del Rio
" Cunningham, Kevin R, DO
Eastland
Gender: Male
PCP # 8J526201
NPI: 1114054673
400 W Plummer
J (254) 629-1744
Hospital Affiliation: Eastland Memorial
Hospital
Clinic Affiliation: B & W Healthcare Assoc
PA
Board Certified Specialties: Family
Practice
!
Mickish, Alan B, MD
Gender: Male
! PCP # 8J526301
NPI: 1215045240
400 W Plummer
J (254) 629-1744
Hospital Affiliation: Baylor Medical Center
At Irving, Eastland Memorial Hospital
Clinic Affiliation: B & W Healthcare Assoc
PA
Board Certified Specialties: None
Eastland
EDEN
FAMILY PRACTICE
Eden
Castro, Pedro, DO
Gender: Male
PCP # 8CK02801
NPI: 1700862166
551 Eaker St
(325) 869-8811
Hospital Affiliation: Concho County
Hospital
Clinic Affiliation: Frontera Healthcare
Network
Board Certified Specialties: None
Sloan, Randall L, DO
Gender: Male
PCP # 8DK79101
NPI: 1437111887
551 Eaker St
J (915) 869-4221
Hospital Affiliation: Concho County
Hospital, Medina Regional Hospital, Rolling
Plains Memorial Hospital, Stephens
Memorial Hospital
Clinic Affiliation: Frontera Healthcare
Network
Board Certified Specialties: None
Eden
ELDORADO
FAMILY PRACTICE
Burt, Selina A, DO
Gender: Female
PCP # 8DR93401
NPI: 1942511159
100 N US Hwy 277
J (325) 853-3137
Hospital Affiliation: Schleicher County
Medical Center
Clinic Affiliation: Preferrd Hospital Leas
Eldorado
Board Certified Specialties: None
Eldorado
Day, Walter G, MD
Gender: Male
PCP # 8U591002
NPI: 1942239207
100 N US Hwy 277
J (325) 853-3137
Hospital Affiliation: San Angelo Community
Medical Center, Schleicher County Medical
Center
Clinic Affiliation: Preferrd Hospital Leas
Eldorado
Board Certified Specialties: None
Eldorado
!
GOLDTHWAITE
FAMILY PRACTICE
Craig, William S, MD
Gender: Male
PCP # 8R983503
NPI: 1417132192
1501 W Front St
J (325) 648-2850
Hospital Affiliation: Hamilton General
Hospital
Clinic Affiliation: Hamilton General Hospital
Board Certified Specialties: None
Goldthwaite
J - Wheelchair Access
6
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmki_pn_pcp
MERKEL
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
GOLDTHWAITE Cont
GORDON
HAMLIN
GENERAL PRACTICE
McSmith Jr, William D, DO
Gender: Male
PCP # 8DB06101
NPI: 1225060395
1400 S First
(940) 864-8513
Hospital Affiliation: Haskell Memorial
Hospital, Stonewall Memorial Hospital
Clinic Affiliation: Haskell Memorial Hospital
Board Certified Specialties: None
Haskell
FAMILY PRACTICE Cont
" Horne, Monte H, MD
Goldthwaite
FAMILY PRACTICE
" Evans Jr, Edmond C, DO
" Johnson, Charles F, MD
Gender: Male
PCP # 8CW35202
NPI: 1902132988
1501 W Front St
(325) 648-2850
Hospital Affiliation: Hamilton General
Hospital
Clinic Affiliation: Hamilton General Hospital
Board Certified Specialties: Family
Practice
" Rudolph, Timothy N, MD
Gender: Male
# PCP # 8R983401
NPI: 1982777975
1501 Front St
J (325) 648-2850
Hospital Affiliation: Hamilton General
Hospital
Clinic Affiliation: Hamilton General Hospital
Board Certified Specialties: Family
Practice
" Stegemoller, Kristen L, MD
Goldthwaite
Gender: Female
# PCP # 8DE02101
NPI: 1992038400
1501 W Front St
J (325) 648-2850
Hospital Affiliation: Hamilton General
Hospital
Clinic Affiliation: Hamilton General Hospital
Board Certified Specialties: Family
Practice
Wuenschel, Diedra D, DO
Gender: Female
PCP # 8CX44902
NPI: 1902105471
1510 Hannah Valley Rd
(325) 648-2263
Hospital Affiliation: Coryell Memorial
Hospital
Clinic Affiliation: Coryell Memorial Hospital
HBP
Board Certified Specialties: None
Goldthwaite
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
J
PCP # 8FM85101
NPI: 1164426086
350 NW Ave F
(325) 576-3611
Hospital Affiliation: Hamlin Memorial
Hospital
Clinic Affiliation: Hamlin Medical Clinic
Board Certified Specialties: Family
Practice
FAMILY PRACTICE
GENERAL PRACTICE
" Brudnak, Daniel M, MD
Gorman
J
Hamlin
Gender: Male
PCP # 8CN60801
NPI: 1396704136
115 S Kent St
(254) 734-4254
Hospital Affiliation: Eastland Memorial
Hospital
Clinic Affiliation: Daniel M Brudnak MD
Faafp PA
Board Certified Specialties: Family
Practice
FAMILY PRACTICE
FAMILY PRACTICE
Cadenhead, Charles W, MD
Gender: Male
PCP # 0049RE01
NPI: 1174531735
1417 N First St
J (940) 864-2636
Hospital Affiliation: Haskell Memorial
Hospital
Practice Information: No Obstetrics
Board Certified Specialties: None
" Gilbertson, Jeffrey K, MD
Gender: Male
PCP # 8BF04901
NPI: 1134122724
1804 State Hwy 16 S
(940) 549-0039
Hospital Affiliation: Graham Regional
Medical Center
Clinic Affiliation: Jeffrey K Gilbertson MD
Board Certified Specialties: Family
Practice
FAMILY PRACTICE
Martinez, Alberto N, MD
Gender: Male
PCP # 00GF6401
NPI: 1114923331
509 College
J (325) 446-3999
Junc tion
PCP # 8AV04201
NPI: 1114923331
509 College St
(325) 446-3999
Hospital Affiliation: Kimble Hospital
Clinic Affiliation: Frontera Healthcare
Network
Board Certified Specialties: None
MASON
FAMILY PRACTICE
" Horne, Monte H, MD
Mason
Gender: Male
PCP # 8EL00901
NPI: 1184613473
216 E College St
(325) 347-5926
Hospital Affiliation: Hamilton General
Hospital
Clinic Affiliation: Frontera Healthcare
Network
Practice Information: Clinic charge will
apply; may increase your costs
Board Certified Specialties: Family
Practice
" Ebangit, Ruth, MD
Hask ell
Gender: Female
PCP # 8FA58301
NPI: 1902198880
1400 S First St
(940) 864-8513
Hospital Affiliation: Haskell Memorial
Hospital
Clinic Affiliation: Haskell Memorial Hospital
Board Certified Specialties: Family
Practice
" Shepherd, Brent H, MD
Graham
Gender: Male
PCP # 8FV77101
NPI: 1164687620
618 Oak St
(940) 549-6953
Hospital Affiliation: Faith Community
Hospital
Clinic Affiliation: Brazos Family Clinic
Board Certified Specialties: Family
Practice
Joplin, Leon D, DO
Gender: Male
PCP # 8FP60101
NPI: 1588601926
1400 S First
J (940) 207-1929
Hospital Affiliation: Anson General
Hospital, Lamb Healthcare Center, Plains
Memorial Hospital, Stamford Memorial
Hospital
Clinic Affiliation: Haskell Memorial Hospital
Board Certified Specialties: None
Hask ell
OBSTETRICS-GYNECOLOGY
" Cawley, James E, MD
Graham
J
JUNCTION
Hask ell
Graham
J
Sunkavalli, Krishna, MD
Gender: Male
PCP # 8FM23701
NPI: 1689666356
350 NW Ave F
(325) 576-3611
Hospital Affiliation: Hamlin Memorial
Hospital, Rolling Plains Memorial Hospital
Clinic Affiliation: Hamlin Medical Clinic
Board Certified Specialties: None
HASKELL
GRAHAM
Goldthwaite
Goldthwaite
Gender: Male
PCP # 0091JA01
NPI: 1164426086
350 N W Ave F
(325) 576-3611
GORMAN
" Lee, James R, MD
Lengefeld, Robbye K, MD
Gender: Female
PCP # 8R983103
NPI: 1659360949
1501 W Front St
J (325) 648-2850
Hospital Affiliation: Hamilton General
Hospital
Clinic Affiliation: Hamilton General Hospital
Board Certified Specialties: None
Hamlin
Gender: Male
PCP # 8U949001
NPI: 1275561540
118 S Main St
(254) 693-5211
Hospital Affiliation: Palo Pinto General
Hospital
Clinic Affiliation: Palo Pinto County
Hospital District
Board Certified Specialties: Family
Practice
Goldthwaite
Gender: Male
PCP # 82X02303
NPI: 1982695797
1501 W Front St
J (325) 648-2850
Hospital Affiliation: Goodall-Witcher
Hospital Auth, Hamilton General Hospital
Clinic Affiliation: Hamilton General Hospital
Board Certified Specialties: Family
Practice
" White, Chad L, MD
Gordon
Gender: Male
PCP # 8R983203
NPI: 1184613473
1501 W Front St
J (325) 648-2850
Hospital Affiliation: Hamilton General
Hospital
Clinic Affiliation: Hamilton General Hospital
Practice Information: Clinic charge will
apply; may increase your costs
Board Certified Specialties: Family
Practice
Goldthwaite
FAMILY PRACTICE
Gender: Male
PCP # 00DA9001
NPI: 1942265871
820 Montgomery Rd
Ste 203
(940) 549-8505
Hospital Affiliation: Faith Community
Hospital, Graham Regional Medical Center,
Hamilton Hospital, Stephens Memorial
Hospital
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
McSmith Jr, William D, DO
Gender: Male
PCP # 00DP6101
NPI: 1225060395
1400 S First
J (940) 864-8513
Hospital Affiliation: Haskell Memorial
Hospital, Stonewall Memorial Hospital
Board Certified Specialties: None
Hask ell
MERKEL
FAMILY PRACTICE
" Kincheloe, Albert M, DO
Merkel
Gender: Male
PCP # 8S242208
NPI: 1306806039
217 Edwards St
J (325) 928-0014
Hospital Affiliation: Abilene Regional
Medical Center, Stephens Memorial Hospital
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: Family
Practice
McGee, Michael V, DO
Gender: Male
PCP # 0026EP02
NPI: 1912967621
217 Edwards
J (325) 928-0014
Merkel
PCP # 8FG04506
NPI: 1912967621
217 Edwards St
(325) 928-0014
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
J - Wheelchair Access
7
MERKEL
Independent Provider Network (IPN)
bmk_pin_pcp
OCTOBER 17, 2016
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Conner, Byron F, MD
" Ramsey, Alice L, MD
Mineral Wells
MERKEL Cont
FAMILY PRACTICE Cont
Merkel
Paulk, Jo Anne C, DO
Gender: Female
PCP # 8CF46806
NPI: 1700848850
217 Edward St
(325) 928-0014
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
Gender: Male
PCP # 8U949005
NPI: 1275561540
202 Southwest 25th Ave
Ste 300
(940) 328-6524
" Perry, Cynthia A, MD
Merkel
" Anderson, Luke R, MD
Mineral Wells
Gender: Male
# PCP # 8FT45901
NPI: 1083972939
202 Southwest 25th Ave
Ste 300
(940) 328-6521
Hospital Affiliation: Palo Pinto General
Hospital, Stephens Memorial Hospital
Clinic Affiliation: Palo Pinto County
Hospital District
Board Certified Specialties: Family
Practice
" Ashitey, Sarah O, MD
Mineral Wells
Gender: Female
# PCP # 8FT56401
NPI: 1851681456
202 Southwest 25th Ave
Ste 300
(940) 328-6521
Hospital Affiliation: Palo Pinto General
Hospital
Clinic Affiliation: Palo Pinto County
Hospital District
Board Certified Specialties: Family
Practice
" Bailey, Michael L, DO
Mineral Wells
J
Gender: Male
PCP # 8BW96901
NPI: 1215931639
202 Southwest 25th Ave Ste 1200
(940) 325-3706
Hospital Affiliation: Coleman County
Medical Center, Palo Pinto General Hospital,
Tx Hlth Harris Methodist Hosp, Tx Hlth Harris
Methodist Hosp Fw, Weatherford Regional
Med Ctr
Clinic Affiliation: Michael L Bailey DO
Board Certified Specialties: Family
Practice
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Mankins, Mark L, MD
Olney
Gender: Male
PCP # 8R970001
NPI: 1952416158
100 S Ave M
(940) 564-3546
Hospital Affiliation: Hamilton Hospital
Clinic Affiliation: Hamilton Hospital District
Board Certified Specialties: Family
Practice
J
" Purdy, Aaron G, MD
Olney
Gender: Male
PCP # 8CQ94101
NPI: 1750567228
306 W Main St
(940) 564-3546
Hospital Affiliation: Hamilton Hospital
Clinic Affiliation: Hamilton Hospital District
Board Certified Specialties: Family
Practice
INTERNAL MEDICINE
Tarkenton, Tom A, DO
Gender: Male
PCP # 80780Y01
NPI: 1306824651
220 Southwest 26th Ave Ste A
J (940) 325-1543
Hospital Affiliation: Graham Regional
Medical Center, Palo Pinto General Hospital,
Weatherford Regional Med Ctr
Clinic Affiliation: The Medical Pavillion PC
Board Certified Specialties: None
Mineral Wells
PCP # 8U949006
NPI: 1275561540
400 Southwest 25th Ave
(940) 325-7891
Hospital Affiliation: Palo Pinto General
Hospital
Clinic Affiliation: Palo Pinto County
Hospital District
Board Certified Specialties: Family
Practice
INTERNAL MEDICINE
MINERAL WELLS
Ramsey, David B, MD
Gender: Male
PCP # 00FB6001
NPI: 1811995145
214 Southwest 26th Ave
Ste E
J (940) 325-9485
Board Certified Specialties: None
Mineral Wells
" Evans Jr, Edmond C, DO
Tran, Thuy D, MD
Gender: Male
# PCP # 00FC5501
NPI: 1003988148
604 Ash St
J (325) 928-5318
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Board Certified Specialties: None
FAMILY PRACTICE
Gender: Female
PCP # 0002DP01
NPI: 1235137662
214 Southwest 26th Ave Ste D
J (940) 325-9485
Hospital Affiliation: Palo Pinto General
Hospital
Board Certified Specialties: Family
Practice
Mineral Wells
Merkel
Gender: Female
PCP # 8CX33806
NPI: 1710093497
217 Edwards St
(325) 928-0014
Hospital Affiliation: Stephens Memorial
Hospital
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: Internal
Medicine
Mineral Wells
Gender: Male
PCP # 8FV70601
NPI: 1669412243
109 NW Second St
(940) 654-6200
Hospital Affiliation: Baylor Scott & White
Lake Pointe, Kindred Hospital Tarrant
County Arlington Campus, Lake Granbury
Medical Center, Weatherford Regional Med
Ctr
Clinic Affiliation: Accountable Care Now
Board Certified Specialties: Family
Practice
" Gore, Ty L, MD
OZONA
FAMILY PRACTICE
" Sims, Marcus L, DO
Ozona
Gender: Male
PCP # 8CE60601
NPI: 1760482905
104 Ave H
(325) 392-3788
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
J
OBSTETRICS-GYNECOLOGY
Mineral Wells
Gender: Male
PCP # 00PJ1201
NPI: 1578544698
214 Southwest 26 Ave Ste B
J (940) 325-9453
Hospital Affiliation: Palo Pinto General
Hospital, Weatherford Regional Med Ctr
Board Certified Specialties: Family
Practice
" Cawley, James E, MD
Mineral Wells
Gender: Male
PCP # 00DA9001
NPI: 1942265871
202 Southwest 25th Ave Ste 900
J (940) 549-8505
Hospital Affiliation: Faith Community
Hospital, Graham Regional Medical Center,
Hamilton Hospital, Stephens Memorial
Hospital
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
" Hisel, Patrick W, MD
Mineral Wells
Gender: Male
PCP # 8W767001
NPI: 1144228578
101 Holly Hill Ste B
J (940) 325-6831
Hospital Affiliation: Palo Pinto General
Hospital
Clinic Affiliation: Patrick W Hisel MD
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: Family
Practice
RISING STAR
FAMILY PRACTICE
" Gray, Molly B, DO
Rising Star
Gender: Female
PCP # 8FJ91701
NPI: 1760641187
902 W College St
(254) 643-0006
Hospital Affiliation: Comanche County
Medical Ctr
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: Family
Practice
PEDIATRICS
Bhandari, Anantha R, MD
Gender: Male
# PCP # 00JW7501
NPI: 1497711337
102 Holly Hill Rd
J (940) 325-0789
Hospital Affiliation: Palo Pinto General
Hospital
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
Mineral Wells
" Kerr, Christy L, MD
Mineral Wells
Gender: Female
# PCP # 8FT37001
NPI: 1023274024
202 Southwest 25th Ave
Ste 300
(940) 328-6521
Hospital Affiliation: Palo Pinto General
Hospital
Clinic Affiliation: Palo Pinto County
Hospital District
Board Certified Specialties: Family
Practice
ROBY
FAMILY PRACTICE
Roby
Tarkenton, Tom A, DO
Gender: Male
PCP # 80780Y01
NPI: 1306824651
220 Southwest 26th Ave Ste A
J (940) 325-1543
Hospital Affiliation: Graham Regional
Medical Center, Palo Pinto General Hospital,
Weatherford Regional Med Ctr
Clinic Affiliation: The Medical Pavillion PC
Board Certified Specialties: None
Mineral Wells
" Lindley, Katarina, DO
Mineral Wells
Gender: Female
# PCP # 8EX22401
NPI: 1053514257
202 Southwest 25th Ave
Ste 300
(940) 328-6521
Hospital Affiliation: Palo Pinto General
Hospital
Clinic Affiliation: Palo Pinto County
Hospital District
Board Certified Specialties: Family
Practice
OLNEY
FAMILY PRACTICE
ROTAN
FAMILY PRACTICE
Rotan
" Johnson, Jeremy W, DO
Olney
Gender: Male
PCP # 8CQ94201
NPI: 1457521874
100 S Ave M
(940) 564-3546
Hospital Affiliation: Hamilton Hospital
Clinic Affiliation: Hamilton Hospital District
Board Certified Specialties: Family
Practice
Lampley, Joseph C, DO
Gender: Male
PCP # 8FT48402
NPI: 1285663682
117 E N First St
(325) 776-2500
Hospital Affiliation: East Texas Medical
Center Carthage, Fisher County Hospital
District, Lamb Healthcare Center, Memorial
Hospital
Clinic Affiliation: Fisher County Hospital
Distr
Board Certified Specialties: None
Lampley, Joseph C, DO
Gender: Male
PCP # 8FT48401
NPI: 1285663682
774 State Hwy 70 N
(325) 735-2211
Hospital Affiliation: East Texas Medical
Center Carthage, Fisher County Hospital
District, Lamb Healthcare Center, Memorial
Hospital
Clinic Affiliation: Fisher County Hospital
Distr
Board Certified Specialties: None
J - Wheelchair Access
8
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmki_pn_pcp
SAN ANGELO
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Cerna, Norma C, MD
" Forlano, Viki A, MD
San Angelo
SAN ANGELO
FAMILY PRACTICE
Alley, Daniel W, MD
Gender: Male
# PCP # 8FL18301
NPI: 1114955937
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
J
Gender: Male
PCP # 8EP80501
NPI: 1326315128
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
Gender: Male
PCP # 8DG08601
NPI: 1053375139
3502 Knickerbocker Rd
J (325) 942-8611
Hospital Affiliation: Methodist Richardson
Medical Ctr
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
Blejan, Cristina, MD
Gender: Female
PCP # 8EL23901
NPI: 1316984560
3502 Knickerbocker
(325) 658-1511
Hospital Affiliation: Baylor Scott & White
Medical Ctr, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Practice Information: Clinic charge will
apply; may increase your costs
Board Certified Specialties: None
San Angelo
Blount, Alice B, MD
Gender: Female
# PCP # 8DQ27201
NPI: 1912120882
3502 Knickerbocker
(325) 658-1511
Hospital Affiliation: College Station Medical
Center, St Joseph Regional Health Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
" Burgess, Steven E, MD
Gender: Male
PCP # 8CT38801
NPI: 1891956371
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
PCP # 89283F01
NPI: 1780680082
120 E Beauregard Ave
J (325) 481-2282
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
" Minney, Alexander J, MD
San Angelo
Gender: Male
PCP # 8EM91701
NPI: 1679869127
4450 Sunset Dr
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
" Herrington, Darrell T, DO
Gender: Male
PCP # 83X70901
NPI: 1154388767
3555 Knickerbocker Rd
(325) 224-5366
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: Family
Practice
J
Horrace Voigt, Kathie M, DO
Gender: Female
# PCP # 8FS66201
NPI: 1265674865
4251 Sunset Dr
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
" Nile, Brett J, MD
San Angelo
Gender: Male
PCP # 8U863201
NPI: 1154322014
2142 Sunset Dr
(325) 245-4000
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: Family
Practice
San Angelo
" Chinn, Cornelius W, MD
J
" Melott, James E, MD
San Angelo
San Angelo
San Angelo
Gender: Male
PCP # 8B430201
NPI: 1619971603
120 E Beauregard Ave
(325) 481-2274
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
Johnson, Peggy A, DO
Gender: Female
PCP # 8DF35201
NPI: 1366424368
3502 Knickenbocker Rd
J (325) 942-8611
Hospital Affiliation: Corpus Christi Medical
Center Bay Area
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Cocuzzi, John M, MD
Gender: Male
# PCP # 8G303901
NPI: 1689676637
1610 S Chadbourne St
J (325) 658-4339
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: La Esperanza Clinic Inc
Board Certified Specialties: None
San Angelo
King, Andrew P, DO
Gender: Male
# PCP # 8FW32001
NPI: 1528468527
120 E Beauregard Ave
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
" Cubine, Kathleen A, DO
San Angelo
Gender: Female
PCP # 8FB56301
NPI: 1356312839
2626 N Bryant
(325) 658-1511
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Family
Practice
San Angelo
San Angelo
PCP # 89X52901
NPI: 1376547216
4450 Sunset Dr
(325) 481-2197
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
J
PCP # 8DM64602
NPI: 1780688028
5730 Sherwood Way
(325) 944-3851
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
" Bennington, Michael J, MD
J
Chang, Peter P, MD
Gender: Male
PCP # 8DM64601
NPI: 1780688028
2142 Sunset Dr
(325) 245-4000
" Alred, Steven C, MD
San Angelo
Gender: Female
PCP # 89X52901
NPI: 1376547216
4235 Southwest Blvd
(325) 481-2197
San Angelo
San Angelo
Bender, Thomas B, MD
Gender: Male
!# PCP # 8A674101
NPI: 1760460380
4251 Sunset Dr
J (325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Gender: Female
PCP # 8CZ00101
NPI: 1336307644
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 3
yrs old
Board Certified Specialties: Family
Practice
Lejawa, Robert J, DO
Gender: Male
PCP # 8EP27601
NPI: 1265592596
2626 N Bryant Blvd
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Day, Walter G, MD
Gender: Male
! PCP # 8U591001
NPI: 1942239207
3001 S Jackson
J (325) 223-6347
Hospital Affiliation: San Angelo Community
Medical Center, Schleicher County Medical
Center
Clinic Affiliation: Preferrd Hospital Leas
Eldorado
Board Certified Specialties: None
San Angelo
Lind, Gregory C, MD
Gender: Male
! PCP # 8A674201
NPI: 1609854165
402 W 26th St
J (325) 481-2275
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Owens, Brenda D, MD
Gender: Female
PCP # 8R752901
NPI: 1801915509
3016 Vista Del Arroyo
(325) 949-9408
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 65
yrs old
Board Certified Specialties: None
San Angelo
Peterson, Christopher C, MD
Gender: Male
PCP # 8DP05701
NPI: 1164535282
2142 Sunset Dr
J (325) 245-4191
San Angelo
PCP # 8DP05702
NPI: 1164535282
402 N Bryant
J (325) 655-5125
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
" Pizzola, Jason L, MD
San Angelo
Gender: Male
PCP # 8FT06101
NPI: 1780837518
402 W 26th
(254) 481-2191
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
San Angelo
Marti Rivera Sr, Felix M, MD
Gender: Male
PCP # 8FZ78501
NPI: 1275969941
2142 Sunset Dr
(325) 245-4211
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
Ferguson, Chris Gerald, MD
Gender: Male
# PCP # 8GA04401
NPI: 1760813547
120 E Beauregard Ave
J (325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
" Ross, Scott K, MD
San Angelo
Gender: Male
PCP # 8GD86101
NPI: 1720055023
4251 Sunset Dr
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
J - Wheelchair Access
9
SAN ANGELO
Independent Provider Network (IPN)
bmk_pin_pcp
OCTOBER 17, 2016
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
SAN ANGELO Cont
GENERAL PRACTICE
" Granaghan Jr, John T, MD
San Angelo
Gender: Male
# PCP # 8GB63701
NPI: 1083676787
4235 Southwest Blvd
J (325) 658-1511
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
Wimpee, Marc W, MD
Gender: Male
PCP # 8AQ24101
NPI: 1508894627
1610 S Chadbourne St
J (325) 949-6263
Clinic Affiliation: La Esperanza Clinic Inc
Board Certified Specialties: None
San Angelo
FAMILY PRACTICE Cont
" Rutledge, Cynthia A, DO
San Angelo
J
Gender: Female
PCP # 8DE69104
NPI: 1043219439
115 W First St
(325) 481-2662
J
PCP # 8DE69103
NPI: 1043219439
2142 Sunset Dr
(325) 245-4161
# PCP # 8DE69101
NPI: 1043219439
5730 Sherwood Way
J (325) 944-3851
Hospital Affiliation: San Angelo Community
Medical Center, Scenic Mountain Medical
Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: Family
Practice
Schulze, Jerry, MD
Gender: Male
! PCP # 89X52801
NPI: 1285613182
3502 Knickerbocker Rd
J (325) 942-8611
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Seger, Mary T, MD
Gender: Female
!# PCP # 8M183701
NPI: 1366421265
3502 Knickerbocker Rd
(325) 658-1511
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
" Spencer, Victoria O, MD
San Angelo
Gender: Female
PCP # 8FZ02101
NPI: 1093009748
3502 Knickerbocker
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
Stuart Jr, Derrill A, MD
Gender: Male
PCP # 8M183801
NPI: 1316947542
120 E Beauregard Ave
(325) 481-2221
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
" Westmoreland, Leslie D, DO
San Angelo
!
J
Gender: Female
PCP # 88542G01
NPI: 1790738524
120 E Beauregard Ave
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
" White, James R, MD
San Angelo
Gender: Male
PCP # 8R752701
NPI: 1518052364
4235 Southwest Blvd
(325) 481-2197
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Family
Practice
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
INTERNAL MEDICINE
" Hardwicke, Alan C, MD
San Angelo
Alaniz, Idalia, MD
Gender: Female
# PCP # 8DH03101
NPI: 1629341458
3502 Knickerbocker Rd
(325) 942-8611
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Gender: Male
PCP # 8P140301
NPI: 1912969627
3350 Executive Dr
Ste 108
(325) 245-4201
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: Internal
Medicine
Alcocer Aguilar, Fernando, MD
Gender: Male
PCP # 8EF24101
NPI: 1043508716
120 E Beauregard
J (325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
" Jones, Charles M, MD
San Angelo
Gender: Male
PCP # 89X49701
NPI: 1023002888
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
J
Leon, Miltiadis N, MD
Gender: Male
PCP # 8W090001
NPI: 1558328690
3180 Executive Dr Ste 102
(325) 944-1240
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Cardiology Assoc of W
Texas
Board Certified Specialties: None
San Angelo
" Marsh Jr, Denver C, MD
San Angelo
" Harvey, John C, MD
San Angelo
Gender: Male
PCP # 8R752401
NPI: 1811952427
120 E Beauregard Ave
(325) 481-2290
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
" Anderton, Carl D, MD
San Angelo
Gender: Male
PCP # 89X53101
NPI: 1912999871
120 E Beauregard
J (325) 481-2291
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
!
" Hewell, Walter R, MD
J
" Mays, Jeffry P, MD
San Angelo
Gender: Male
PCP # 8FW29101
NPI: 1942288857
1610 S Chadbourne St
(325) 658-5309
(325) 947-5625
Hospital Affiliation: Anson General
Hospital, Concho County Hospital, Heart Of
Texas Memorial Hospital, Kimble Hospital
Clinic Affiliation: La Esperanza Clinic Inc
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
San Angelo
Gender: Male
# PCP # 8BH81901
NPI: 1194787309
4141 College Hills Blvd
J (325) 481-2303
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
" Barnett, Christian J, MD
San Angelo
Gender: Male
PCP # 88540G01
NPI: 1780676411
120 E Beauregard Ave
J (325) 481-2290
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
Hinshaw, Roberta, MD
Gender: Female
PCP # 89X53801
NPI: 1821082843
120 E Beauregard Ave
J (325) 481-2291
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
" Carmichael, Ross M, MD
San Angelo
Gender: Male
PCP # 8CJ28501
NPI: 1285696872
4141 College Hild Blvd
J (325) 942-8611
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
" McCloy, Steven T, MD
San Angelo
J
" Hughston, Ty M, MD
San Angelo
Gender: Male
PCP # 89X49601
NPI: 1265426027
120 E Beauregard Ave
J (325) 481-2291
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
" Gonzalez, Dawn E, DO
San Angelo
Gender: Female
PCP # 8BW45801
NPI: 1245292937
4141 College Hills Blvd
J (325) 481-2303
Hospital Affiliation: Plaza Medical Center
Fort Worth, San Angelo Community Medical
Center, Shannon Medical Center, Tx Hlth
Harris Methodist Hosp Fw
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Internal
Medicine
Gender: Male
PCP # 89X49901
NPI: 1487648416
120 E Beauregard
(325) 481-2284
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
" Mejia, Bryan A, MD
San Angelo
Gender: Male
PCP # 8EE45801
NPI: 1114107828
3555 Knickerbocker Rd
(325) 224-5881
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: Internal
Medicine
" Hunt, John D, MD
San Angelo
Gender: Male
# PCP # 8BF25401
NPI: 1174685317
2141 Hamilton Way
Ste 110
J (325) 653-8484
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: John D Hunt MD
Board Certified Specialties: Internal
Medicine
Gender: Male
PCP # 89X52201
NPI: 1649251711
102 N Magdalen St Fl
Third
(325) 481-2281
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
Noack, Tamara B, MD
Gender: Female
PCP # 84M82001
NPI: 1538126297
3555 Knickerbocker Rd
J (325) 224-5327
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: None
San Angelo
J - Wheelchair Access
10
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmki_pn_pcp
SAN ANGELO
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
SAN ANGELO Cont
OBSTETRICS-GYNECOLOGY
" Carrizales, Rosalinda, DO
San Angelo
INTERNAL MEDICINE Cont
Gender: Female
PCP # 8P140601
NPI: 1033171152
3501 Knickerbocker Rd
(325) 245-4461
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: Female Patients only
Board Certified Specialties:
Obstetrics-Gynecology
" Ojeda Flores, Carolina, MD
San Angelo
Gender: Female
PCP # 8EF24201
NPI: 1205124971
120 E Beauregard
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
" Perez Povis, Lorena D, MD
San Angelo
Gender: Female
PCP # 8CS95301
NPI: 1861601270
120 E Beauregard Ave
J (325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
" Ramsey, Pamela M, MD
San Angelo
Gender: Female
PCP # 8DL97301
NPI: 1457453573
3502 Knickerbocker Rd
(325) 949-8611
Hospital Affiliation: Tomball Regional
Hospital
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
Untalan, Raymund M, MD
Gender: Male
PCP # 8DJ65001
NPI: 1275590796
3350 Executive Dr
Ste 108
J (325) 245-4000
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
Vaughn, Karen R, MD
Gender: Female
# PCP # 8DN70901
NPI: 1972605459
2626 N Bryant Blvd
J (325) 235-3525
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pediatrics
J
" Wohl, Eric L, MD
Gender: Male
PCP # 8CN56601
NPI: 1376703116
3350 Executive Dr
Ste 108
J (325) 245-4281
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Campanini, Emir R, MD
Gender: Male
PCP # 8CL95301
NPI: 1528372315
2141 Hamilton Way
Ste 100
(325) 245-4040
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
" Monaghan, Orloff, MD
San Angelo
Gender: Male
PCP # 89X54001
NPI: 1568443174
225 E Beauregard Ave
(325) 481-2270
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
J
" Ornelas, Jacob D, MD
San Angelo
Gender: Male
PCP # 8DF25801
NPI: 1972766715
225 E Beauregard Ave
(325) 481-2285
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
Dickinson, David J, MD
Gender: Male
# PCP # 8FU69001
NPI: 1073958146
225 E Beauregard Ave
J (325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
" Gonzalez, Fernando, DO
San Angelo
Gender: Male
PCP # 8X307601
NPI: 1255394821
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Cook Childrens Medical
Center, San Angelo Community Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pediatrics
" Sutliff, Lourell E, MD
San Angelo
Gender: Male
PCP # 89X54601
NPI: 1558344408
225 E Beauregard Ave
(325) 481-2270
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
J
J
Krenek, Caryn D, MD
Gender: Female
PCP # 8CF25501
NPI: 1912234345
35 E First St
J (325) 659-8068
Hospital Affiliation: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: La Esperanza Clinic Inc
Board Certified Specialties: None
San Angelo
" Wiggins Smith, Jenny M, DO
San Angelo
Gender: Female
PCP # 8DM24901
NPI: 1255523114
225 E Beauregard
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
San Angelo
San Angelo
Cambre, Penni D, MD
Gender: Female
PCP # 82184201
NPI: 1720048911
3555 Knickerbocker Rd
J (325) 224-5141
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
San Angelo
J
" Patyrak, Robert S, MD
San Angelo
Gender: Male
PCP # 8BH81501
NPI: 1477667772
2626 N Bryant Blvd
(325) 481-2350
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pediatrics
PEDIATRICS
Acton, Hector F, MD
Gender: Male
PCP # 8P140401
NPI: 1053374629
2141 Hamilton Way
(325) 245-4301
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
Ayestaran Cassani, Alejandra, MD
Gender: Female
PCP # 8CL98701
NPI: 1003121245
2141 Hamilton Way
Ste 100
(325) 245-4301
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
J
Podaralla, Srikanth, MD
Gender: Male
PCP # 8CN05901
NPI: 1629246731
2141 Hamilton Way
Ste 100
(325) 245-4000
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
San Angelo
" Sarraff, Michelle A, MD
San Angelo
Gender: Female
PCP # 8DX32701
NPI: 1871804377
120 E Beauregard
J (325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pediatrics
" Sawyer, Stephen P, MD
San Angelo
Gender: Male
# PCP # 8G728901
NPI: 1245220995
225 E Beauregard Ave
J (325) 481-2287
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pediatrics
" Schultz, Douglas, MD
San Angelo
Gender: Male
PCP # 89X51001
NPI: 1932199502
225 E Beauregard
J (325) 481-2287
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pediatrics
" Seifert, Saundra E, MD
San Angelo
Gender: Female
PCP # 83Z19701
NPI: 1376533026
225 E Beauregard Ave
J (325) 481-2287
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pediatrics
" Sherrod, Christina R, MD
San Angelo
Gender: Female
PCP # 8CW95601
NPI: 1932422383
225 E Beauregard Ave
J (325) 481-2287
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pediatrics
" Twelves Caballero, Celeste X, MD
San Angelo
Gender: Female
PCP # 8AQ24301
NPI: 1861636862
35 E 31 St
J (325) 944-8900
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: La Esperanza Clinic Inc
Board Certified Specialties: Pediatrics
" Vaughn, Karen R, MD
San Angelo
Gender: Female
# PCP # 8DN70901
NPI: 1972605459
2626 N Bryant Blvd
J (325) 235-3525
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pediatrics
Wagnon, Michael A, DO
Gender: Male
PCP # 8A674601
NPI: 1992795645
225 E Beauregard Ave
J (325) 481-2287
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
J - Wheelchair Access
11
SAN ANGELO
Independent Provider Network (IPN)
bmk_pin_pcp
OCTOBER 17, 2016
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
SAN ANGELO Cont
PEDIATRICS Cont
" Wehner, Karl, MD
San Angelo
Gender: Male
PCP # 89X51101
NPI: 1952391617
225 E Beauregard Ave
(325) 481-2287
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pediatrics
J
" Young, Elizabeth L, MD
San Angelo
Gender: Female
PCP # 82351F01
NPI: 1114917689
225 E Beauregard Ave
(325) 481-2287
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pediatrics
J
SAN SABA
FAMILY PRACTICE
Forrister, Skylar S, MD
Gender: Male
PCP # 8CS20102
NPI: 1497737969
2005 W Wallace St
(325) 372-5163
Hospital Affiliation: Baylor Scott White Med
Ctr Llano
Clinic Affiliation: Scott and White Hospital
Llano
Board Certified Specialties: None
San Saba
" Whiting, Craig D, DO
San Saba
Gender: Male
PCP # 8CS22902
NPI: 1942282520
2005 W Wallace St
(325) 372-5163
Hospital Affiliation: Baylor Scott White Med
Ctr Llano
Clinic Affiliation: Scott and White Hospital
Llano
Board Certified Specialties: Family
Practice
FAMILY PRACTICE
" Edwards, Kristy D, MD
Sonora
Gender: Female
PCP # 8BE46001
NPI: 1881642080
301 Hudspeth St
Ste B
J (325) 387-7911
Hospital Affiliation: Lillian M Hudspeth
Memorial Hospital
Clinic Affiliation: Lillian M Hudspeth
Memorial Hospital
Board Certified Specialties: Family
Practice
" Evans Jr, Edmond C, DO
Gender: Male
PCP # 8U949004
NPI: 1275561540
13965 S FM 4
Pob 65
(940) 769-2303
Hospital Affiliation: Palo Pinto General
Hospital
Clinic Affiliation: Palo Pinto County
Hospital District
Board Certified Specialties: Family
Practice
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
# PCP # 8H430002
NPI: 1487870655
135 River N Blvd
J (254) 965-2810
Hospital Affiliation: Comanche County
Medical Ctr
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: Family
Practice
" Donohue, Bobby E, MD
Gender: Male
# PCP # 8A095001
NPI: 1225034515
251 E Hwy 8
J (254) 968-7079
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Family Medicine Clinic PA
Board Certified Specialties: Family
Practice
Gilliam, Leslie S, MD
Gender: Male
PCP # 8CN34401
NPI: 1073580916
205 E Frey St
Ste 201
J (254) 965-2313
Hospital Affiliation: Stephens Memorial
Hospital, Tx Hlth Harris Methodist Hosp
Clinic Affiliation: Shane Gilliam MD
Board Certified Specialties: None
Malla, Sunitha, MD
Gender: Female
# PCP # 8EP95201
NPI: 1346534302
135 River N Blvd
J (254) 965-2810
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
Stephenville
" Marcum, Benjamin A, MD
Stephenville
Gender: Male
PCP # 8DM82401
NPI: 1588892004
150 River N Blvd
(254) 968-6051
J
PCP # 8DM82301
NPI: 1588892004
160 River N Blvd
(254) 968-2500
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Community Health Clinic,
Stephenville Med & Surg Clin
Board Certified Specialties: Family
Practice
Stephenville
Pajestka, Charles R, MD
Gender: Male
PCP # 8AJ75501
NPI: 1184665952
301 Hudspeth St
Ste A
(325) 387-6557
Hospital Affiliation: Lillian M Hudspeth
Memorial Hospital
Clinic Affiliation: Charles A Pajestka MD
Board Certified Specialties: None
Sonora
J
Mitchell, Robert B, MD
Gender: Male
PCP # 8GB34901
NPI: 1346684313
160 River N Blvd
(254) 965-2500
Clinic Affiliation: Community Health Clinic
Board Certified Specialties: None
Stephenville
" Heflin, Jearald D, MD
Stephenville
Gender: Male
PCP # 8B883001
NPI: 1922029602
725 N Graham St
Ste 700
J (254) 965-1160
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Heflin Family Clinic PA
Board Certified Specialties: Family
Practice
STAMFORD
FAMILY PRACTICE
" Kruckner, Douglas L, MD
Stamford
Gender: Male
PCP # 8FP16601
NPI: 1932192226
1303 Mabee St
(325) 773-5733
Hospital Affiliation: Hamilton Hospital,
Stamford Memorial Hospital
Clinic Affiliation: Memorial Health Clinic
Board Certified Specialties: Family
Practice
FAMILY PRACTICE
Stephenville
Gender: Male
PCP # 00T84N01
NPI: 1417913344
2216 W Washington
J (254) 965-5888
Stephenville
Edwards, Mark S, MD
Gender: Male
PCP # 8BE46101
NPI: 1760430284
301 Hudspeth St
Ste B
J (325) 387-7911
Hospital Affiliation: Lillian M Hudspeth
Memorial Hospital
Clinic Affiliation: Lillian M Hudspeth
Memorial Hospital
Board Certified Specialties: None
" Livingston, Ronald P, DO
Stephenville
# PCP # 8GA10001
NPI: 1417913344
2857 W Washington
Ste A
(254) 965-5273
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Affordacare
Board Certified Specialties: Family
Practice
Sonora
SANTO
Santo
" Doggett, Kelly S, MD
SONORA
" Heflin, Linda L, MD
Stephenville
Gender: Female
PCP # 8B883101
NPI: 1871516385
725 N Graham St
Ste 700
J (254) 965-1160
STEPHENVILLE
# PCP # 8FW64701
NPI: 1871516385
950 Bluebonnet Dr
(254) 968-1500
Hospital Affiliation: Lake Granbury Medical
Center, Tx Hlth Harris Methodist Hosp
Clinic Affiliation: Heflin Family Clinic PA,
Hood Medical Group
Board Certified Specialties: Family
Practice
FAMILY PRACTICE
Dickey, Stephen H, DO
Gender: Male
PCP # 88022Y02
NPI: 1407863939
135 River N Blvd
J (254) 965-2810
Hospital Affiliation: Comanche County
Medical Ctr
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
Stephenville
Ip, Kam W, MD
Gender: Male
# PCP # 81473701
NPI: 1174529523
150 River N Blvd
J (817) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Board Certified Specialties: None
Odell Sr, David M, MD
Gender: Male
PCP # 8EW72302
NPI: 1366611261
135 River N Blvd
J (254) 965-2810
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
Stephenville
INTERNAL MEDICINE
" Boucher, David C, MD
Stephenville
J
Stephenville
Gender: Male
PCP # 81476501
NPI: 1639174675
150 River N Blvd
(254) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Gokul, Bhagwandas D, MD
Gender: Male
# PCP # 81473601
NPI: 1356346951
150 River N Blvd
J (254) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Stephenville
J - Wheelchair Access
12
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmki_pn_pcp
WINTERS
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Rose, Nadine T, MD
Gender: Female
PCP # 8CZ57901
NPI: 1538365655
150 River N Blvd
J (254) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: No Patients Over 12
yrs old
Board Certified Specialties: None
Lindsey, George C, DO
Gender: Male
PCP # 8FU34301
NPI: 1174560775
201 E Arizona Ave
(325) 236-8641
Hospital Affiliation: Rolling Plains Memorial
Hospital
Clinic Affiliation: Rpmh Rural Health Clinic
Board Certified Specialties: None
Stephenville
STEPHENVILLE Cont
INTERNAL MEDICINE Cont
" Moore, Jeffrey D, MD
Stephenv ille
Gender: Male
PCP # 81476201
NPI: 1023014008
150 River N Blvd
J (254) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Gender: Male
PCP # 8FU34601
NPI: 1083651681
201 E Arizona Ave
(325) 236-8641
Hospital Affiliation: Rolling Plains Memorial
Hospital
Clinic Affiliation: Rpmh Rural Health Clinic
Board Certified Specialties: Family
Practice
STERLING CITY
Day, Walter G, MD
Gender: Male
PCP # 8U739001
NPI: 1942239207
304 Fourth St
(325) 378-2100
Hospital Affiliation: San Angelo Community
Medical Center, Schleicher County Medical
Center
Clinic Affiliation: Sterling County
Board Certified Specialties: None
Sterling City
" Nash, Miranda A, MD
" Ong, Lester C, MD
" Martin, Luther C, DO
Sweetwater
FAMILY PRACTICE
Stephenv ille
Gender: Female
PCP # 8DN59901
NPI: 1235398140
150 River N Blvd
J (254) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Sweetwater
McEachern, Larry E, MD
Gender: Male
PCP # 8FU39001
NPI: 1952356354
201 E Arizona Ave
(325) 236-8641
Hospital Affiliation: Rolling Plains Memorial
Hospital
Clinic Affiliation: Rpmh Rural Health Clinic
Board Certified Specialties: None
Sweetwater
SWEETWATER
FAMILY PRACTICE
" Onwuchuruba, Mojisola G, MD
Sweetwater
Gender: Female
PCP # 8FV61001
NPI: 1629206743
201 E Arizona Ave
(325) 235-8641
Hospital Affiliation: Rolling Plains Memorial
Hospital
Clinic Affiliation: Rpmh Rural Health Clinic
Board Certified Specialties: Family
Practice
Stephenv ille
Gender: Male
# PCP # 83Y18401
NPI: 1255337119
150 River N Blvd
J (254) 968-6051
# PCP # 80512U01
NPI: 1255337119
160 River N Blvd
J (254) 965-2500
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Community Health Clinic,
Stephenville Med & Surg Clin
Practice Information: No Patients Under 14
yrs old
Board Certified Specialties: Internal
Medicine
Eaker, Robert G, MD
Gender: Male
! PCP # 8U465001
NPI: 1679518104
301 Jenny George Ln
Ste 3
J (325) 235-0770
Hospital Affiliation: Rolling Plains Memorial
Hospital, Rolling Plains Memorial Hospital
Home Health
Clinic Affiliation: Eaker Family Medicine PA
Board Certified Specialties: None
Sweetwater
Enard, April, DO
Gender: Female
PCP # 8EL24001
NPI: 1558654087
301 Jenny George Ln
Bldg B
(325) 235-1139
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: None
" Miller, Kelly S, DO
Stephenv ille
Gender: Female
PCP # 8X923001
NPI: 1285783696
205 E Frey St
Ste 101
J (254) 918-2484
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp, Tx Hlth Harris Methodist
Hosp Fw
Clinic Affiliation: Miller Pediatrics PA
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatrics
Ong, Helen C, MD
Gender: Female
# PCP # 8398J501
NPI: 1467458448
150 River N Blvd
J (254) 968-6051
PCP # 8G241301
NPI: 1467458448
160 River N Blvd
J (254) 965-2500
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Community Health Clinic,
Stephenville Med & Surg Clin
Practice Information: No Patients Over 12
yrs old
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
McKinnon, Mark S, MD
Gender: Male
PCP # 8CL26301
NPI: 1457326571
7571 State Hwy 153
(325) 754-1317
Hospital Affiliation: North Runnels Hospital
Clinic Affiliation: North Runnels Hospital
District
Board Certified Specialties: None
Winters
GENERAL PRACTICE
Winton, Kenneth R, DO
Gender: Male
PCP # 8FB08201
NPI: 1922085521
7571 State Hwy 153
(432) 689-6818
Hospital Affiliation: North Runnels Hospital
Clinic Affiliation: North Runnels Hospital
District
Board Certified Specialties: None
Winters
" Smola, Jeremy R, DO
Gender: Male
PCP # 8FU40001
NPI: 1922053412
201 E Arizona Ave
(325) 236-8641
Hospital Affiliation: Rolling Plains Memorial
Hospital
Clinic Affiliation: Rpmh Rural Health Clinic
Board Certified Specialties: Family
Practice
" Kassis, Frederick J, MD
Sweetwater
" Jones, Timothy B, MD
Gender: Male
PCP # 8DB48401
NPI: 1477515286
301 Jenny George Ln
Ste 1
(325) 235-1942
Hospital Affiliation: Rolling Plains Memorial
Hospital, University Medical Center
Clinic Affiliation: Tim Jones MD PLLC
Board Certified Specialties: Family
Practice
Stephenv ille
Gender: Male
PCP # 8CH56501
NPI: 1487643524
7771 State Hwy 153
J (325) 754-1317
Hospital Affiliation: Valley Baptist Medical
Center
Clinic Affiliation: North Runnels Hospital
District
Board Certified Specialties: Family
Practice
INTERNAL MEDICINE
Sweetwater
J
" Chapanos, Petros K, MD
Winters
Sweetwater
Sweetwater
PEDIATRICS
WINTERS
FAMILY PRACTICE
Liedtke, Jennifer G, MD
Gender: Female
PCP # 8EM08001
NPI: 1700172426
301 Jenny George Ln
Ste 6B
(325) 235-6819
Hospital Affiliation: Rolling Plains Memorial
Hospital
Clinic Affiliation: Discovery Medical
Network Sweetwa
Board Certified Specialties: None
Sweetwater
Gender: Male
# PCP # 8DN70401
NPI: 1932154218
201 E Arizona Ave
J (325) 235-8641
Hospital Affiliation: Rolling Plains Memorial
Hospital
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
THROCKMORTON
FAMILY PRACTICE
" Beasley, Craig C, MD
Throckmorton
J
Gender: Male
PCP # 8H964001
NPI: 1649330119
802 N Minter Ste B
(940) 849-2471
Hospital Affiliation: Throckmorton County
Memorial Hospital
Clinic Affiliation: Throckmorton County
Memorial Hospital
Board Certified Specialties: Family
Practice
J - Wheelchair Access
13
ABILENE
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
INDEPENDENT
O
ctober 17, 2016PROVIDER NETW ORK ( IPN)
Barton, Kathryn J, APN
Gender: Female
NPI: 1275868713
1665 Antilley Rd
Ste 200
(325) 437-8661
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
ALLERGY-IMMUNOLOGY
Braaten, Jeffrey M, DO
Gender: Male
NPI: 1508819590
1233 N 18th St
J (325) 437-3687
Abilene
NPI: 1508819590
1725 Hickory St
(325) 437-3687
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Rolling Plains Memorial Hospital
Clinic Affiliation: ENT Specialists of Abilene
LLP
Board Certified Specialties:
Otolaryngology
J
Goodnight, Gary D, DO
Gender: Male
NPI: 1487691432
1233 N 18th St
J (325) 437-3687
J
" Hall, Ashley G, MD
" Castillo, Jessica, APN
Abilene
Gender: Female
NPI: 1508935560
2100 Antilley Rd
(325) 695-7200
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Board Certified Specialties:
Allergy-Immunology
#
J
Cox, Misti M, APN
Gender: Female
NPI: 1346577996
1665 Antilley Rd
Ste 120
(325) 793-5148
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Female
NPI: 1871773218
1233 N 18th St
(325) 437-3687
!
NPI: 1871773218
1725 Hickory St
(325) 437-3600
Clinic Affiliation: ENT Specialists of Abilene
LLP
Board Certified Specialties: Anp/Cert/Clnp
!
" Preston, Shona, APN
Abilene
" Faglie, Melanie A, APN
Gender: Female
NPI: 1962589606
1201 N 18th St
(325) 793-3100
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Anp/Cert/Clnp
Gender: Female
NPI: 1184614539
6399 Directors Pkwy
Ste 200
(325) 794-5420
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: Anp/Cert/Clnp
J
" Goetz, Millie K, APN
" Renfro, Sarah B, APN
Abilene
Abilene
Gender: Female
NPI: 1114295185
1201 N 18th St
(325) 793-3100
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Anp/Cert/Clnp
Gender: Female
NPI: 1548668502
1665 Antilley Rd
Ste 260
(325) 695-4969
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: Female Patients only,
No Patients Under 13 yrs old
Board Certified Specialties: Anp/Cert/Clnp
J
" Graham Williams, Olivia R, APN
Abilene
Gender: Female
NPI: 1104160167
1201 N 18th St
(325) 793-3100
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Anp/Cert/Clnp
Abilene
Gender: Female
NPI: 1841628385
1924 Pine St
Ste 401A
(325) 670-4000
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Anp/Cert/Clnp
" Vaughan, Christopher A, APN
Abilene
Gender: Male
NPI: 1548441967
1633 Cottonwood St
(325) 672-4372
Clinic Affiliation: Abilene Bone and Joint
Clinic LLP
Board Certified Specialties: Anp/Cert/Clnp
" Parkhill, Rachel P, APN
Abilene
J
" Thiberville, Sunnie J, APN
Abilene
Abilene
NPI: 1346577996
1665 Antilley Rd
Ste 230
(325) 793-5237
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
J
Tankersley, Boyce, APN
Gender: Male
NPI: 1568517910
1665 Antilley Rd
Ste 210
(325) 793-5140
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Over 19
yrs old, No Patients Under 17 yrs old
Board Certified Specialties: None
Abilene
Abilene
Abilene
Abilene
Adames, Michael, APN
Gender: Male
NPI: 1275947533
5302 Buffalo Gap Rd
Ste 104
(325) 307-6226
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: None
Nichols, Alan K, APN
Gender: Male
NPI: 1144283664
1665 Antilley Rd
Ste 200
J (325) 793-5290
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Cates, Sharon K, APN
Gender: Female
NPI: 1396182663
1749 Pine St
(325) 696-0600
Clinic Affiliation: Texas Tech Health
Sciences Cntr
Board Certified Specialties: None
ANP/CERT/CLNP
Abney, Jennifer C, APN
Gender: Female
NPI: 1366873671
1665 Antilley Rd
Ste 150
J (325) 437-5912
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Over 17
yrs old
Board Certified Specialties: None
Nash, David G, APN
Gender: Male
NPI: 1689002081
1888 Antilley Rd
(325) 795-1888
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
NPI: 1790957587
1725 Hickory St
(325) 437-3687
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: ENT Specialists of Abilene
LLP
Board Certified Specialties:
Allergy-Immunology
NPI: 1780090688
1665 Antilley Rd
Ste 200
(325) 793-5237
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
Gender: Female
NPI: 1578991477
1904 Pine St
Ste 3A
(325) 670-6180
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Anp/Cert/Clnp
J
Gender: Female
NPI: 1790957587
1233 N 18th St
(325) 437-3687
" Shringeri, A P, MD
Keesee, Courtnee L, APN
Gender: Female
NPI: 1578872206
1924 Pine St
Ste 401C
(325) 670-4080
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: None
Abilene
Gender: Female
NPI: 1285901967
1924 Pine St
Ste 401C
(325) 670-4080
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Anp/Cert/Clnp
J
Taff, Amber M, APN
Gender: Female
NPI: 1780090688
1665 Antilley Rd
Ste 120
(325) 793-5148
Abilene
Gender: Male
NPI: 1033363734
4542 S 14th St
(325) 701-9961
Clinic Affiliation: Abilene Family Medical
Clinic LLC
Board Certified Specialties: Anp/Cert/Clnp
" Bishop, Krystal N, APN
Abilene
Abilene
Abilene
Abilene
Abilene
NPI: 1487691432
1725 Hickory St
(325) 437-3687
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: ENT Specialists of Abilene
LLP
Board Certified Specialties:
Otolaryngology
" Johnston, Freddie R, APN
Abilene
ABILENE
Riley, Peggy L, APN
Gender: Female
NPI: 1194015834
3449 N Tenth St
J (325) 437-8620
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
Headstream, Teresa K, APN
Gender: Female
NPI: 1194715466
1665 Antilley Rd
Ste 200
(325) 793-5130
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Abilene
Spillers, Bridgett D, APN
Gender: Female
NPI: 1922209303
1665 Antilley Rd
Ste 120
(325) 793-5148
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
J
AUDIOLOGY
Artho, Wendy B, AUDIO
Gender: Female
NPI: 1942471438
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Ashby, Jon K, AUDIO
Gender: Male
NPI: 1457321465
6300 Regional Plaza
Ste 850
J (325) 698-9048
Clinic Affiliation: Abilene Speech and
Hearing Center
Board Certified Specialties: None
Abilene
Bailey, Ali C, AUDIO
Gender: Female
NPI: 1134461239
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Baker, Amanda L, AUDIO
Gender: Female
NPI: 1821439100
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Brock, Sommer M, AUDIO
Gender: Female
NPI: 1730400722
1934 Hickory St
(325) 670-2134
Clinic Affiliation: Hearing Healthcare
Board Certified Specialties: None
Abilene
J - Wheelchair Access
14
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
ABILENE
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Lai, Stephen, MD
" Swarna, Udaya S, MD
Abilene
ABILENE Cont
AUDIOLOGY Cont
Holland, Sue A, AUDIO
Gender: Female
NPI: 1578561239
7 Hospital Dr
J (325) 437-4730
Clinic Affiliation: Holland Hearing Center
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
Abilene
Ray, Carri H, AUDIO
Gender: Female
NPI: 1902945355
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Gender: Male
NPI: 1548353634
1401 Ambler Ave
(325) 481-8694
Hospital Affiliation: Baylor Scott White All
Saints Med, Tx Hlth Harris Methodist Hosp
Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties:
Cardiovascular Disease
J
Gender: Male
NPI: 1306944962
1201 N 18th St
(325) 793-3100
Hospital Affiliation: Abilene Regional
Medical Center, Anson General Hospital,
Coleman County Medical Center, Hendrick
Medical Center, Houston Methodist Hospital,
North Runnels Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
" Leverton II, Robert S, MD
Abilene
Gender: Male
NPI: 1316164783
6200 Regional Plz
Ste 1250
(325) 691-5895
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Robert S Leverton II MD
Board Certified Specialties:
Cardiovascular Disease
Abilene
J
CARDIAC ELECTROPHYSIOLOGY
" Thorp, Gorman M, MD
Abilene
Gender: Male
NPI: 1184722753
1201 N 18th St
(325) 793-3300
Hospital Affiliation: Abilene Regional
Medical Center, Eastland Memorial Hospital,
Haskell Memorial Hospital, Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
" Lin, Larry W, MD
Abilene
Swarna, Udaya S, MD
Gender: Male
NPI: 1306944962
1201 N 18th St
(325) 793-3100
Hospital Affiliation: Abilene Regional
Medical Center, Anson General Hospital,
Coleman County Medical Center, Hendrick
Medical Center, Houston Methodist Hospital,
North Runnels Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Abilene
Gender: Male
NPI: 1972600823
1201 N 18th St
(325) 793-3300
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center, Rolling Plains
Memorial Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
J
" McCain, David B, MD
Gender: Male
NPI: 1912978800
6200 Regional Plz
Ste 1400
(325) 691-5109
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Abilene
J
" Zhang, Ren, MD
Abilene
Gender: Male
NPI: 1114909181
1201 N 18th St
(325) 793-3100
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
" Patel, Nikunjkumar I, MD
Abilene
Gender: Male
NPI: 1740388396
1201 N 18th St
(325) 793-3300
Bayouth II, Lanoard M, MD
Gender: Male
NPI: 1154385482
1680 Antilley Rd
Ste 270
J (325) 437-5555
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties: None
Abilene
CERTIFIED NURSE MIDWIFE
NPI: 1740388396
2225 S Danville Dr
(325) 692-8346
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Hendrick Provider
Network, Neosculpt Laser Vein Cos Srgy Ctr
Board Certified Specialties:
Cardiovascular Disease
" Daggubati, Nageswari, MD
Abilene
Gender: Female
NPI: 1518065135
1201 N 18th St
(325) 793-3300
Hospital Affiliation: Abilene Regional
Medical Center, Anson General Hospital,
Eastland Memorial Hospital, Hamlin
Memorial Hospital, Hendrick Medical Center,
Knox County Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Gender: Female
NPI: 1528243300
1680 Antillery Rd
Ste 125
(325) 428-5770
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties:
Cardiovascular Disease
Abilene
CARDIOVASCULAR DISEASE
Barker, Gregory M, MD
Gender: Male
NPI: 1003081308
1401 Ambler Ave
Ste 101
(325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
" Ward, Charisse J, MD
Abilene
Pilgrim, Scott M, MD
Gender: Male
NPI: 1487855169
1401 Ambler Ave
Ste 101
(325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Abilene
" Rice, Wendi V, CNM
Abilene
Gender: Female
NPI: 1558728782
1924 Pine St Ste 401B
(325) 670-4242
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Certified Nurse
Midwife
CHIROPRACTIC
Anthony, Nicholas T, DC
Gender: Male
NPI: 1013207455
4433 Loop 322
J (325) 793-9444
Board Certified Specialties: None
Abilene
Bailey, Ryan M, DC
Gender: Male
NPI: 1972843241
1750 S Clack St
J (325) 695-2225
Clinic Affiliation: West Texas Back Clinic
Board Certified Specialties: None
Abilene
Garner, Jamee D, DC
Gender: Female
NPI: 1295908515
1702 S Clack St
J (800) 404-6050
Clinic Affiliation: Airrosti Rehab Center LLC
Board Certified Specialties: None
Abilene
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Hollander, Bobby M, DC
Gender: Male
NPI: 1255362554
1702 S Clack St
(325) 695-2225
Clinic Affiliation: West Texas Back Clinic
Board Certified Specialties: None
Abilene
Mansfield, Walter K, DC
Gender: Male
NPI: 1942304340
!# 4614 S 14th
J (325) 695-5220
Board Certified Specialties: None
Abilene
Melton, Tim S, DC
Gender: Male
NPI: 1407852924
# 4351 Ridgemont Dr Ste A
J (325) 698-4545
Board Certified Specialties: None
Abilene
Mitchell, Kevin C, DC
Gender: Male
NPI: 1083693675
# 1633 Cottonwood St
J (325) 676-1624
Board Certified Specialties: None
Abilene
Morgan, Jake A, DC
Gender: Male
NPI: 1992935233
# 4549 Catclaw Dr
J (325) 695-9355
Clinic Affiliation: Advanced Chiropractic &
Spinal Re
Board Certified Specialties: None
Abilene
Randell II, David J, DC
Gender: Male
NPI: 1588894190
# 1750 S Clack St
J (325) 695-2225
Clinic Affiliation: West Texas Back Clinic
Board Certified Specialties: None
Abilene
Southall, Belinda J, DC
Gender: Female
NPI: 1144529751
4433 Loop 322
J (325) 793-9444
Clinic Affiliation: Southall Chiropractic
PLLC
Board Certified Specialties: None
Abilene
Summers, Lee W, DC
Gender: Male
NPI: 1417048588
# 4102 Buffalo Gap Rd
Ste A1
J (325) 695-0090
Clinic Affiliation: Crossroads Chiropractic
Clinic
Board Certified Specialties: None
Abilene
Waldrip, Greg W, DC
Gender: Male
NPI: 1104935857
3301 N Third St
Ste 134
J (325) 676-7444
Clinic Affiliation: Waldrip Chiropractic Clinic
Board Certified Specialties: None
Abilene
Weaver, Jacqueline C, DC
Gender: Female
NPI: 1407097702
# 4526 Buffalo Gap Rd
(325) 692-7400
Clinic Affiliation: Abilene Chiropractic PC
Board Certified Specialties: None
Abilene
Wofford, Scott D, DC
Gender: Male
NPI: 1932188646
1750 S Clack St
J (325) 695-2225
Clinic Affiliation: S West Abilene Rehab
PA, West Texas Back Clinic
Board Certified Specialties: None
Abilene
J - Wheelchair Access
15
ABILENE
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
ABILENE Cont
FAMILY PRACTICE
" Roark, Gary D, MD
Abilene
Priestner, Vincent J, MD
Gender: Male
NPI: 1861458317
! 2120 Antilley Rd
J (325) 695-2020
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Eye Institute
Board Certified Specialties: None
Abilene
CLINICAL GENETICS
Drummond Borg, Lesley M, MD
Gender: Female
NPI: 1841281318
1401 Ambler Ave
(325) 670-3910
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatrics
Abilene
COLON-RECTAL SURGERY
Kendrick, Bradley T, MD
Gender: Male
NPI: 1396887741
950 N 19th St Ste 202
J (325) 677-1077
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Texas Midwest Surgery Center
Board Certified Specialties: None
Landero, James L, DO
Gender: Male
NPI: 1396975850
1525 Hickory St
(325) 677-7546
Clinic Affiliation: Premier Dermatology
PLLC
Board Certified Specialties: None
" Garlapati, Vivek R, MD
J
" Ramolia, Paras B, MD
Gender: Male
NPI: 1457524167
3190 Antilley Rd
(325) 672-5603
Clinic Affiliation: Abilene Dermatology and
Skin Surg
Board Certified Specialties: Dermatology
J
ENDOCRINOLOGY
Hsieh, Susan Y, MD
Gender: Female
NPI: 1346455318
1401 Ambler Ave
Ste 101
(325) 670-3910
Hospital Affiliation: Childrens Medical
Center Dallas
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatrics
#
J
J
J
NPI: 1154391209
1665 Antilley Rd
Ste 210
(325) 677-2626
Hospital Affiliation: Abilene Endoscopy
Center, Hendrick Medical Center
Clinic Affiliation: Gastroenterology Asso
Board Certified Specialties:
Gastroenterology
" Cole, John F, DO
J
J
" Yost, James G, MD
Abilene
Gender: Male
NPI: 1659443208
1680 Antilley Rd
Ste 110
(325) 428-5600
Hospital Affiliation: Abilene Regional
Medical Center, Baylor Scott & White
Medical Ctr, Baylor Scott White Med
Hillcrest, Providence Health Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties: General
Surgery
J
Gender: Male
NPI: 1992846950
1680 Antilley Rd Ste 110
(325) 428-5600
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties: General
Surgery
Hyde, Kelly V, MD
Gender: Female
NPI: 1336394154
1924 Pine St Ste 501
J (325) 670-4333
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: None
HEMATOLOGY
Heaven Jr, Ralph F, MD
Gender: Male
NPI: 1023056280
1904 Pine St
Ste 1A
J (325) 672-4368
Abilene
Gender: Male
NPI: 1972549632
6300 Regional Plz
Ste 820
(325) 692-3777
Hospital Affiliation: Coleman County
Medical Center
Clinic Affiliation: Sandip V Mathur MD
Board Certified Specialties:
Gastroenterology
Kalla, Hari K, MD
Gender: Male
NPI: 1558305482
1957 Antilley Rd
(325) 692-0188
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
Abilene
Ray, Anish, MD
Gender: Male
NPI: 1609024256
1401 Ambler Ave
Ste 101
(325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center, Md Anderson Cancer Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Oncology
Abilene
Lohman, Rhett K, DO
Gender: Male
NPI: 1942469283
1924 Pine St Ste 501
J (325) 670-4333
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: None
Abilene
" Patel, Yogeshkum T, MD
Abilene
Gender: Male
NPI: 1437128527
4400 Buffalo Gap Rd
Ste 2800
(325) 795-2100
" Needham Jr, Jack N, MD
Abilene
Gender: Male
NPI: 1770782369
1924 Pine St Ste 501
(325) 670-4333
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: General
Surgery
NPI: 1437128527
6200 Regional Plz
Ste 1675
(325) 795-2100
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Texas Midwest
Gastroenterology Ctr PA
Board Certified Specialties:
Gastroenterology
NPI: 1023056280
1957 Antilley Rd
(325) 692-0188
Hospital Affiliation: Abilene Regional
Medical Center, Eastland Memorial Hospital,
Haskell Memorial Hospital, Hendrick Medical
Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
J
Abilene
" Mathur, Sandip V, MD
J
Gender: Male
NPI: 1326028036
1680 Antilley Rd
Ste 110
(325) 428-5600
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties: General
Surgery
Abilene
Abilene
" Bell, Jason C, DO
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
NPI: 1154391209
1249 Ambler Ave
Ste 200
(325) 677-2626
Johnson, Steven K, MD
Gender: Male
NPI: 1588634646
1249 Ambler Ave
Ste 200
J (325) 677-2626
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Gastroenterology Asso
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Abilene
Gender: Male
NPI: 1033376983
1904 Pine St
Ste 200
(325) 670-5570
Hospital Affiliation: Hendrick Medical
Center, Univ Of Tx Med Branch Galveston
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Endocrinology,
Diabetes & Metabolism
" Carpenter, Scott S, DO
Abilene
Abilene
J
Gender: Male
NPI: 1821186453
1680 Antilley Rd
Ste 110
(325) 428-5600
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: General
Surgery
GENERAL SURGERY
" Haynes, Bill C, MD
Abilene
ENDOCRINOLOGY, DIABETES &
METABOLISM
Gender: Female
NPI: 1114162211
1904 Pine St
Ste 4D
(325) 704-5055
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Lone Star
Gastroenterology of Abi
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Gastroenterology
Abilene
Abilene
Abilene
Sanchez, Rafael G, MD
Gender: Male
NPI: 1871504795
6250 Regional Plz
Ste 1010
J (325) 428-5500
Hospital Affiliation: Abilene Regional
Medical Center, Mem Hermann Southeast
Hosp
Clinic Affiliation: Abilene Physicians Group
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
" Rubin, Mark A, MD
Abilene
Abilene
Abilene
Abilene
DERMATOLOGY
J
GASTROENTEROLOGY
Abilene
Rubin, Mark A, MD
Gender: Male
NPI: 1821186453
1680 Antilley Rd
Ste 110
J (325) 428-5600
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: General
Surgery
#
Gender: Male
NPI: 1003896531
1249 Ambler Ave
Ste 200
(325) 677-2626
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Gastroenterology Asso
Board Certified Specialties:
Gastroenterology
" Vega Dulanto, Ivanoe J, MD
Abilene
J
Gender: Male
NPI: 1992913461
2000 Pine St
(325) 670-6340
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Hematology
J - Wheelchair Access
16
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
ABILENE
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Headstream, Thomas L, MD
Abilene
ABILENE Cont
HEMATOLOGY-ONCOLOGY
Melnyk Jr, Anton M, MD
Gender: Male
NPI: 1801834544
1904 Pine St
Ste 1A
J (325) 672-4368
Abilene
J
NPI: 1801834544
1957 Antilley Rd
(325) 692-0188
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
Zhao, Guangquan, MD
Gender: Male
NPI: 1710197314
2000 Pine St
J (325) 670-6343
Hospital Affiliation: Conroe Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Oncology
Abilene
INFECTIOUS DISEASES
" Kalla, Yamini H, MD
Abilene
Gender: Female
NPI: 1568420693
1804 Pine St
Ste 200
(325) 870-5570
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Infectious
Diseases
INTERNAL MEDICINE
" Amaechi, Nnewueze S, MD
Abilene
Gender: Female
NPI: 1588985717
2000 Pine St
(325) 670-6340
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Internal
Medicine
J
Johnson, Steven K, MD
Gender: Male
NPI: 1588634646
1249 Ambler Ave
Ste 200
J (325) 677-2626
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Gastroenterology Asso
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Abilene
Leverton II, Robert S, MD
Gender: Male
NPI: 1316164783
6200 Regional Plz
Ste 1250
J (325) 691-5895
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Robert S Leverton II MD
Board Certified Specialties:
Cardiovascular Disease
" Creppy, Amy G, MD
J
Gender: Female
NPI: 1588973101
1850 Hickory St
Ste 105
(325) 704-2570
Clinic Affiliation: Totoe Medical Group
PLLC
Board Certified Specialties: Internal
Medicine
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Totoe, Robert A, MD
Abilene
Gender: Male
NPI: 1336354331
1850 Hickory St
Ste 105
(325) 704-2570
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Totoe Medical Group
PLLC
Board Certified Specialties: Internal
Medicine
J
Lin, Larry W, MD
Gender: Male
NPI: 1972600823
1201 N 18th St
J (325) 793-3300
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center, Rolling Plains
Memorial Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Abilene
Patel, Nikunjkumar I, MD
Gender: Male
NPI: 1740388396
2225 S Danville Dr
(325) 692-8346
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Neosculpt Laser Vein Cos
Srgy Ctr
Board Certified Specialties:
Cardiovascular Disease
Armour, Alexander W, DO
Gender: Male
NPI: 1417113945
1201 N 18th St
(325) 793-3100
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: None
" Arora, Harvinder S, MD
Abilene
J
" Robinson Jr, Noel K, MD
J
Gender: Male
NPI: 1972592517
1150 N 18th St
Ste 300
(325) 670-6466
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Internal
Medicine
Gender: Male
NPI: 1427019249
1201 N 18th St
(325) 793-3100
Hospital Affiliation: Hendrick Medical
Center, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Interventional
Cardiology
Patel, Nikunjkumar I, MD
Gender: Male
NPI: 1740388396
1201 N 18th St
(325) 793-3300
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties:
Cardiovascular Disease
Abilene
Thorp, Gorman M, MD
Gender: Male
NPI: 1184722753
1201 N 18th St
(325) 793-3300
Hospital Affiliation: Abilene Regional
Medical Center, Eastland Memorial Hospital,
Haskell Memorial Hospital, Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Abilene
" Varghese, Joji J, MD
Abilene
Gender: Male
NPI: 1053479683
1201 N 18th St
(325) 793-3300
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Interventional
Cardiology
Abilene
Abilene
!
" McClish, John C, MD
Abilene
INTERVENTIONAL CARDIOLOGY
Abilene
" Canario, Daniel G, MD
Abilene
Thorp, Gorman M, MD
Gender: Male
NPI: 1184722753
1201 N 18th St
(325) 793-3300
Hospital Affiliation: Abilene Regional
Medical Center, Eastland Memorial Hospital,
Haskell Memorial Hospital, Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Abilene
Abilene
Abilene
Gender: Male
NPI: 1972638583
1904 Pine St
Ste 200
(325) 670-5570
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Internal
Medicine
Swarna, Udaya S, MD
Gender: Male
NPI: 1306944962
1201 N 18th St
(325) 793-3100
Hospital Affiliation: Abilene Regional
Medical Center, Anson General Hospital,
Coleman County Medical Center, Hendrick
Medical Center, Houston Methodist Hospital,
North Runnels Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Abilene
Gender: Male
NPI: 1053300863
1665 Antilley Rd
Ste 200
(325) 793-5130
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
MATERNAL & FETAL MEDICINE
" Magee, Kevin P, MD
Abilene
Gender: Male
NPI: 1336211887
1850 Hickory St
(325) 670-6690
Hospital Affiliation: Baylor University
Medical Center, Medical City Dallas Hospital,
Methodist Dallas Medical Center, Parkland
Health And Hospital Sys, Tx Hlth
Presbyterian Hosp Dallas, Tx Hlth
Presbyterian Hosp Plano
Clinic Affiliation: Fetal Care Consultants
LLC
Board Certified Specialties: Maternal &
Fetal Medicine
Gender: Male
NPI: 1891922134
1201 N 18th St
(325) 793-3100
Hospital Affiliation: Hendrick Medical
Center, Univ Of Tx Med Branch Galveston
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 19
yrs old
Board Certified Specialties: Interventional
Cardiology
Lin, Larry W, MD
Gender: Male
NPI: 1972600823
1201 N 18th St
J (325) 793-3300
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center, Rolling Plains
Memorial Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Abilene
" Thigpen, Brad D, DO
Abilene
Gender: Male
NPI: 1104880087
1665 Antilley Rd
Ste 250
(325) 793-5171
Hospital Affiliation: Abilene Regional
Medical Center, Baylor Scott White All Saints
Med, Cook Childrens Medical Center,
Hendrick Medical Center, John Peter Smith
Hospital, Medical Center Of Arlington, Tx
Hlth Arlington Memorial Hosp, Tx Hlth Harris
Methodist Hosp Fw, Tx Hlth Harris Methodist
Hosp Heb, Tx Hlth Harris Methodist Hosp Sw
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: Maternal &
Fetal Medicine
J - Wheelchair Access
17
ABILENE
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Dickerson, Russell S, MD
Gender: Male
NPI: 1821215237
1680 Antilley Rd Ste 250
J (325) 698-1100
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
North Runnels Hospital, Stamford Memorial
Hospital, Stephens Memorial Hospital
Board Certified Specialties: None
" Bass, James G, MD
Abilene
ABILENE Cont
MATERNAL & FETAL MEDICINE Cont
Yost, Nicole P, MD
Gender: Female
NPI: 1497782981
1850 Hickory St
(325) 670-6690
Hospital Affiliation: Baylor University
Medical Center
Clinic Affiliation: Fetal Care Consultants
LLC
Board Certified Specialties: None
Abilene
" Du, Antao, MD
Gender: Male
NPI: 1396916037
1904 Pine St
Ste 3B
(847) 360-3000
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Neurology
Abilene
" Fakhoury, Ibrahim S, MD
Gender: Male
NPI: 1245226927
1904 Pine St Ste 4B
(325) 670-4494
Hospital Affiliation: Hendrick Medical
Center, Texas Childrens Hospital, The
Womans Hospital Of Texas
Clinic Affiliation: Abilene Kidney Clinic PA
Board Certified Specialties: Nephrology
J
" Walia, Ishmeet, MD
Abilene
Gender: Female
NPI: 1174840862
1210 N 18th St
(325) 670-5330
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Nephrology
Willis, Jennifer M, MD
Gender: Female
NPI: 1063675106
1401 Ambler Ave Ste 101
(325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Anderson Jr, Rexford K, MD
Gender: Male
NPI: 1922093236
402 Cypress St Ste 609
J (325) 672-5611
Hospital Affiliation: Abilene Regional
Medical Center, Eastland Memorial Hospital,
Hendrick Medical Center, Mitchell County
Hospital District
Board Certified Specialties: None
Abilene
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Female
NPI: 1023277076
1680 Antilley Rd
Ste 115
(325) 428-5680
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties:
Obstetrics-Gynecology
" Daniell, Randy C, MD
Abilene
Gender: Male
NPI: 1528063005
1924 Pine St
Ste 401A
(325) 670-4000
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties:
Obstetrics-Gynecology
Vaughan, Daniel J, MD
Gender: Male
NPI: 1629142286
602 Hickory St
W Ste
J (325) 670-3939
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Bacchus and Vaughan
Neurology Assoc LLP
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
Abilene
" McCain, Stefanie B, MD
Abilene
Ogdee, Robert G, MD
Gender: Male
NPI: 1568426542
1680 Antilley Rd
Ste 120
J (325) 695-2000
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Practice Information: Female Patients only
Board Certified Specialties: None
Abilene
" Payne, Paul B, MD
Abilene
Gender: Male
NPI: 1104819986
1850 Hickory St
(325) 670-6690
Hospital Affiliation: Baylor University
Medical Center
Clinic Affiliation: Fetal Care Consultants
LLC
Board Certified Specialties:
Obstetrics-Gynecology
Sinclair, Jerry W, MD
Gender: Male
NPI: 1255350211
1680 Antilley Rd
Ste 320
(325) 691-1122
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Jerry W Sinclair MD
Board Certified Specialties: None
Abilene
" Garner, Erin P, DO
Gender: Female
NPI: 1275863029
1665 Antilley Rd
Ste 260
(325) 695-4969
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties:
Obstetrics-Gynecology
McAlister, Michele, RD
Gender: Female
NPI: 1881630812
1665 Antilley Rd
Ste 200
J (325) 793-5251
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
Gender: Female
NPI: 1265539688
19 Hospital Dr
(325) 690-0620
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Stefanie B McCain MD
Practice Information: Practice Limited to
Gynecology
Board Certified Specialties:
Obstetrics-Gynecology
J
Abilene
NUTRITION & DIETETICS
" Stanley, Richard D, MD
Abilene
" Gunby Jr, Robert T, MD
Abilene
Gender: Male
NPI: 1891788790
1850 Hickory St
(325) 670-6690
Hospital Affiliation: Baylor University
Medical Center
Clinic Affiliation: Fetal Care Consultants
LLC
Board Certified Specialties:
Obstetrics-Gynecology
" Rak, Bridget M, RD
Abilene
Gender: Female
NPI: 1437454816
765 Orange St
(325) 690-5100
Clinic Affiliation: Abilene Regional MHMR
Center
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: Nutrition &
Dietetics
Abilene
NEUROLOGY
J
Gender: Female
NPI: 1164741674
1904 Pine St
Ste 3B
(325) 670-6290
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Neurology
" Cox Jr, Conald W, MD
Abilene
" Bullock, Nicole C, DO
" Hayashi, Bonnie H, MD
Abilene
Gender: Male
NPI: 1992725956
1924 Pine St
Ste 402
(325) 670-4242
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties:
Obstetrics-Gynecology
Abilene
Abilene
NEPHROLOGY
Gender: Male
NPI: 1790771483
1904 Pine St Ste 4B
(325) 670-4494
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Kidney Clinic PA
Board Certified Specialties: Nephrology
J
Abilene
MEDICAL GENETICS
Gamble, Candace, MD
Gender: Female
NPI: 1922354166
1401 Ambler Ave
Ste 101
(325) 670-3910
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Abilene
" Mascorro, Whitney V, MD
J
Gender: Male
NPI: 1427167329
1680 Antilley Rd
Ste 310
(325) 428-5750
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
OCCUPATIONAL THERAPY
Abilene
J
OBSTETRICS-GYNECOLOGY
Anderson Jr, Charles G, MD
Gender: Male
NPI: 1720197635
1680 Antilley Rd
Ste 350
(325) 704-5200
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Practice Information: Female Patients only
Board Certified Specialties: None
Abilene
Gender: Female
NPI: 1033106042
1924 Pine St Ste 401C
Jones Building
(325) 670-4080
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties:
Obstetrics-Gynecology
" Mathews, Robert J, MD
Boyd, Delyn D, OT
Gender: Female
NPI: 1740355932
2074 Antilley Rd Ste 100
J (325) 793-3400
Abilene
J
Abilene
Gender: Male
NPI: 1396773495
1850 Hickory St
(325) 670-6690
Hospital Affiliation: Baylor Scott & White White Rock, Baylor University Medical
Center
Clinic Affiliation: Fetal Care Consultants
LLC
Board Certified Specialties:
Obstetrics-Gynecology
" Bakos, Sharon G, MD
Abilene
Gender: Female
NPI: 1639175847
1850 Hickory St
(325) 670-6690
Hospital Affiliation: Baylor University
Medical Center
Clinic Affiliation: Fetal Care Consultants
LLC
Board Certified Specialties:
Obstetrics-Gynecology
NPI: 1740355932
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Brown, Michael W, OT
Gender: Male
NPI: 1245304153
2074 Antilley Rd Ste 100
J (325) 437-1219
Abilene
J
NPI: 1245304153
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
J - Wheelchair Access
18
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
ABILENE
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Klassen, Carol J, OT
Gender: Female
NPI: 1013092022
765 Orange St
(325) 690-5100
Clinic Affiliation: Abilene Regional MHMR
Center
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
Wymore, Matthew A, OT
Gender: Male
NPI: 1841513579
2074 Antilley Rd
Ste 100
(325) 437-1219
Abilene
ABILENE Cont
OCCUPATIONAL THERAPY Cont
Dodds, Ruth B, OT
Gender: Female
NPI: 1649237769
# 2074 Antilley Rd Ste 100
J (325) 437-1219
Abilene
NPI: 1649237769
4601 Hartford St
(325) 793-3400
J
NPI: 1649237769
909 N First St
(325) 392-9872
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
J
East, Amanda B, OT
Gender: Female
NPI: 1154496347
# 4601 Hartford St
J (325) 793-3400
(325) 793-3537
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Estes, Rebecca S, OT
Gender: Female
NPI: 1093882748
2074 Antilley Rd
Ste 100
J (325) 457-1219
Klostermann, Dwain R, OT
Gender: Male
NPI: 1699769604
# 4601 Hartford St
J (325) 793-3443
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
J
Fortin, Victoria, OT
Gender: Female
NPI: 1528437688
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Gibbs, Amy R, OT
Gender: Female
NPI: 1992004303
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Hoebelheinrich, Schel A, OT
Gender: Female
NPI: 1952551012
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Hoelscher, Robbi C, OT
Gender: Female
NPI: 1699840686
2074 Antilley Rd
Ste 100
J (325) 793-3400
Abilene
J
NPI: 1699840686
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
ONCOLOGY
J
Heaven Jr, Ralph F, MD
Gender: Male
NPI: 1023056280
1904 Pine St
Ste 1A
J (325) 672-4368
NPI: 1023056280
1957 Antilley Rd
(325) 692-0188
Hospital Affiliation: Abilene Regional
Medical Center, Eastland Memorial Hospital,
Haskell Memorial Hospital, Hendrick Medical
Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
J
Lane, Kimberly S, OT
Gender: Female
NPI: 1518033919
2074 Antilley Rd Ste 100
J (325) 437-1219
Abilene
NPI: 1518033919
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
J
Langford, Sarah A, OT
Gender: Female
NPI: 1790924793
# 4601 Hartford St
J (325) 793-3441
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Kalla, Hari K, MD
Gender: Male
NPI: 1558305482
1957 Antilley Rd
(325) 692-0188
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
Reeves, Shila R, OT
Gender: Female
NPI: 1679612980
765 Orange St
(325) 690-5100
Clinic Affiliation: Abilene Regional MHMR
Center
Board Certified Specialties: None
Riley, Whitney L, OT
Gender: Female
NPI: 1245571199
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Gender: Female
NPI: 1457314387
1401 Ambler Ave
Ste 100
(325) 670-3460
Hospital Affiliation: Hendrick Medical
Center, Mem Hermann Hospital
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties:
Ophthalmology
" Alford, Mark A, MD
Abilene
Gender: Male
NPI: 1477563153
5441 Health Center Dr
(817) 566-1500
Hospital Affiliation: Cook Childrens Medical
Center, Tx Hlth Arlington Memorial Hosp, Tx
Hlth Harris Methodist Hosp Fw
Clinic Affiliation: North Texas Ophthalmic
Plastic Surgery PLLC
Board Certified Specialties:
Ophthalmology
J
" Carter, Troy L, MD
Abilene
Gender: Male
NPI: 1265596522
1750 Pine St
(325) 672-9000
Hospital Affiliation: Coleman County
Medical Center, Hendrick Medical Center
Practice Information: Wheelchair
Accessibility
Board Certified Specialties:
Ophthalmology
J
" Crawford, Courtney, MD
Abilene
Gender: Female
NPI: 1265546170
5441 Health Center Dr
(325) 673-9806
Clinic Affiliation: West TX Retina
Consultants PA
Board Certified Specialties:
Ophthalmology
" Melnyk Jr, Anton M, MD
J
J
Abilene
Abilene
" Akor, Charlotte M, MD
Abilene
Abilene
Abilene
Reed, Shayli, OT
Gender: Female
NPI: 1417318049
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
OPHTHALMOLOGY
Abilene
Abilene
Owens, Beth R, OT
Gender: Female
NPI: 1487920260
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
J
Gender: Male
NPI: 1699919456
1957 Antilley Rd
(325) 692-0188
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Oncology
Abilene
NPI: 1639204670
908 N First St
(325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
J
Gender: Male
NPI: 1710197314
2000 Pine St
(325) 670-6343
Hospital Affiliation: Conroe Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Oncology
" Baig, Haris A, DO
Koehn, Kathleen A, OT
Gender: Female
NPI: 1639204670
2074 Antilley Rd Ste 100
J (325) 437-1219
NPI: 1639204670
4601 Hartford St
(325) 783-3400
" Zhao, Guangquan, MD
Abilene
Abilene
Abilene
Abilene
Abilene
NPI: 1841513579
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Abilene
NPI: 1093882748
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Gender: Male
NPI: 1801834544
1904 Pine St
Ste 1A
(325) 672-4368
Hammons, Matthew A, MD
Gender: Male
NPI: 1639189319
5441 Health Center Dr
(817) 566-1500
Hospital Affiliation: Arlington Day Surgery,
Cook Childrens Medical Center, Irving
Coppell Surgical Hospital An Affiliate Of B,
Tx Hlth Arlington Memorial Hosp, Tx Hlth
Harris Methodist Hosp Fw
Clinic Affiliation: North Texas Ophthalmic
Plastic Surgery PLLC
Board Certified Specialties: None
Abilene
NPI: 1801834544
1957 Antilley Rd
(325) 692-0188
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
" Ray, Anish, MD
Abilene
Gender: Male
NPI: 1609024256
1401 Ambler Ave
Ste 101
(325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center, Md Anderson Cancer Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Oncology
" Janzen, Grant P, MD
Abilene
J
Gender: Male
NPI: 1306935440
5441 Health Center Dr
(325) 673-9806
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: West TX Retina
Consultants PA
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
J - Wheelchair Access
19
ABILENE
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Teague, Brettly J, MD
" Funk, Dale A, MD
Abilene
ABILENE Cont
OPHTHALMOLOGY Cont
" Lee, Seong Y, MD
Abilene
J
Gender: Male
NPI: 1669466769
5441 Health Center Dr
(325) 673-9806
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: West TX Retina
Consultants PA
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
J
Gender: Male
NPI: 1447235494
2120 Antilley Rd
(325) 695-2020
Hospital Affiliation: Abilene Cataract And
Refractive Surgery Center, Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Eye Institute
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
J
" Badylak, John, MD
Abilene
Gender: Male
NPI: 1780629741
1701 Pine St
(325) 677-6219
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Medical Center Of Alliance, Medical Center
Of Arlington, North Hills Hospital
Clinic Affiliation: Orthopedic Assoc
Board Certified Specialties: Orthopedic
Surgery
" Pacuraru, Anca D, DO
J
J
" Phelan, Mark J, MD
Abilene
J
Gender: Male
NPI: 1801882030
2120 Antilley Rd
(325) 695-2020
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Eye Institute
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
" Richert, Harvey M, MD
Abilene
J
Gender: Male
NPI: 1336142660
1750 Pine St
(325) 670-3937
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Texas Midwest Surgery Center
Clinic Affiliation: H Miller Richert MD
Practice Information: Wheelchair
Accessibility
Board Certified Specialties:
Ophthalmology
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
J
J
J
Deprang, Clifford L, MD
Gender: Male
NPI: 1568415206
2074 Antilley Rd
(325) 698-3865
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Methodist Ambulatory Surg Hosp Nw
Clinic Affiliation: Asmo Overhead LLP
Board Certified Specialties: None
Abilene
Gender: Male
NPI: 1588669774
1888 Antilley Rd
(325) 795-0225
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Orthopedic Assoc
Board Certified Specialties: Orthopedic
Surgery
" Akin, William O, MD
#
J
" Braaten, Jeffrey M, DO
J
J
NPI: 1972586584
5302 Buffalo Gap Rd
Ste 101
(325) 793-2663
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Bone and Joint
Clinic LLP
Board Certified Specialties: Orthopedic
Surgery
" Dickey Jr, Robert L, MD
Gender: Male
NPI: 1982689790
1701 Pine St
(325) 677-6219
NPI: 1982689790
1850 Hickory St Ste 103
(325) 670-3770
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Hendrick Provider
Network, Orthopedic Assoc
Board Certified Specialties: Orthopedic
Surgery
Gender: Male
NPI: 1508819590
1233 N 18th St
(325) 437-3687
NPI: 1508819590
1725 Hickory St
(325) 437-3687
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Rolling Plains Memorial Hospital
Clinic Affiliation: ENT Specialists of Abilene
LLP
Board Certified Specialties:
Otolaryngology
" Cotney, Thomas W, MD
Abilene
J
" Vann, Elliott R, MD
Gender: Male
NPI: 1972586584
1633 Cottonwood St
(325) 672-4372
Gender: Male
NPI: 1447365325
702 Hickory Ste B
Otolaryngology Assoc
(325) 677-2026
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Board Certified Specialties:
Otolaryngology
Abilene
Gender: Male
NPI: 1881852689
1633 Cottonwood St
(325) 672-4372
NPI: 1881852689
5302 Buffalo Gap Rd
Ste 101
(325) 793-2663
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Bone and Joint
Clinic LLP
Board Certified Specialties: Orthopedic
Surgery
NPI: 1740380534
6399 Directors Parkway
(325) 794-5400
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties:
Otolaryngology
Abilene
Abilene
Abilene
#
J
J
" Padon, Derek T, MD
NPI: 1306881065
5302 Buffalo Gap Rd
Ste 101
(325) 793-2663
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Bone and Joint
Clinic LLP
Board Certified Specialties: Orthopedic
Surgery
J
J
NPI: 1740380534
6250 Hwy 83
(325) 428-1000
Abilene
Gender: Male
NPI: 1306881065
1633 Cottonwood St
(325) 672-4372
J
J
Gender: Male
NPI: 1740380534
1665 Antilley Rd
STE160
(325) 695-0444
" McDonough, Paul W, MD
" Britten, Jeremy B, MD
" Patel, Sunil S, MD
" Acevedo, Jason L, MD
Abilene
Abilene
Abilene
Abilene
Gender: Male
NPI: 1760476964
5441 Health Ctr Dr
(325) 673-9806
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
San Angelo Community Medical Center
Clinic Affiliation: West TX Retina
Consultants PA
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
Maroney, Samuel S, DO
Gender: Male
NPI: 1184825994
2074 Antilley Rd
(325) 698-3865
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Asmo Overhead LLP
Board Certified Specialties: None
Abilene
ORTHOPEDIC SURGERY
Abilene
J
Hendrix Jr, Henry H, MD
Gender: Male
NPI: 1225027980
1665 Antilley Rd
Ste 190
(325) 698-2211
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties: None
OTOLARYNGOLOGY
Abilene
" Thames, Paul B, MD
" McAdams, Rocky L, MD
Gender: Female
NPI: 1669407227
1750 Pine St
(325) 701-9885
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Premier Eye Care
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
Gender: Male
NPI: 1639122179
2074 Antilley Rd
(325) 698-3865
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Asmo Overhead LLP
Board Certified Specialties: Orthopedic
Surgery
Abilene
Abilene
Gender: Male
NPI: 1740442607
2120 Antilley Rd
(325) 695-2020
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Eye Institute
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
Abilene
Gender: Male
NPI: 1952389967
4342 Treanor Dr
(325) 673-0900
Hospital Affiliation: Abilene Regional
Medical Center, D M Cogdell Memorial
Hospital, Hendrick Medical Center, Stamford
Memorial Hospital
Clinic Affiliation: Dr Brettly J Teague PLLC
Board Certified Specialties:
Ophthalmology
Gender: Male
NPI: 1194743260
1665 Antilley Rd
Ste 180
(325) 695-7740
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties:
Otolaryngology
" Goodnight, Gary D, DO
Abilene
J
J
Gender: Male
NPI: 1487691432
1233 N 18th St
(325) 437-3687
NPI: 1487691432
1725 Hickory St
(325) 437-3687
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: ENT Specialists of Abilene
LLP
Board Certified Specialties:
Otolaryngology
" King, Austin I, MD
Abilene
J
Gender: Male
NPI: 1144337510
2217 S Danville Dr
(325) 695-2270
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Austin I King MD
Board Certified Specialties:
Otolaryngology
J - Wheelchair Access
20
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
ABILENE
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
ABILENE Cont
PEDIATRIC ALLERGY & IMMUNOLOGY
Hall, Ashley G, MD
Gender: Female
NPI: 1790957587
1233 N 18th St
(325) 437-3687
Abilene
OTOLARYNGOLOGY Cont
Thompson, Christopher R, MD
Gender: Male
NPI: 1447570619
1233 N 18th St
(325) 437-3687
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: ENT Specialists of Abilene
LLP
Board Certified Specialties: None
Abilene
NPI: 1790957587
1725 Hickory St
(325) 437-3687
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: ENT Specialists of Abilene
LLP
Board Certified Specialties:
Allergy-Immunology
" Tidmore, Taylor R, MD
Abilene
J
J
Gender: Male
NPI: 1699879874
1233 N 18th St
(325) 437-3687
NPI: 1699879874
1725 Hickory St
(325) 437-3600
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: ENT Specialists of Abilene
LLP
Board Certified Specialties:
Otolaryngology
PAIN MANAGEMENT
Brandecker, Edward J, MD
Gender: Male
NPI: 1992700413
1888 Antilley Rd
J (325) 795-1888
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Rolling Plains Memorial Hospital
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
Abilene
" Dozier, Norman J, MD
Abilene
Gender: Male
NPI: 1629015003
2401 N Treadaway
(325) 676-7700
Hospital Affiliation: Anson General
Hospital, Hendrick Medical Center, Texas
Midwest Surgery Center
Clinic Affiliation: Norman J Dozier MD
PLLC
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Pain
Management
Heath, Gary L, MD
Gender: Male
NPI: 1053300970
6399 Directors Pkwy
Ste 200
J (325) 794-5420
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
Kalafut, Roberta M, DO
Gender: Female
NPI: 1740286202
1888 Antilley Rd
J (325) 795-1888
Hospital Affiliation: Abilene Regional
Medical Center, Eastland Memorial Hospital,
Hendrick Medical Center, Stamford Memorial
Hospital
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
PEDIATRIC CARDIOLOGY
Case, Christopher L, MD
Gender: Male
NPI: 1912011032
1401 Ambler Ave
J (325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Abilene
Dzurik, Matthew V, MD
Gender: Male
NPI: 1912094053
1401 Ambler Ave
Ste 101
(325) 670-3910
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Abilene
Eapen, Reenu S, MD
Gender: Female
NPI: 1881663342
1850 Hickory St
(325) 670-6690
Hospital Affiliation: Childrens Medical
Center Dallas, Parkland Health And Hospital
Sys
Clinic Affiliation: Fetal Care Consultants
LLC
Board Certified Specialties: None
Abilene
Hackman, Anne M, MD
Gender: Female
NPI: 1790732931
1401 Ambler Ave
Ste 101
(325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: None
Readinger, Richard I, MD
Gender: Male
NPI: 1891892550
1401 Ambler Ave
Ste 101
J (325) 670-3910
Hospital Affiliation: Cook Childrens Home
Health, Tx Hlth Harris Methodist Hosp Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Roten, Lisa M, MD
Gender: Female
NPI: 1750489993
1401 Ambler Ave
J (325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
Lai, Stephen, MD
Gender: Male
NPI: 1548353634
1401 Ambler Ave
J (325) 481-8694
Hospital Affiliation: Baylor Scott White All
Saints Med, Tx Hlth Harris Methodist Hosp
Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties:
Cardiovascular Disease
NPI: 1437128527
6200 Regional Plz
Ste 1675
(325) 795-2100
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Texas Midwest
Gastroenterology Ctr PA
Board Certified Specialties:
Gastroenterology
J
PEDIATRIC HEMATOLOGY-ONCOLOGY
" Goldman, Stanton C, MD
Abilene
Gender: Male
NPI: 1295778843
1904 Pine St
Ste 1A
(325) 672-4368
Schutte, Deborah A, MD
Gender: Female
NPI: 1891889754
1401 Ambler Ave
J (325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
J
NPI: 1295778843
1957 Antilley Rd
(325) 692-0188
Hospital Affiliation: Baylor University
Medical Center, Medical Center Of Mckinney,
Medical Center Of Plano, Medical City Dallas
Hospital, Tx Hlth Presbyterian Hosp Plano
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Over 16
yrs old
Board Certified Specialties: Pediatric
Hematology-Oncology
J
Abilene
" Heym, Kenneth M, MD
Abilene
Gender: Male
NPI: 1861406803
1401 Ambler Ave
(325) 670-3910
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatric
Hematology-Oncology
PEDIATRIC ENDOCRINOLOGY
Thomas, Teena C, MD
Gender: Female
NPI: 1497960041
1401 Ambler Ave
Ste 101
(325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
Abilene
PEDIATRIC INFECTIOUS DISEASE
" Mazade, Marc A, MD
Abilene
Gender: Male
NPI: 1902999097
1401 Ambler Ave
(325) 670-3910
Hospital Affiliation: Baylor Scott White All
Saints Med, Cook Childrens Medical Center,
Tx Hlth Arlington Memorial Hosp, Tx Hlth
Harris Methodist Hosp Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatric
Infectious Disease
J
" Thornton, Paul S, MD
Abilene
" Kuo, James A, MD
Abilene
Patel, Yogeshkum T, MD
Gender: Male
NPI: 1437128527
4400 Buffalo Gap Rd
Ste 2800
J (325) 795-2100
Abilene
Abilene
Abilene
Gender: Male
NPI: 1760510929
1401 Ambler Ave
(682) 665-2140
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatric
Cardiology
PEDIATRIC GASTROENTEROLOGY
Abilene
Abilene
Abilene
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Mandel, Corey S, MD
Gender: Male
NPI: 1598858680
1401 Ambler Ave
Ste 101
J (325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Abilene
J
Gender: Male
NPI: 1265521108
1401 Ambler Ave
(325) 481-8694
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatric
Endocrinology
PEDIATRIC NEPHROLOGY
Bedri, Badreldin, MD
Gender: Male
NPI: 1558599407
1401 Ambler Ave
Ste 101
(325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
Abilene
J - Wheelchair Access
21
ABILENE
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
ABILENE Cont
PEDIATRIC NEUROLOGY
Marks, Warren A, MD
Gender: Male
NPI: 1285727370
1401 Amber Ave
J (325) 481-8694
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
PHYSICAL MEDICINE &
REHABILITATION
" Brandecker, Edward J, MD
Abilene
Gender: Male
NPI: 1992700413
1888 Antilley Rd
(325) 795-1888
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Rolling Plains Memorial Hospital
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
Abilene
J
PEDIATRIC PULMONOLOGY
" Pfaff, John K, MD
Abilene
Gender: Male
NPI: 1326144486
1401 Ambler Ave
(325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatric
Pulmonology
J
Brautbar, Ariel, MD
Gender: Male
NPI: 1184952038
1401 Ambler Ave
Ste 101
(325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
" Drummond Borg, Lesley M, MD
Abilene
Gender: Male
NPI: 1023098027
1934 Hickory St
Ste 100
(915) 670-5300
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Board Certified Specialties: Physical
Medicine & Rehabilitation
J
Bearden, Keila B, LPT
Gender: Female
NPI: 1215050885
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
" Kalafut, Roberta M, DO
Gender: Female
NPI: 1740286202
1888 Antilley Rd
(325) 795-1888
Hospital Affiliation: Abilene Regional
Medical Center, Eastland Memorial Hospital,
Hendrick Medical Center, Stamford Memorial
Hospital
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
J
Blare, Hillary D, LPT
Gender: Female
NPI: 1134511678
# 2074 Antilley Rd
J (325) 690-9700
Clinic Affiliation: Asmo Overhead LLP
Board Certified Specialties: None
Abilene
Book, Ashley L, LPT
Gender: Female
NPI: 1801171046
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
" Munton, Daniel L, MD
Abilene
Gender: Male
NPI: 1043261688
4351 Ridgemont Dr
(325) 698-4545
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Daniel L Munton MD
Board Certified Specialties: Physical
Medicine & Rehabilitation
" Hsieh, Susan Y, MD
Conley, Clinton D, LPT
Gender: Male
NPI: 1184033714
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Cordes, Megan L, LPT
Gender: Female
NPI: 1629391313
# 4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Cox, Jessica A, LPT
Gender: Female
NPI: 1447590724
1633 Cottonwood St
(325) 676-5633
Clinic Affiliation: Abilene Bone and Joint
Clinic LLP
Board Certified Specialties: None
Abilene
Abilene
Abilene
Abilene
Willis, Jennifer M, MD
Gender: Female
NPI: 1063675106
1401 Ambler Ave Ste 101
(325) 670-3910
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Baxter, Tammy G, LPT
Gender: Female
NPI: 1396819306
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
" Endsley, Ferral L, DO
Gender: Female
NPI: 1841281318
1401 Ambler Ave
(325) 670-3910
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatrics
Gender: Female
NPI: 1346455318
1401 Ambler Ave
Ste 101
(325) 670-3910
Hospital Affiliation: Childrens Medical
Center Dallas
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatrics
Aslin, Kerry D, LPT
Gender: Male
NPI: 1972826691
2074 Antilley Rd Ste 100
J (325) 690-9700
Clinic Affiliation: Asmo Overhead LLP
Board Certified Specialties: None
Abilene
Abilene
PEDIATRICS
Abilene
Ashlock, Leslie J, LPT
Gender: Female
NPI: 1285957910
# 4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Boyd, Lori J, LPT
Gender: Female
NPI: 1063534089
2074 Antilley Rd Ste 100
J (325) 793-3400
Abilene
Trifilo, Richard D, MD
Gender: Male
NPI: 1912973165
1888 Antilley Rd
(325) 795-1888
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
NPI: 1063534089
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
J
Boynton, Josh, LPT
Gender: Male
NPI: 1417393281
1602 S Clack St
(325) 691-0093
Abilene
PHYSICAL THERAPY
Dickinson, Ericka, LPT
Gender: Female
NPI: 1396144572
# 2074 Antilley Rd
J (325) 690-9700
Clinic Affiliation: Asmo Overhead LLP
Board Certified Specialties: None
Abilene
Dudensing, Abby L, LPT
Gender: Female
NPI: 1396084638
# 2074 Antilley Rd
(325) 690-9700
Clinic Affiliation: Asmo Overhead LLP
Board Certified Specialties: None
Abilene
Foreman, Jacqueline D, LPT
Gender: Female
NPI: 1043651813
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Greer, Leigh A, LPT
Gender: Female
NPI: 1174762421
2074 Antilley Rd Ste 100
J (325) 437-1219
Abilene
#
J
NPI: 1174762421
4601 Hartford St
(325) 793-3455
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Hicks, Bradley S, LPT
Gender: Male
NPI: 1477547495
2074 Antilley Rd Ste 100
J (325) 437-1219
Abilene
Abilene
Akers, Laura, LPT
Gender: Female
NPI: 1437549607
# 2074 Antilley Rd
J (325) 690-9700
Clinic Affiliation: Asmo Overhead LLP
Board Certified Specialties: None
Abilene
Brewer, Michelle R, LPT
Gender: Female
NPI: 1649503061
1602 S Clack St
(325) 691-0093
Clinic Affiliation: Rebound Sports &
Physcial Therapy
Board Certified Specialties: None
Abilene
Asbill, Stacey L, LPT
Gender: Female
NPI: 1497822647
2074 Antilley Rd Ste 100
J (325) 437-1219
Abilene
#
J
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1417393281
1701 Pine St
(325) 677-6219
Clinic Affiliation: Orthopedic Assoc,
Rebound Sports & Physcial Therapy
Board Certified Specialties: None
NPI: 1497822647
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Cheek, Megan B, LPT
Gender: Female
NPI: 1457612426
# 4601 Hartford St
J (325) 793-3411
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
#
J
NPI: 1477547495
4601 Hartford St
(325) 793-3441
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Hicks, Erin L, LPT
Gender: Female
NPI: 1265649198
2074 Antilley Rd Ste 100
J (325) 437-1219
Abilene
#
J
NPI: 1265649198
4601 Hartford St
(325) 793-3441
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
J - Wheelchair Access
22
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
ABILENE
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Kasner, Kimberley S, LPT
Gender: Female
NPI: 1356417059
# 4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
ABILENE Cont
PHYSICAL THERAPY Cont
Hierholzer, Jodi K, LPT
Gender: Female
NPI: 1487078531
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Holt, Riley D, LPT
Gender: Male
NPI: 1548537905
1888 Antilley Rd
J (325) 795-1888
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
Huber Willis, Jobeth K, LPT
Gender: Female
NPI: 1710024237
# 4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
Abilene
Huckaby, Teresa L, LPT
Gender: Female
NPI: 1467691469
2074 Antilley Rd Ste 100
J (325) 437-1219
Keating, Priscilla M, LPT
Gender: Female
NPI: 1841366440
2074 Antilley Rd Ste 100
J (325) 793-3400
Abilene
J
J
Hunt, Melinda M, LPT
Gender: Female
NPI: 1285838839
3777 Catclaw Dr
(325) 695-0545
Clinic Affiliation: New Heights PT Ltd
Partnership
Board Certified Specialties: None
Abilene
Hutton, Jonathan N, LPT
Gender: Male
NPI: 1245575786
1888 Antilley Rd
J (325) 795-1888
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: None
" Jones, Kathryn D, LPT
Gender: Female
NPI: 1740649292
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: Physical
Therapy
Jones, Katrina D, LPT
Gender: Female
NPI: 1811326259
# 1720 S Clack St
(325) 691-0923
Clinic Affiliation: Rebound Sports &
Physcial Therapy
Board Certified Specialties: None
Abilene
Karr, Gina W, LPT
Gender: Female
NPI: 1316920200
4601 Hartford St
(325) 793-3537
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1841366440
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Robbins, Robert M, LPT
Gender: Male
NPI: 1164759049
2074 Antilley Rd
(325) 698-3865
Clinic Affiliation: Asmo Overhead LLP
Board Certified Specialties: None
#
J
NPI: 1457561755
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Lange, Bryan S, LPT
Gender: Male
NPI: 1275606295
2074 Antilley Rd
J (325) 669-7636
Clinic Affiliation: Asmo Overhead LLP
Board Certified Specialties: None
Gender: Female
NPI: 1548489677
1665 Antilley Rd
Ste 285
(325) 793-5128
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: Plastic
Surgery
Rutland, Marsha E, LPT
Gender: Female
NPI: 1437143468
2074 Antilley Rd Ste 100
J (325) 437-1219
" Grothaus, Peter C, MD
Abilene
NPI: 1437143468
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
J
NPI: 1316013360
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
McCormick, Joseph B, LPT
Gender: Male
NPI: 1588903868
# 2074 Antilley Rd
J (325) 690-9700
Clinic Affiliation: Asmo Overhead LLP
Board Certified Specialties: None
Abilene
NPI: 1851469951
4601 Hartford St
(325) 793-3474
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
#
J
Snowden, Sara A, LPT
Gender: Female
NPI: 1306143706
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Viertel, Lacy A, LPT
Gender: Female
NPI: 1174993489
1720 S Clack St
(325) 691-0923
Clinic Affiliation: Rebound Sports &
Physcial Therapy
Board Certified Specialties: None
Abilene
McMillan, Lindsey R, LPT
Gender: Female
NPI: 1831265883
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
McSpadden, Karen D, LPT
Gender: Female
NPI: 1174883235
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Owens, Jean A, LPT
Gender: Female
NPI: 1265509343
2074 Antilley Rd
Ste 100
J (325) 793-3400
Abilene
NPI: 1265509343
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Villers, James F, LPT
Gender: Male
NPI: 1336217199
# 4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Walker, Kelsey A, LPT
Gender: Female
NPI: 1992196182
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Gender: Male
NPI: 1245290501
1665 Antilley Rd
Ste 285
(325) 793-5128
Hospital Affiliation: Abilene Regional
Medical Center, Baylor Scott & White
Medical Ctr
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: Plastic
Surgery
" Wong, Nancy, MD
Abilene
Gender: Female
NPI: 1619138310
950 N 19th St
Ste 200
(325) 670-5320
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Plastic
Surgery
Schaeffer, Elizabeth H, LPT
Gender: Female
NPI: 1851469951
2074 Antilley Rd Ste 100
J (325) 793-3400
Martin, Kelly S, LPT
Gender: Female
NPI: 1316013360
2074 Antilley Rd
Ste 100
J (325) 437-1219
J
" Bennett, Laura L, MD
Abilene
Abilene
Abilene
#
J
PLASTIC SURGERY
Abilene
#
J
Abilene
Walts, Kayleigh N, LPT
Gender: Female
NPI: 1205292075
# 2074 Antilley Rd
J (325) 690-9700
Clinic Affiliation: Asmo Overhead LLP
Board Certified Specialties: None
Abilene
Abilene
Lambaren, Christopher A, LPT
Gender: Male
NPI: 1457561755
2074 Antilley Rd Ste 100
J (325) 437-1219
Abilene
Abilene
Riley, Collin C, LPT
Gender: Male
NPI: 1588937981
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Abilene
Abilene
NPI: 1467691469
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Righi, Angela D, LPT
Gender: Female
NPI: 1497973440
765 Orange St
J (325) 627-0908
Clinic Affiliation: Abilene Regional MHMR
Center
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
Abilene
PODIATRY
Albritton, G Chris, DPM
Gender: Male
NPI: 1174570493
2501 S Willis Ste A
J (325) 695-8990
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Family Foot Ctr
PA
Board Certified Specialties: None
Abilene
Brown, Beil C, DPM
Gender: Male
NPI: 1003853011
6250 Regional Plaza
Ste 1016
J (325) 793-5135
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
Bruton, Patrick W, DPM
Gender: Male
NPI: 1437103074
1665 Antilley Rd Ste 230
J (325) 437-2001
Hospital Affiliation: Abilene Regional
Medical Center, Healthsouth Rehabilitation
Hospit, Hendrick Medical Center
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
Clawson, Lacey D, DPM
Gender: Female
NPI: 1497986202
6250 Regional Plaza
Ste 1016
J (325) 793-5135
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Board Certified Specialties: None
Abilene
J - Wheelchair Access
23
ABILENE
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
ABILENE Cont
RADIATION ONCOLOGY
RHEUMATOLOGY
" Dubey, Ajay K, MD
" Baddour, Violeta T, MD
Abilene
PODIATRY Cont
Ganesh, Allan, DPM
Gender: Male
NPI: 1669647376
6200 Regional Plz
Ste 1450
(325) 480-1177
Board Certified Specialties: None
Abilene
J
" Sloan, Martin V, DPM
Abilene
Gender: Male
NPI: 1639178387
1150 N 18th St Ste 206
(325) 695-1890
J
NPI: 1639178387
6300 Regional Plaza
Ste 260
(325) 695-1890
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Rolling Plains Memorial Hospital, Stamford
Memorial Hospital, Stephens Memorial
Hospital
Clinic Affiliation: Podiatric Medical Partners
of Tex
Practice Information: Established Patients
only
Board Certified Specialties: Podiatry
Wheat, Danny E, DPM
Gender: Male
NPI: 1871589713
1401 Ambler Ave Ste 102
J (325) 670-3338
Hospital Affiliation: Abilene Regional
Medical Center, Eastland Memorial Hospital,
Hendrick Medical Center
Board Certified Specialties: None
Abilene
J
Gender: Female
NPI: 1447243183
1904 Pine St
Ste 4C
(325) 670-4033
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: West Texas Lung Clinic
PA
Board Certified Specialties: Pulmonary
Diseases
J
Gender: Male
NPI: 1073556403
1957 Antilley Rd
(817) 467-6092
Hospital Affiliation: Baylor Scott White All
Saints Med, Medical Center Of Arlington,
Methodist Mansfield Medical Ctr, Plaza
Medical Center Fort Worth, Tx Hlth Arlington
Memorial Hosp, Tx Hlth Harris Methodist
Hosp Fw, Tx Hlth Harris Methodist Hosp Heb
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Radiation
Oncology
Gender: Female
NPI: 1831137454
1957 Antilley Rd
(325) 692-0188
Hospital Affiliation: Baylor Scott White All
Saints Med, Plaza Medical Center Fort
Worth, Tx Hlth Harris Methodist Hosp Fw
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Radiation
Oncology
J
" Penmetsa, Santhi, MD
Abilene
Gender: Female
NPI: 1528148947
5302 Buffalo Gap Rd
(325) 307-6226
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Rheumatology
Ambrose, Betsy L, SLP
Gender: Female
NPI: 1487901625
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Boeshart, Linda, SLP
Gender: Female
NPI: 1326345299
# 4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
" Sorgen, Stephen, MD
J
J
Gender: Male
NPI: 1215979448
1904 Pine St
Ste 1A
(325) 672-4368
NPI: 1215979448
1957 Anteilly Rd
(817) 820-4700
Hospital Affiliation: Baylor Scott White All
Saints Med, Baylor Scott White Med
Grapevine, Cook Childrens Medical Center,
Tx Hlth Harris Methodist Hosp Fw, Tx Hlth
Harris Methodist Hosp Heb, Tx Hlth Harris
Methodist Hosp Sw
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Radiation
Oncology
Halari, Amanda A, SLP
Gender: Female
NPI: 1184022741
765 Orange St
J (325) 627-0908
Clinic Affiliation: Abilene Regional MHMR
Center
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
Abilene
Herndon, Kirsten S, SP
Gender: Female
NPI: 1477627297
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Holler, Susan B, SLP
Gender: Female
NPI: 1629229398
2074 Antilley Rd
Ste 100
J (325) 793-3400
Abilene
Borger, Alyssa L, SLP
Gender: Female
NPI: 1174911549
765 Orange St
(325) 627-0908
Clinic Affiliation: Abilene Regional MHMR
Center
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
J
Douglas, Khristina M, SP
Gender: Female
NPI: 1952476137
4601 Hartford St
J (325) 793-3400
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
" Tomberlin, Janice K, MD
Gender: Female
NPI: 1982642443
1957 Antilley Rd
(352) 692-0188
Hospital Affiliation: Baylor Scott White All
Saints Med, Cook Childrens Medical Center,
North Hills Hospital, Plaza Medical Center
Fort Worth, Tx Hlth Harris Methodist Hosp
Fw, Tx Hlth Harris Methodist Hosp Heb, Tx
Hlth Harris Methodist Hosp Sw
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Radiation
Oncology
Fischer, Kellie D, SLP
Gender: Female
NPI: 1386820611
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Garcia, Miranda M, SLP
Gender: Female
NPI: 1982033833
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Jameson, Dean G, SP
Gender: Male
NPI: 1285701524
1202 S Leggett
J (325) 643-1721
J
#
J
NPI: 1285701524
2074 Antilley Rd Ste 100
(325) 437-1219
NPI: 1285701524
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Kleypas, Susan C, SLP
Gender: Female
NPI: 1326396607
# 4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Koslan, Jillian S, SLP
Gender: Female
NPI: 1548389299
765 Orange St
J (325) 627-0908
Clinic Affiliation: Abilene Regional MHMR
Center
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
Abilene
Lester, Carol R, SLP
Gender: Female
NPI: 1811169311
2074 Antilley Rd Ste 100
J (325) 437-1219
Abilene
Abilene
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1629229398
4601 Hartford
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Abilene
Abilene
J
Gray, Louise K, SLP
Gender: Female
NPI: 1003192865
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
SPEECH PATHOLOGY
Abilene
" Yeh, Amelia, MD
J
Gender: Female
NPI: 1124262209
1850 Hickory St
Ste 200 F
(325) 670-4220
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Rheumatology
" Nielson, Karen, MD
Abilene
Gender: Female
NPI: 1023183928
3210 Antilley Rd
(325) 795-1600
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Chest & Sleep Medicine
PA
Board Certified Specialties: Pulmonary
Diseases
" Koduru, Swapna, MD
Abilene
Abilene
" Pate, Preston L, MD
" Stojanovic, Tamara, MD
Gender: Female
NPI: 1134123037
1850 Hickory St
Ste 200F
(325) 670-4590
Hospital Affiliation: Hendrick Medical
Center, South Texas Regional Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Rheumatology
" John, Berchmans, MD
Abilene
Abilene
Gender: Male
NPI: 1548207509
1957 Antilley Rd
(325) 692-0188
Hospital Affiliation: Baylor Scott White All
Saints Med, Baylor Scott White Med
Grapevine, North Hills Hospital, Tx Hlth
Harris Methodist Hosp Fw, Tx Hlth Harris
Methodist Hosp Heb, Tx Hlth Huguley Fort
Worth South
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Radiation
Oncology
Abilene
PULMONARY DISEASES
Gender: Male
NPI: 1144211368
1850 Hickory St Ste 103
(325) 670-3800
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Pulmonary
Diseases
Abilene
Abilene
J
NPI: 1811169311
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
J - Wheelchair Access
24
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
ABILENE
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
ABILENE Cont
SPORTS MEDICINE
McLean, Marcus L, OD
Gender: Male
NPI: 1689013674
4749 Buffalo Gap Rd
(325) 692-9596
Clinic Affiliation: Abilene Advanced
Eyecare Inc
Board Certified Specialties: None
Abilene
Johnson, Jennifer L, MD
Gender: Female
NPI: 1073787024
4351 Ridgemont Dr
J (325) 698-4545
Abilene
SPEECH PATHOLOGY Cont
McAden, Kellie R, SLP
Gender: Female
NPI: 1720494925
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Roach, Kristy M, SLP
Gender: Female
NPI: 1831264233
2074 Antilley Rd Ste 100
J (325) 437-1219
NPI: 1073787024
4351 Ridgemont Dr
Ste A
(325) 698-4545
Clinic Affiliation: Daniel L Munton MD,
Jennifer L Johnson MD PLLC
Practice Information: No Patients Under 8
yrs old
Board Certified Specialties: None
J
Abilene
#
J
NPI: 1831264233
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Roberson, Katie R, SLP
Gender: Female
NPI: 1235539388
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Shelton, Mary D, SLP
Gender: Female
NPI: 1922437623
# 1720 S Clack St
J (325) 691-0923
Clinic Affiliation: Rebound Sports &
Physcial Therapy
Board Certified Specialties: None
Smith, Rachel D, SLP
Gender: Female
NPI: 1477854586
4601 Hartford St
(325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Tumlinson, Kaci L, SLP
Gender: Female
NPI: 1780933838
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Werner, Kara M, SLP
Gender: Female
NPI: 1417218520
765 Orange St
J (325) 627-0908
Clinic Affiliation: Abilene Regional MHMR
Center
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
Wilson, Suzan, SLP
Gender: Female
NPI: 1437427242
4601 Hartford St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Abilene
Witkowski, Kimberly K, SLP
Gender: Female
NPI: 1235361452
# 765 Orange St
J (325) 627-0908
Clinic Affiliation: Abilene Regional MHMR
Center
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
Abilene
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
NPI: 1417191875
1904 Pine St
Ste 3A
(325) 670-6180
Hospital Affiliation: Hendrick Medical
Center, University Medical Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Urology
Abilene
Vann, Elliott R, MD
Gender: Male
NPI: 1972586584
1633 Cottonwood St
(325) 672-4372
" De Riese, Werner T, MD
Abilene
Gender: Male
NPI: 1861478240
1904 Pine St
Ste 3A
(325) 670-6180
Hospital Affiliation: Hendrick Medical
Center, University Medical Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Urology
Preston, Kerry C, OD
Gender: Male
NPI: 1588649537
2120 Antilley Rd
J (325) 695-2020
Clinic Affiliation: Abilene Eye Institute
Board Certified Specialties: None
Abilene
NPI: 1972586584
5302 Buffalo Gap Rd
Ste 101
(325) 793-2663
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Bone and Joint
Clinic LLP
Board Certified Specialties: Orthopedic
Surgery
Shanks, Michael T, OD
Gender: Male
NPI: 1568576767
3225 S 27th St
(325) 691-0101
Clinic Affiliation: Nicolini Angela E OD
Board Certified Specialties: None
Abilene
Wadley, James W, OD
Gender: Male
NPI: 1922160423
262 S Leggett Dr
J (325) 676-2020
Clinic Affiliation: Jimmy Wadley Eye Care
PA
Board Certified Specialties: None
" Haynes Jr, Allan L, MD
Abilene
Gender: Male
NPI: 1548258130
1904 Pine St
Ste 3A
(325) 670-6180
Hospital Affiliation: Covenant Medical
Center Lakeside, Hendrick Medical Center,
University Medical Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Urology
Abilene
THERAPEUTIC OPTOMETRY
Avila, Gabriel, OD
Gender: Male
NPI: 1487730651
4749 Buffalo Gap Rd
J (325) 692-9596
Clinic Affiliation: Abilene Advanced
Eyecare Inc
Board Certified Specialties: None
Abilene
Wallendorff, Lacey J, OD
Gender: Female
NPI: 1104230937
4342 Treanor Dr
J (325) 673-0900
Clinic Affiliation: Dr Brettly J Teague PLLC
Board Certified Specialties: None
" McClintock, Joseph M, MD
Abilene
Gender: Male
NPI: 1881654960
6250 Regional Plz
Ste 1000
(325) 428-5520
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Urology
Abilene
Dressen Jr, Edward R, OD
Gender: Male
NPI: 1891851218
942 Hickory St
J (325) 677-6331
Clinic Affiliation: Dressen Jr Edward R OD
Board Certified Specialties: None
Abilene
THORACIC CARDIOVASCULAR
SURGERY
Abilene
Abilene
" Cammack, James T, MD
Abilene
Abilene
Abilene
Abilene
Postelwait, Darren L, OD
Gender: Male
NPI: 1194829259
440 Hickory St
J (325) 677-6225
Clinic Affiliation: Family Vision Assoc LLP
Practice Information: No Patients Under 3
yrs old
Board Certified Specialties: None
UROLOGY
Ezzell, Steven C, OD
Gender: Male
NPI: 1467560771
# 440 Hickory St
J (325) 677-6225
Clinic Affiliation: Family Vision Assoc LLP
Board Certified Specialties: None
J
" Miller Jr, Thomas H, MD
Abilene
Gender: Male
NPI: 1831188671
1904 Pine St Ste B
(325) 670-6580
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Board Certified Specialties: Urology
Abilene
" Carlson, David E, MD
Abilene
Fehr, James W, OD
Gender: Male
NPI: 1679611081
4734 S 14th St
J (325) 672-1011
Clinic Affiliation: Vision Express of Abilene
Practice Information: No Patients Over 4
yrs old
Board Certified Specialties: None
Gender: Male
NPI: 1194717652
1150 N 18th St
Ste 401
(325) 670-4560
Hospital Affiliation: Abilene Regional
Medical Center, Eastland Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Thoracic
Cardiovascular Surgery
Abilene
" Crocker, Scott H, MD
Abilene
Gender: Male
NPI: 1073505889
1150 N 18th St
Ste 401
(325) 670-4560
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Thoracic
Cardiovascular Surgery
Grant, Brooks T, OD
Gender: Male
NPI: 1609189612
# 5550 S Clack
J (325) 698-2010
Clinic Affiliation: Brooks T Grant OD PLLC
Board Certified Specialties: None
Abilene
Hall Sappington, Amanda L, OD
Gender: Female
NPI: 1104178763
262 S Leggett Dr
(325) 676-2125
Clinic Affiliation: Jimmy Wadley Eye Care
PA
Practice Information: No Patients Under 6
yrs old
Board Certified Specialties: None
Abilene
Malhotra, Deepak, MD
Gender: Male
NPI: 1073799987
1150 N 19th St
Ste 401
(325) 670-4560
Hospital Affiliation: Good Shepherd
Medical Center, Hendrick Medical Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: None
Abilene
Nelius, Thomas, MD
Gender: Male
NPI: 1033120100
1904 Pine St
Ste 3A
(325) 670-6180
Hospital Affiliation: University Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: None
Abilene
Rinard, Katherine L, MD
Gender: Female
NPI: 1225299795
1924 Pine St
Ste 505
(325) 670-6180
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: None
Abilene
J - Wheelchair Access
25
ABILENE
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
ABILENE Cont
CHIROPRACTIC
BLUFF DALE
Southall, Belinda J, DC
Gender: Female
NPI: 1144529751
# 425 Market St
J (325) 854-2724
Clinic Affiliation: Southall Chiropractic
PLLC
Board Certified Specialties: None
Baird
UROLOGY Cont
" Schuster, Tina K, DO
Abilene
J
Gender: Female
NPI: 1396868253
6250 Regional Plaza
Ste 1000
(325) 428-5520
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties: Urology
Campbell, Michelle D, SLP
Gender: Female
NPI: 1063728558
# 255 Anglers Rdg
(817) 945-6922
Clinic Affiliation: Pathways Early Autism
Interventio
Practice Information: No Patients Over 5
yrs old
Board Certified Specialties: None
Bluff Dale
BALLINGER
GERIATRIC MEDICINE
Uribe, Cristina R, SLP
Gender: Female
NPI: 1376915777
255 Anglers Ridge
(817) 945-6922
Clinic Affiliation: Pathways Early Autism
Interventio
Board Certified Specialties: None
" Martinez Irizarry, Axel E, MD
Bluff Dale
Gender: Male
NPI: 1689860421
2001 Hutchings Ave
Ste C
(325) 365-5737
Hospital Affiliation: Ballinger Memorial
Hospital
Clinic Affiliation: Ballinger Memorial
Hospital District
Board Certified Specialties: Geriatric
Medicine, Hospice & Palliative Medicine
ANP/CERT/CLNP
Albany
Albany
Albany
Jamison, Emily M, APN
Gender: Female
NPI: 1326273624
725 Pate St
(325) 762-2447
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
Price, Diana L, APN
Gender: Female
NPI: 1417293598
725 Pate St
(325) 762-2447
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
Wilburn, Travis R, APN
Gender: Male
NPI: 1770513194
450 Kenshalo St
(325) 762-3661
Clinic Affiliation: Shackelford County
Health Clinic
Board Certified Specialties: None
BAIRD
Calingo, Zarina M, APN
Gender: Female
NPI: 1659649234
109 W Fifth St
J (325) 854-1741
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
Ryan, Kellie M, APN
Gender: Female
NPI: 1255393872
2008 Nine Rd
J (325) 658-1511
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
Gender: Male
NPI: 1689860421
2001 Hutchings Ave
Ste C
(325) 365-5737
Hospital Affiliation: Ballinger Memorial
Hospital
Clinic Affiliation: Ballinger Memorial
Hospital District
Board Certified Specialties: Geriatric
Medicine, Hospice & Palliative Medicine
CHIROPRACTIC
Defiore, Stephen F, DC
Gender: Male
NPI: 1851490346
# 1407 S Bridge St
J (325) 597-5977
Clinic Affiliation: Stephen F Defiore Dcpa
Board Certified Specialties: None
Brady
INTERVENTIONAL CARDIOLOGY
Sun, Kai M, DO
Gender: Male
NPI: 1023286317
302 N Third St
(325) 365-5737
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
Ballinger
FAMILY PRACTICE
Vickers, Lonnie L, MD
Gender: Male
NPI: 1356327704
2010 Nine Rd
J (325) 597-2114
Hospital Affiliation: Heart Of Texas
Memorial Hospital
Clinic Affiliation: Heart of Texas Memorial
Hospital
Board Certified Specialties: None
Brady
THERAPEUTIC OPTOMETRY
Robbins, Stewart D, OD
Gender: Male
NPI: 1194822064
# 107 N Eighth St
J (325) 365-5755
Board Certified Specialties: None
Ballinger
OBSTETRICS-GYNECOLOGY
Mejia, Genevieve P, MD
Gender: Female
NPI: 1356502488
2008 Nine Rd
J (325) 245-4000
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
Brady
BANGS
PHYSICAL THERAPY
Baird
Baird
Wilson, Jennifer V, APN
Gender: Female
NPI: 1205160082
128 W Fourth
(325) 854-1365
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
UROLOGY
" Bradley, Brian A, MD
Brady
Young, Sara E, LPT
Gender: Female
NPI: 1972797801
# 807 E Hall St Ste A
J (325) 752-6819
Clinic Affiliation: Bangs Physical Therapy
Center
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
Bangs
ORTHOPEDIC SURGERY
" Wilkinson, Joe B, MD
Brady
J
Gender: Male
NPI: 1003874033
2008 Nine Rd
(325) 597-2901
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: Orthopedic
Surgery
Gender: Male
NPI: 1356383269
2008 Nine Rd
(325) 597-2901
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: Urology
J
BRECKENRIDGE
ANP/CERT/CLNP
Berkley, Cortney R, APN
Gender: Female
NPI: 1629447859
2802 W Walker
(254) 559-7215
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
Brec kenridge
Brady
" Martinez Irizarry, Axel E, MD
Ans on
ANP/CERT/CLNP
ANP/CERT/CLNP
Ballinger
GENERAL SURGERY
Dean III, Thurston E, MD
Gender: Male
NPI: 1376797589
215 Ave J
J (325) 823-3296
Hospital Affiliation: Anson General
Hospital, Mitchell County Hospital District,
Otto Kaiser Memorial Hospital, Rolling Plains
Memorial Hospital
Clinic Affiliation: Anson General ER
Physicians
Board Certified Specialties: None
BRADY
HOSPICE & PALLIATIVE MEDICINE
ANSON
Lane, Richard I, OD
Gender: Male
NPI: 1134216013
1104 S Bridge
J (325) 597-3500
Board Certified Specialties: None
Brady
SPEECH PATHOLOGY
Ballinger
ALBANY
THERAPEUTIC OPTOMETRY
McIntire, Rebecca L, APN
Gender: Female
NPI: 1669648036
101 S Hartford St
J (254) 559-3363
Clinic Affiliation: Breckenridge Medical
Center
Board Certified Specialties: None
Brec kenridge
CHIROPRACTIC
Masters, Brian E, DC
Gender: Male
NPI: 1780792812
# 1224 W Walker
J (254) 559-3880
Clinic Affiliation: Masters Chiropractic PC
Board Certified Specialties: None
Brec kenridge
HEMATOLOGY-ONCOLOGY
Melnyk Jr, Anton M, MD
Gender: Male
NPI: 1801834544
200 S Geneva St
J (254) 559-2241
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
Brec kenridge
ONCOLOGY
" Melnyk Jr, Anton M, MD
Brec kenridge
J
Gender: Male
NPI: 1801834544
200 S Geneva St
(254) 559-2241
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
J - Wheelchair Access
26
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
BROWNWOOD
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
GENERAL SURGERY
Steele Perkins, Shanna L, APN
Gender: Female
NPI: 1700943263
104 S Park Dr
(325) 648-0704
Brownwood
BRECKENRIDGE Cont
PODIATRY
" Warren, William J, DPM
Breckenridge
Gender: Male
NPI: 1861578965
200 S Geneva St
(254) 559-2241
Hospital Affiliation: Faith Community
Hospital, Palo Pinto General Hospital,
Stephens Memorial Hospital, Tx Hlth Harris
Methodist Hosp, Weatherford Regional Med
Ctr
Clinic Affiliation: William J Warren DPM PA
Board Certified Specialties: Podiatry
J
CARDIOVASCULAR DISEASE
" Lai, Stephen, MD
Brownwood
J
ANP/CERT/CLNP
Delacruz, Shannon L, APN
Gender: Female
NPI: 1164893889
302 E Commerce St
(325) 643-3010
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
Brownwood
Lucas, Cheryl, APN
Gender: Female
NPI: 1952774549
# 3804 Hwy 377 S
J (325) 643-5167
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
Brownwood
McCullough, Tammy P, APN
Gender: Female
NPI: 1316974082
109 S Park Dr
J (325) 643-3300
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
Brownwood
" Morgan, Tanja, APN
Brownwood
J
J
Gender: Female
NPI: 1043587124
109 Southpark Dr
(325) 643-3300
NPI: 1043587124
125 S Park Dr
Ste H
(325) 649-0999
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: Anp/Cert/Clnp
J
#
J
J
Zondag, Daniel, DC
Gender: Male
NPI: 1174533368
# 3007 Hwy 377 S
J (325) 641-8744
Board Certified Specialties: None
Nahar, Tamanna, MD
Gender: Female
NPI: 1174542575
1501 Burnet Dr
(325) 641-8648
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Cardiosolution Physicians
Board Certified Specialties: None
Brownwood
" Ravipudi, Sanjeev, MD
Brownwood
Gender: Male
NPI: 1588657811
1501 Burnet Dr
(325) 641-8648
Hospital Affiliation: Scenic Mountain
Medical Center
Clinic Affiliation: Cardiosolution Physicians
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Interventional
Cardiology
" Ashpole, David, MD
Brownwood
Gender: Male
NPI: 1962463307
1501 Burnet Dr
(325) 641-8648
Hospital Affiliation: Scenic Mountain
Medical Center
Clinic Affiliation: Cardiosolution Physicians
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Interventional
Cardiology
DERMATOLOGY
" Ramolia, Paras B, MD
Brownwood
Gender: Male
NPI: 1457524167
118 S Park Dr
Ste C
(325) 600-4264
Clinic Affiliation: Abilene Dermatology and
Skin Surg
Board Certified Specialties: Dermatology
" Uricchio, Francis J, MD
Brownwood
Gender: Male
NPI: 1558364497
1501 Burnet Dr
(325) 641-8648
Hospital Affiliation: Scenic Mountain
Medical Center
Clinic Affiliation: Cardiosolution Physicians
Board Certified Specialties: Interventional
Cardiology
" Emerick, Robert S, MD
Brownwood
Gender: Male
NPI: 1255315495
1501 Burnet Dr
(325) 641-8648
Hospital Affiliation: Scenic Mountain
Medical Center
Clinic Affiliation: Cardiosolution Physicians
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Interventional
Cardiology
FAMILY PRACTICE
" Nigalye, Ranjana N, MD
Brownwood
J
Gender: Female
NPI: 1205872900
109 S Park Dr
(325) 643-3300
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: Internal
Medicine
Moosa, Yunus, MD
Gender: Male
NPI: 1548280464
1501 Burnet Dr
(325) 641-8648
Hospital Affiliation: Scenic Mountain
Medical Center
Clinic Affiliation: Cardiosolution Physicians
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Brownwood
INTERVENTIONAL CARDIOLOGY
Brownwood
J
Gender: Female
NPI: 1265478408
109 S Park Dr
(325) 643-3300
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: Internal
Medicine
" Tindol, Amy B, MD
Brownwood
J
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Fowler, Lisa S, MD
Brownwood
Hogan, Steve A, DC
Gender: Male
NPI: 1174515233
1901 Coggin Ave
Brownwood Chiroprac
J (325) 646-6944
Board Certified Specialties: None
Gender: Male
NPI: 1427019249
100 S Park Dr
(325) 646-5600
Hospital Affiliation: Hendrick Medical
Center, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Interventional
Cardiology
Brownwood
Oines, Stephen P, MD
Gender: Male
NPI: 1326075532
109 S Park Dr
J (325) 643-3300
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
Gafken, James A, DC
Gender: Male
NPI: 1639212343
# 3002 Hwy 377 S
J (325) 646-4664
Clinic Affiliation: Gafken Chiropractic
Centre
Board Certified Specialties: None
" McClish, John C, MD
Brownwood
INTERNAL MEDICINE
Brownwood
Brownwood
" Posey, Klarisa R, APN
#
Gender: Male
NPI: 1548353634
1501 Burnet Rd
(915) 649-3000
Hospital Affiliation: Baylor Scott White All
Saints Med, Tx Hlth Harris Methodist Hosp
Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties:
Cardiovascular Disease
CHIROPRACTIC
Brownwood
Gender: Female
NPI: 1750520813
2502 Crockett Dr
Ste B
(325) 643-5695
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: Anp/Cert/Clnp
Melnyk Jr, Anton M, MD
Gender: Male
NPI: 1801834544
118 C S Park Dr
J (325) 643-5868
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
Brownwood
Casas, Gustavo O, AUDIO
Gender: Male
NPI: 1447410436
2502 Crockett Dr Ste B
(325) 643-5695
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
Brownwood
Breckenridge
BROWNWOOD
HEMATOLOGY-ONCOLOGY
AUDIOLOGY
THERAPEUTIC OPTOMETRY
Toombs, Wade B, OD
Gender: Male
NPI: 1902970213
1510 W Walker
J (254) 559-5431
Practice Information: No Patients Under 1
yrs old
Board Certified Specialties: None
Gender: Female
NPI: 1386692689
1501 Burnet Dr
(325) 641-8648
Hospital Affiliation: John Peter Smith
Hospital, North Hills Hospital, Plaza Medical
Center Fort Worth, Tx Hlth Harris Methodist
Hosp Fw, Tx Hlth Harris Methodist Hosp Sw
Clinic Affiliation: Cardiosolution Physicians
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Interventional
Cardiology
Locker, Dan L, MD
Gender: Male
NPI: 1205824620
125 S Park Dr
Ste A
J (325) 646-1122
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
Brownwood
NPI: 1700943263
3804 Hwy 377 S
(325) 643-5167
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
#
" Keylani, Abdul, MD
Brownwood
Gender: Female
NPI: 1477541886
125 S Park Dr
Ste H
(325) 649-0999
NPI: 1477541886
2502 Crockett Dr
Ste A
(325) 649-0999
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: Family
Practice
" Vadlamani, Lalit, MD
Brownwood
Gender: Male
NPI: 1770552648
1501 Burnet Dr
(325) 641-8648
Hospital Affiliation: Scenic Mountain
Medical Center
Clinic Affiliation: Cardiosolution Physicians
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Interventional
Cardiology
J - Wheelchair Access
27
BROWNWOOD
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
BROWNWOOD Cont
OPHTHALMOLOGY
PEDIATRIC CARDIOLOGY
Case, Christopher L, MD
Gender: Male
NPI: 1912011032
1501 Burnet Rd
J (915) 649-3000
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
" Janzen, Grant P, MD
Brownwood
NEPHROLOGY
" Stevenson, John A, MD
Brownwood
Gender: Male
NPI: 1205820966
1501 Burnett Rd
(325) 224-5771
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: Nephrology
" Walia, Ishmeet, MD
Brownwood
Gender: Female
NPI: 1174840862
100 S Park Dr
(325) 646-5600
Hospital Affiliation: Hendrick Medical
Center
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Nephrology
J
J
J
J
Gender: Male
NPI: 1801834544
118 C S Park Dr
(325) 643-5868
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
NPI: 1760476964
109 S Park Dr
(325) 673-9806
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
San Angelo Community Medical Center
Clinic Affiliation: West TX Retina
Consultants PA
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
Lai, Stephen, MD
Gender: Male
NPI: 1548353634
1501 Burnet Rd
J (915) 649-3000
Hospital Affiliation: Baylor Scott White All
Saints Med, Tx Hlth Harris Methodist Hosp
Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties:
Cardiovascular Disease
" Roberts, Stephen J, MD
J
" Brandecker, Edward J, MD
Brownwood
J
Gender: Male
NPI: 1275723033
103B S Park Dr
(325) 643-8080
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: Orthopedic
Surgery
Mandel, Corey S, MD
Gender: Male
NPI: 1598858680
1501 Burnet Rd
J (915) 649-3000
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Witt, Ginny P, LPT
Gender: Female
NPI: 1871802801
408 Mulberry St
J (325) 646-9574
Clinic Affiliation: Central Texas MHMR
Center
Board Certified Specialties: None
Brownwood
PULMONARY DISEASES
" Yeh, Amelia, MD
Brownwood
J
Dart, Kimi L, DO
Gender: Female
NPI: 1881887867
2502 Crockett Dr
Ste B
J (325) 643-5695
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
Readinger, Richard I, MD
Gender: Male
NPI: 1891892550
1501 Burnet Rd
J (915) 649-3000
Hospital Affiliation: Cook Childrens Home
Health, Tx Hlth Harris Methodist Hosp Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Brownwood
" Cass, Allan W, MD
Brownwood
Gender: Male
NPI: 1609889203
1501 Burnet Dr
(325) 649-5000
Hospital Affiliation: Valley Baptist Medical
Center
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: Radiation
Oncology
" Sorgen, Stephen, MD
Brownwood
Brownwood
PAIN MANAGEMENT
Roten, Lisa M, MD
Gender: Female
NPI: 1750489993
1501 Burnet Rd
J (915) 649-3000
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
J
Brownwood
Brandecker, Edward J, MD
Gender: Male
NPI: 1992700413
109 S Park Dr
J (325) 795-1888
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Rolling Plains Memorial Hospital
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
Brownwood
Schutte, Deborah A, MD
Gender: Female
NPI: 1891889754
1501 Burnet Rd
J (915) 649-3000
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Brownwood
Gender: Female
NPI: 1023183928
311 Brown St
(325) 642-2491
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Chest & Sleep Medicine
PA
Board Certified Specialties: Pulmonary
Diseases
RADIATION ONCOLOGY
Brownwood
OTOLARYNGOLOGY
Gender: Male
NPI: 1992700413
109 S Park Dr
(325) 795-1888
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Rolling Plains Memorial Hospital
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
PHYSICAL THERAPY
Brownwood
Brownwood
" Hirsch Jr, Victor J, MD
" Melnyk Jr, Anton M, MD
Gender: Male
NPI: 1760510929
1501 Burnet Dr
(682) 665-2140
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatric
Cardiology
ORTHOPEDIC SURGERY
Brownwood
Brownwood
" Kuo, James A, MD
Brownwood
" Patel, Sunil S, MD
Brownwood
Gender: Male
NPI: 1720089931
1501 Burnet Dr
(325) 649-5000
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Regional Employee
Assistance
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
Gender: Male
NPI: 1669466769
109 S Park Dr Ste H
(800) 810-7411
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: West TX Retina
Consultants PA
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
Brownwood
OCCUPATIONAL THERAPY
ONCOLOGY
Hackman, Anne M, MD
Gender: Female
NPI: 1790732931
1501 Burnet Rd
(915) 649-3000
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: None
PHYSICAL MEDICINE &
REHABILITATION
Brownwood
" Lee, Seong Y, MD
Brownwood
Morgan, Mary Alice H, OT
Gender: Female
NPI: 1023282035
408 Mulberry St
J (325) 646-9574
Clinic Affiliation: Central Texas MHMR
Center
Board Certified Specialties: None
Gender: Male
NPI: 1306935440
109 S Park Dr Ste H
(800) 810-7411
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: West TX Retina
Consultants PA
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
Brownwood
NEUROLOGY
Green Jr, Edwin A, MD
Gender: Male
NPI: 1295731479
2400 Crockett Dr
Ste 200
(325) 646-2241
Hospital Affiliation: Eastland Memorial
Hospital, Tx Hlth Harris Methodist Hosp
Clinic Affiliation: Advanced Neuro
Diagnostics, Valley Neurodiagnostic
Board Certified Specialties: None
Brownwood
Gender: Male
NPI: 1215979448
118 S Park Dr
(325) 643-5868
Hospital Affiliation: Baylor Scott White All
Saints Med, Baylor Scott White Med
Grapevine, Cook Childrens Medical Center,
Tx Hlth Harris Methodist Hosp Fw, Tx Hlth
Harris Methodist Hosp Heb, Tx Hlth Harris
Methodist Hosp Sw
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Radiation
Oncology
RHEUMATOLOGY
" Taylor, Jason G, MD
Brownwood
J
Gender: Male
NPI: 1194787184
3655 Hwy 377 S
(325) 658-1511
Hospital Affiliation: Baylor Scott & White
Medical Ctr, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Rheumatology
J - Wheelchair Access
28
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
DEL RIO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
BROWNWOOD Cont
NUCLEAR CARDIOLOGY
COLEMAN
Ramachandran, Poongodhai, MD
Gender: Female
NPI: 1265489348
10201 Hwy 16
J (254) 968-5000
Hospital Affiliation: Comanche County
Medical Ctr, Lake Granbury Medical Center,
Plaza Medical Center Fort Worth, Tx Hlth
Harris Methodist Hosp Fw, Wadley Regional
Medical Center
Clinic Affiliation: Cardiac Care PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Comanc he
SPEECH PATHOLOGY
King, Susan E, SLP
Gender: Female
NPI: 1154697241
408 Mulberry St
J (325) 646-9574
Clinic Affiliation: Central Texas MHMR
Center
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
Brownwood
THERAPEUTIC OPTOMETRY
Hlis, Stephen G, OD
Gender: Male
NPI: 1811998503
537 W Commerce
J (325) 643-9336
Clinic Affiliation: Brownwood Family Eye
Care PC
Board Certified Specialties: None
THERAPEUTIC OPTOMETRY
Robbins, Stewart D, OD
Gender: Male
NPI: 1194822064
1114 Commercial Ave
J (325) 625-4400
Board Certified Specialties: None
Coleman
COLORADO CITY
GENERAL SURGERY
" Moses, Lufkin R, DO
Colorado City
Kramer, Bryan L, OD
Gender: Male
NPI: 1144333980
# 401A W Commerce St
J (325) 643-6252
Board Certified Specialties: None
J
Brownwood
CISCO
Cisco
Belk, Jacqueline, APN
Gender: Female
NPI: 1821487604
707 Conrad Hilton
Blvd
(254) 761-5909
Clinic Affiliation: Affinity Family Health
PLLC
Board Certified Specialties: None
Koenig, Joe D, DC
Gender: Male
NPI: 1912915042
1510 State Hwy 206
J (254) 442-4878
Board Certified Specialties: None
CLYDE
ANP/CERT/CLNP
Adames, Michael, APN
Gender: Male
NPI: 1275947533
# 1712 N Access Rd
(325) 893-4010
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
Clyde
Calingo, Zarina M, APN
Gender: Female
NPI: 1659649234
140 W Fifth St
J (325) 854-1741
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
Clyde
Clyde
Torres, Sherron L, APN
Gender: Female
NPI: 1013995026
1712 N Access Rd
(325) 893-4010
Clinic Affiliation: Shackelford Co Comm
Resource Ctr
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
NPI: 1982836433
10201 Hwy 16
(254) 879-4900
Hospital Affiliation: Baylor Scott White All
Saints Med, Baylor Surgical Hospital Ft
Worth, Baylor Surgicare At Fortworth, Baylor
Surgicare At Oakmont, Cook Childrens
Medical Center, Texas Health Specialty
Hospital, Tx Hlth Harris Methodist Hosp Fw,
Tx Hlth Harris Methodist Hosp Sw, Usmd
Hospital Fort Worth Lp
Clinic Affiliation: Texas Health Care PLLC
Board Certified Specialties: Orthopedic
Surgery
CARDIOVASCULAR DISEASE
" Ramachandran, Poongodhai, MD
Comanche
Gender: Female
NPI: 1265489348
10201 Hwy 16
(254) 968-5000
Hospital Affiliation: Comanche County
Medical Ctr, Lake Granbury Medical Center,
Plaza Medical Center Fort Worth, Tx Hlth
Harris Methodist Hosp Fw, Wadley Regional
Medical Center
Clinic Affiliation: Cardiac Care PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
J
CHIROPRACTIC
Cisco
" Lesley, Nathan E, MD
Comanc he
COMANCHE
ANP/CERT/CLNP
Swarna, Udaya S, MD
Gender: Male
NPI: 1306944962
200 N Main St
(254) 725-7330
Hospital Affiliation: Abilene Regional
Medical Center, Anson General Hospital,
Coleman County Medical Center, Hendrick
Medical Center, Houston Methodist Hospital,
North Runnels Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Cros s Plains
ORTHOPEDIC SURGERY
Gender: Male
NPI: 1598710915
997 W Interstate 20
(325) 728-2693
Hospital Affiliation: Mitchell County
Hospital District, Rolling Plains Memorial
Hospital
Clinic Affiliation: Family Medical Assoc
Board Certified Specialties: General
Surgery
Brownwood
INTERNAL MEDICINE
HAND SURGERY
THERAPEUTIC OPTOMETRY
Stepp, Raymond W, OD
Gender: Male
NPI: 1265491591
# 406 N Austin
J (325) 356-3266
Board Certified Specialties: None
Comanc he
CROSS PLAINS
CARDIAC ELECTROPHYSIOLOGY
Swarna, Udaya S, MD
Gender: Male
NPI: 1306944962
200 N Main St
(254) 725-7330
Hospital Affiliation: Abilene Regional
Medical Center, Anson General Hospital,
Coleman County Medical Center, Hendrick
Medical Center, Houston Methodist Hospital,
North Runnels Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Cross Plains
Lesley, Nathan E, MD
Gender: Male
NPI: 1982836433
10201 Hwy 16
(254) 879-4900
Hospital Affiliation: Baylor Scott White All
Saints Med, Baylor Surgical Hospital Ft
Worth, Baylor Surgicare At Fortworth, Baylor
Surgicare At Oakmont, Cook Childrens
Medical Center, Texas Health Specialty
Hospital, Tx Hlth Harris Methodist Hosp Fw,
Tx Hlth Harris Methodist Hosp Sw, Usmd
Hospital Fort Worth Lp
Clinic Affiliation: Texas Health Care PLLC
Board Certified Specialties: Orthopedic
Surgery
Comanche
INTERNAL MEDICINE
ANP/CERT/CLNP
Damron, Julie D, APN
Gender: Female
NPI: 1194060947
# 1100 W Reynosa Ave
J (254) 893-5895
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
De Leon
Lucas, Cheryl, APN
Gender: Female
NPI: 1952774549
# 1100 W Reynosa St
J (254) 893-5895
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
De Leon
Steele Perkins, Shanna L, APN
Gender: Female
NPI: 1700943263
# 1100 W Reynosa Ave
(254) 893-5895
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
De Leon
DEL RIO
ANP/CERT/CLNP
Graham, Moira E, APN
Gender: Female
NPI: 1649243494
1801 N Bedell
(830) 768-9200
Del Rio
NPI: 1649243494
1801 N Bedell Ave
(830) 768-9200
Clinic Affiliation: Val Verde Health Clinic,
Val Verde Hospital Corporation
Practice Information: No Patients Over 16
yrs old
Board Certified Specialties: None
CARDIOVASCULAR DISEASE
" Swarna, Udaya S, MD
Cross Plains
Ramachandran, Poongodhai, MD
Gender: Female
NPI: 1265489348
10201 Hwy 16
J (254) 968-5000
Hospital Affiliation: Comanche County
Medical Ctr, Lake Granbury Medical Center,
Plaza Medical Center Fort Worth, Tx Hlth
Harris Methodist Hosp Fw, Wadley Regional
Medical Center
Clinic Affiliation: Cardiac Care PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Comanche
DE LEON
Gender: Male
NPI: 1306944962
200 N Main St
(254) 725-7330
Hospital Affiliation: Abilene Regional
Medical Center, Anson General Hospital,
Coleman County Medical Center, Hendrick
Medical Center, Houston Methodist Hospital,
North Runnels Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
" Hernandez, Cynthia M, APN
Del Rio
J
Gender: Female
NPI: 1063606341
801 N Bedell Ave
(830) 703-1733
Clinic Affiliation: Val Verde Health Clinic
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Anp/Cert/Clnp
Hoehn, Jerri, APN
Gender: Female
NPI: 1689711228
1801 N Bedell Ave
J (830) 768-9200
Clinic Affiliation: Val Verde Health Clinic
Board Certified Specialties: None
Del Rio
J - Wheelchair Access
29
DEL RIO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
DEL RIO Cont
GENERAL SURGERY
OBSTETRICS-GYNECOLOGY
Astudillo, Gerardo, MD
Gender: Male
NPI: 1588711295
1117 W De La Rosa St
J (830) 768-4800
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: United Medical Centers
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
" Lindsey, Terry M, MD
Del Rio
ANP/CERT/CLNP Cont
NPI: 1811965569
1801 N Bedell Ave
(830) 769-9200
Clinic Affiliation: Val Verde Health Clinic,
Val Verde Hospital Corporation
Board Certified Specialties: None
" Manning, Mark G, MD
Del Rio
Del Rio
NPI: 1760486757
1011 E Seventh St
(830) 775-8513
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr,
Methodist Hospital, North Central Baptist
Hospital, Northeast Baptist Hospital, St
Lukes Baptist Hospital
Clinic Affiliation: Ascend Family and
Wellness, Salvatore A Barbaro III MD
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: None
J
" Di Blasi, Michele D, MD
Del Rio
Gender: Male
NPI: 1649326521
3809 Veterans Blvd
(830) 703-8555
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Del Rio Texas Heart
Institut& Diabetes Ctr
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties:
Cardiovascular Disease
J
" Korte, Stephen A, MD
Del Rio
Gender: Male
NPI: 1881615318
801 N Bedell Ave
(507) 895-3466
Hospital Affiliation: College Station Medical
Center, Shannon Medical Center, Val Verde
Regional Medical Center, Wadley Regional
Medical Center
Clinic Affiliation: Val Verde Health Clinic
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
CHIROPRACTIC
Ford, Katherine M, DC
Gender: Female
NPI: 1770804684
2400 Veterans Blvd Ste 25
(830) 488-6105
Clinic Affiliation: S West Abilene Rehab PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Del Rio
ENDOCRINOLOGY
Di Blasi, Tina P, MD
Gender: Female
NPI: 1457407314
3809 Veterans Blvd
J (830) 703-8555
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Del Rio Texas Heart
Institut& Diabetes Ctr
Board Certified Specialties: None
Del Rio
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Salama, Mostafa M, MD
Del Rio
Gender: Male
NPI: 1780665711
1801 N Bedell
(830) 768-9200
CARDIOVASCULAR DISEASE
Barbaro III, Salvatore A, MD
Gender: Male
NPI: 1760486757
1011 E Seventh
(830) 775-8513
Del Rio
Gender: Male
NPI: 1790880979
1200 Bedell Ave
(830) 774-2505
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Val Verde Health Clinic
Board Certified Specialties: General
Surgery
Meza, Bertha A, APN
Gender: Female
NPI: 1811965569
1801 N Bedell
(830) 768-9200
Del Rio
#
Gender: Male
NPI: 1649253923
1801 N Bedell
(830) 768-9200
NPI: 1780665711
1801 N Bedell Ave
(830) 768-9224
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Val Verde Health Clinic,
Val Verde Hospital Corporation
Board Certified Specialties: General
Surgery
NPI: 1649253923
1801 N Bedell Ave
(830) 768-9200
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Val Verde Health Clinic,
Val Verde Hospital Corporation
Board Certified Specialties:
Obstetrics-Gynecology
INTERNAL MEDICINE
Preedom, Maya E, OT
Gender: Female
NPI: 1831165125
1308 N Bedell Ave
(830) 774-1556
Clinic Affiliation: Amistad Physical Therapy
Clinic LLC
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
Del Rio
Gender: Male
NPI: 1942316765
913 S Main St
(830) 774-5534
Clinic Affiliation: United Medical Centers
Board Certified Specialties: Internal
Medicine
Taylor, Susan J, MD
Gender: Female
NPI: 1073520250
1301 Ave G
J (830) 775-5800
Hospital Affiliation: Fort Duncan Medical
Center Lp, Val Verde Regional Medical
Center
Clinic Affiliation: Rio Bravo Cancer & Blood
PA
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Oncology
Del Rio
ONCOLOGY
J
" Shafiu, Mohamed, MD
Del Rio
Gender: Male
NPI: 1174685648
2201 N Bedell Ave
Ste E
(830) 774-4723
Hospital Affiliation: Fort Duncan Medical
Center Lp, Val Verde Regional Medical
Center
Clinic Affiliation: Renal Assoc PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Nephrology
J
" Ahmed, Rehan, MD
Del Rio
Gender: Male
NPI: 1033348180
608 Bedell Ste A
(830) 775-7271
Hospital Affiliation: Baptist Health System
Clinic Affiliation: Medical Center
Ophthalmology
Board Certified Specialties:
Ophthalmology
" Bell, Darren J, MD
" Hopkins, Timothy E, MD
Del Rio
Del Rio
Gender: Male
NPI: 1437131513
1801 Bedell Ave
(830) 768-9200
J
NPI: 1437131513
801 N Bedell Ave
(830) 768-9200
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Neurological
Surgery
Gender: Male
NPI: 1205893708
608 N Bedell
Ste A
(830) 775-7271
Hospital Affiliation: Baptist Health System,
Methodist Ambulatory Surg Hosp Nw,
Methodist Hospital, Val Verde Regional
Medical Center
Clinic Affiliation: Medical Center
Ophthalmology
Board Certified Specialties:
Ophthalmology
Gender: Male
NPI: 1114922846
608 N Bedell Ave
Ste A
(830) 775-7271
Hospital Affiliation: Baptist Health System,
Methodist Hospital, Val Verde Regional
Medical Center
Clinic Affiliation: Medical Center
Ophthalmology
Board Certified Specialties:
Ophthalmology
" Evans, Richard M, MD
Del Rio
#
J
Gender: Male
NPI: 1811993017
608 N Bedell Ave
Ste A
(830) 775-7271
Hospital Affiliation: Christus Santa Rosa
Hosp Med Ctr, Methodist Ambulatory Surg
Hosp Nw, Methodist Hospital, Nix Health
Care System
Clinic Affiliation: Medical Center
Ophthalmology
Board Certified Specialties:
Ophthalmology
" Fisher, Steven J, MD
Del Rio
#
J
Gender: Male
NPI: 1144226358
608 Bedell Ste A
(830) 775-7271
Hospital Affiliation: Baptist Health System,
Methodist Ambulatory Surg Hosp Nw,
Methodist Hospital
Clinic Affiliation: Medical Center
Ophthalmology
Board Certified Specialties:
Ophthalmology
" Singer, Michael A, MD
Del Rio
OPHTHALMOLOGY
NEUROLOGICAL SURGERY
J
" Cohen, Jeffrey H, MD
" Taylor, Susan J, MD
Gender: Female
NPI: 1073520250
1301 Ave G
(830) 775-5800
Hospital Affiliation: Fort Duncan Medical
Center Lp, Val Verde Regional Medical
Center
Clinic Affiliation: Rio Bravo Cancer & Blood
PA
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Oncology
Gender: Male
NPI: 1679579874
608 N Bedell Ave
Ste A
(830) 775-7271
Hospital Affiliation: Methodist Ambulatory
Surg Hosp Nw, Methodist Hospital, Val Verde
Regional Medical Center
Clinic Affiliation: Medical Center
Ophthalmology
Board Certified Specialties:
Ophthalmology
Del Rio
Del Rio
NEPHROLOGY
J
J
OCCUPATIONAL THERAPY
" Ramamurthy, Hariharan, MD
Del Rio
J
" Burns, Jason D, MD
Del Rio
J
Gender: Male
NPI: 1912902651
608 Bedell Ste A
(830) 775-7271
Hospital Affiliation: Baptist Health System,
Methodist Ambulatory Surg Hosp Nw,
Methodist Hospital, Val Verde Regional
Medical Center
Clinic Affiliation: Medical Center
Ophthalmology
Board Certified Specialties:
Ophthalmology
ORTHOPEDIC SURGERY
Floyd, Ira L, MD
Gender: Male
NPI: 1497751606
1200 N Bedell Ave
J (830) 774-2505
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Val Verde Health Clinic
Board Certified Specialties: None
Del Rio
OTOLARYNGOLOGY
" Fowler, James H, MD
Del Rio
J
Gender: Male
NPI: 1306945043
1117 W De La Rosa St
(830) 768-4800
Hospital Affiliation: Fort Duncan Medical
Center Lp
Clinic Affiliation: United Medical Centers
Board Certified Specialties:
Otolaryngology
J - Wheelchair Access
30
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
DEL RIO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Goldstein, Brian S, MD
Gender: Male
NPI: 1588845705
119 E Academy St
(830) 774-4094
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr, Christus
Santa Rosa Hosp Westover, Christus Santa
Rosa New Braunfels, Methodist Hospital,
Methodist Specialty And Transplant Hospital,
North Central Baptist Hospital, Northeast
Baptist Hospital, Shannon Medical Center, St
Lukes Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
Del Rio
DEL RIO Cont
OTOLARYNGOLOGY Cont
" Guillaume, Andamo A, MD
Del Rio
Gender: Male
NPI: 1073504312
1300 N Bedell Ave
(830) 775-3895
Hospital Affiliation: Christus Santa Rosa
Hosp Med Ctr, Fort Duncan Medical Center
Lp, Methodist Ambulatory Surg Ctr,
Methodist Hospital, Methodist Specialty And
Transplant Hospital, Methodist Texsan
Hospital, Metropolitan Methodist Hospital,
Northeast Methodist Hospital, Southwest
General Hospital, Val Verde Regional
Medical Center
Clinic Affiliation: South Texas ENT
Consultants PA
Board Certified Specialties:
Otolaryngology
J
PEDIATRIC CARDIOLOGY
Borgman, Kristie Y, MD
Gender: Female
NPI: 1033266846
119E Academy St
J (830) 774-4094
Hospital Affiliation: Baptist Health System,
Medina Regional Hospital, Methodist
Specialty And Transplant Hospital,
Metropolitan Methodist Hospital, San Angelo
Community Medical Center, Shannon
Medical Center, Southwest General Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Board Certified Specialties: None
Del Rio
Brennen, David M, MD
Gender: Male
NPI: 1629136692
119 E Academy St
J (830) 774-4094
Hospital Affiliation: Christus Santa Rosa
Hosp Med Ctr, Christus Santa Rosa New
Braunfels, Medina Regional Hospital,
Methodist Hospital, Methodist Specialty And
Transplant Hospital, Metropolitan Methodist
Hospital, Northeast Baptist Hospital, San
Angelo Community Medical Center,
Southwest General Hospital, St Lukes
Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Board Certified Specialties: None
Hospers, Teresa A, MD
Gender: Female
NPI: 1447239298
119 E Academy St
J (210) 614-3264
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr, Christus
Santa Rosa Hosp Westover, Christus Santa
Rosa New Braunfels, Mission Trails Baptist,
North Central Baptist Hospital, Northeast
Baptist Hospital, San Angelo Community
Medical Center, Shannon Medical Center, St
Lukes Baptist Hospital
Clinic Affiliation: Bloom Kenneth R MD
Board Certified Specialties: None
" Kashyap, Pooja, MD
Del Rio
J
" Kollars, Catharine A, MD
J
" Bush, David M, MD
Darling, Matthew J, DO
Gender: Male
NPI: 1407843113
119 E Academy St
(830) 278-4094
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Board Certified Specialties: None
Del Rio
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Female
NPI: 1861707150
119 E Academy St
(830) 774-4094
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr,
Methodist Hospital, North Central Baptist
Hospital, St Lukes Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Cardiology
Del Rio
Del Rio
J
Gender: Male
NPI: 1861666547
119 E Academy St
(830) 774-4094
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Board Certified Specialties: Pediatric
Cardiology
" Porisch, Mary E, MD
Del Rio
Gender: Female
NPI: 1790741254
119 E Academy St
(830) 774-4094
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr, Christus
Santa Rosa New Braunfels, Methodist
Hospital, North Central Baptist Hospital,
Northeast Baptist Hospital, San Angelo
Community Medical Center, Shannon
Medical Center, St Lukes Baptist Hospital,
University Health System
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Board Certified Specialties: Pediatric
Cardiology
Del Rio
Del Rio
Gender: Male
NPI: 1033171228
119 E Academy St
(830) 774-4094
Hospital Affiliation: Baptist Health System,
Methodist Hospital, Methodist Specialty And
Transplant Hospital, Methodist Stone Oak
Hospital, Metropolitan Methodist Hospital,
North Central Baptist Hospital, Northeast
Baptist Hospital, Northeast Methodist
Hospital, St Lukes Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Cardiology
" Olabiyi, Olawale, MD
Del Rio
Gender: Female
NPI: 1578543435
119 E Acadamy St
(830) 774-4094
Hospital Affiliation: Christus Santa Rosa
Hosp Med Ctr, Christus Santa Rosa Hosp
Westover, Methodist Hospital, Methodist
Specialty And Transplant Hospital,
Metropolitan Methodist Hospital, North
Central Baptist Hospital, Northeast Baptist
Hospital, Northeast Methodist Hospital, San
Angelo Community Medical Center, St Lukes
Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Cardiology
" Londono Obregon, Camila L, MD
Del Rio
J
Gender: Female
NPI: 1154633212
119 E Academy St
(830) 774-4094
Hospital Affiliation: Christus Santa Rosa
Hosp Med Ctr, Christus Santa Rosa New
Braunfels, Medina Regional Hospital,
Methodist Hospital, Methodist Specialty And
Transplant Hospital, North Central Baptist
Hospital, Northeast Baptist Hospital, San
Angelo Community Medical Center, Shannon
Medical Center, St Lukes Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Practice Information: No Patients Over 20
yrs old
Board Certified Specialties: Pediatric
Cardiology
Zamora Salinas, Rolando, MD
Gender: Male
NPI: 1073592838
119 E Academy St
J (830) 774-4094
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr, Christus
Santa Rosa New Braunfels, Methodist
Hospital, Mission Trails Baptist, North
Central Baptist Hospital, Northeast Baptist
Hospital, San Angelo Community Medical
Center, Shannon Medical Center, St Lukes
Baptist Hospital
Clinic Affiliation: Bloom Kenneth R MD
Board Certified Specialties: None
Del Rio
PEDIATRIC OPHTHALMOLOGY
Cohen, Jeffrey H, MD
Gender: Male
NPI: 1114922846
608 N Bedell Ave
Ste A
J (830) 775-7271
Hospital Affiliation: Baptist Health System,
Methodist Hospital, Val Verde Regional
Medical Center
Clinic Affiliation: Medical Center
Ophthalmology
Board Certified Specialties:
Ophthalmology
Del Rio
Hinton, Kristi J, LPT
Gender: Female
NPI: 1568658102
# 2201 N Bedell Ave
Ste B
J (830) 775-9229
Clinic Affiliation: Back To Action
Board Certified Specialties: None
Del Rio
Jimenez Arriola, John P, LPT
Gender: Male
NPI: 1558752220
612 N Bedell Ave
Ste D
(830) 488-6265
Clinic Affiliation: Performance
Therapeutics Del Rio
Board Certified Specialties: None
Del Rio
Padua, Marymay S, LPT
Gender: Female
NPI: 1093067183
# 612 N Bedell Ave
Ste D
(830) 488-6265
Clinic Affiliation: Performance
Therapeutics Del Rio
Board Certified Specialties: None
Del Rio
Palomin, Omar, LPT
Gender: Male
NPI: 1184662926
612 N Bedell Ave
Ste D
(830) 488-6265
Clinic Affiliation: Performance
Therapeutics Del Rio
Practice Information: No Patients Under 3
yrs old
Board Certified Specialties: None
Del Rio
Tice, Brett A, LPT
Gender: Male
NPI: 1780690024
# 2201 N Bedell Ave
Ste B
(830) 775-9118
Clinic Affiliation: Back To Action
Practice Information: No Patients Under 1
yrs old
Board Certified Specialties: None
Del Rio
Tyler, Erica R, LPT
Gender: Female
NPI: 1689807083
1308 N Bedell Ave
J (830) 774-1556
Clinic Affiliation: Amistad Physical Therapy
Clinic LLC
Board Certified Specialties: None
Del Rio
PEDIATRICS
PODIATRY
Hospers, Teresa A, MD
Gender: Female
NPI: 1447239298
119 E Academy St
J (210) 614-3264
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr, Christus
Santa Rosa Hosp Westover, Christus Santa
Rosa New Braunfels, Mission Trails Baptist,
North Central Baptist Hospital, Northeast
Baptist Hospital, San Angelo Community
Medical Center, Shannon Medical Center, St
Lukes Baptist Hospital
Clinic Affiliation: Bloom Kenneth R MD
Board Certified Specialties: None
Keenen, Lee T, DPM
Gender: Male
NPI: 1558555052
# 913 S Main St
(830) 774-5363
Clinic Affiliation: United Medical Centers
Board Certified Specialties: None
Del Rio
PHYSICAL THERAPY
Alsup, Stephanie, LPT
Gender: Female
NPI: 1972550663
1308 N Bedell Ave
J (830) 774-1556
Clinic Affiliation: Amistad Physical Therapy
Clinic LLC
Board Certified Specialties: None
Del Rio
Del Rio
SPEECH PATHOLOGY
Sitzes, Patricia J, SLP
Gender: Female
NPI: 1568710085
1308 N Bedell Ave
J (830) 774-1556
Clinic Affiliation: Amistad Physical Therapy
Clinic LLC
Board Certified Specialties: None
Del Rio
SPORTS MEDICINE
Floyd, Ira L, MD
Gender: Male
NPI: 1497751606
1200 N Bedell Ave
J (830) 774-2505
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Val Verde Health Clinic
Board Certified Specialties: None
Del Rio
J - Wheelchair Access
31
DEL RIO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
DEL RIO Cont
OBSTETRICS-GYNECOLOGY
ONCOLOGY
" McCain, Stefanie B, MD
" Melnyk Jr, Anton M, MD
Early
THERAPEUTIC OPTOMETRY
Amaro Cora, Edgardo, OD
Gender: Male
NPI: 1073620084
# 2107 Veterans Blvd 10
(830) 774-6167
Clinic Affiliation: Amaro Eye Clinic PLLC
Board Certified Specialties: None
Gender: Female
NPI: 1265539688
801 Early Blvd
Ste 200
(325) 646-4800
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Stefanie McCain MD Brownwood PA
Practice Information: Practice Limited to
Gynecology
Board Certified Specialties:
Obstetrics-Gynecology
Del Rio
Ismaily, Rehna K, OD
Gender: Female
NPI: 1811327158
608 N Bedell Ave
Ste A
J (830) 775-7271
Clinic Affiliation: Medical Center
Ophthalmology
Board Certified Specialties: None
J
Del Rio
Patel, Ann, OD
Gender: Female
NPI: 1447565817
# 901 N Bedell Ave Ste E
(830) 775-2020
Clinic Affiliation: Galo Eye Care Center
Practice Information: No Patients Under 4
yrs old
Board Certified Specialties: None
Del Rio
Rodriguez, Jorge D, OD
Gender: Male
NPI: 1073952800
608 N Bedell Ave
Ste A
(830) 775-7271
Clinic Affiliation: Medical Center
Ophthalmology
Board Certified Specialties: None
Eastland
J
Gender: Male
NPI: 1801834544
304 S Daugherty Ave
(325) 672-4368
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
OPHTHALMOLOGY
" Terrell, Frank V, MD
Eastland
EASTLAND
ANP/CERT/CLNP
#
J
Stewart, Julie B, APN
Gender: Female
NPI: 1457540338
1004 W Main St
(254) 631-0111
Clinic Affiliation: Eastland Health Clinic
PLLC
Board Certified Specialties: None
Eastland
CHIROPRACTIC
Gender: Male
NPI: 1750375200
304 S Daugherty Ave
(254) 631-5254
Hospital Affiliation: Eastland Memorial
Hospital, Glen Rose Medical Center,
Hamilton General Hospital, Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Board Certified Specialties:
Ophthalmology
PAIN MANAGEMENT
Del Rio
UROLOGY
" Moore, Kenneth P, MD
Del Rio
Gender: Male
NPI: 1700094240
801 N Bedell Ave
(830) 703-1733
Hospital Affiliation: Val Verde Regional
Medical Center
Clinic Affiliation: Val Verde Health Clinic
Board Certified Specialties: Urology
" Rosen, Robert T, MD
Del Rio
Gender: Male
NPI: 1346394368
801 N Bedell
(830) 703-1733
Hospital Affiliation: Houston Northwest
Medical Center, Kingwood Medical Center,
Mem Hermann Northeast Hosp
Clinic Affiliation: Val Verde Health Clinic
Board Certified Specialties: Urology
DUBLIN
CHIROPRACTIC
Salyer, Eddie L, DC
Gender: Male
NPI: 1083791032
# 200 E Blackjack St
J (254) 445-2205
Board Certified Specialties: None
Dublin
EARLY
ANP/CERT/CLNP
Early
Delacruz, Shannon L, APN
Gender: Female
NPI: 1164893889
2005 Hwy 183 N
(325) 372-5701
(325) 643-3010
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Carroll, Timothy B, DC
Gender: Male
NPI: 1578571899
1100 W Main St
(254) 629-8055
Clinic Affiliation: Carroll Chiropractic and
Acupunct
Board Certified Specialties: None
Eastland
Kalafut, Roberta M, DO
Gender: Female
NPI: 1740286202
304 S Daugherty St
J (254) 629-2601
Hospital Affiliation: Abilene Regional
Medical Center, Eastland Memorial Hospital,
Hendrick Medical Center, Stamford Memorial
Hospital
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
Eastland
GENERAL SURGERY
Simpson Jr, William F, DO
Gender: Male
NPI: 1811931074
921 E Main St
J (254) 629-3971
Hospital Affiliation: Comanche County
Medical Ctr, Eastland Memorial Hospital
Clinic Affiliation: Dr William F Simpson Jr
DO
Board Certified Specialties: None
Eastland
PHYSICAL MEDICINE &
REHABILITATION
" Kalafut, Roberta M, DO
Eastland
HEMATOLOGY-ONCOLOGY
Melnyk Jr, Anton M, MD
Gender: Male
NPI: 1801834544
304 S Daugherty Ave
J (325) 672-4368
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
Eastland
J
Gender: Female
NPI: 1740286202
304 S Daugherty St
(254) 629-2601
Hospital Affiliation: Abilene Regional
Medical Center, Eastland Memorial Hospital,
Hendrick Medical Center, Stamford Memorial
Hospital
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
RADIATION ONCOLOGY
INTERNAL MEDICINE
" Sorgen, Stephen, MD
Eastland
Turner, Taryn J, DO
Gender: Female
NPI: 1184724122
2300 W Commerce St
(254) 629-8858
Clinic Affiliation: Dallas Renal Group PA
Board Certified Specialties: Nephrology
Eastland
J
NEPHROLOGY
" Turner, Taryn J, DO
Eastland
Gender: Female
NPI: 1184724122
2300 W Commerce St
(254) 629-8858
Clinic Affiliation: Dallas Renal Group PA
Board Certified Specialties: Nephrology
Gender: Male
NPI: 1215979448
304 S Daugherty Ave
(325) 672-4368
Hospital Affiliation: Baylor Scott White All
Saints Med, Baylor Scott White Med
Grapevine, Cook Childrens Medical Center,
Tx Hlth Harris Methodist Hosp Fw, Tx Hlth
Harris Methodist Hosp Heb, Tx Hlth Harris
Methodist Hosp Sw
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Radiation
Oncology
THERAPEUTIC OPTOMETRY
Avila, Gabriel, OD
Gender: Male
NPI: 1487730651
304 S Daughtery St
J (325) 692-9596
Clinic Affiliation: Abilene Advanced
Eyecare Inc
Board Certified Specialties: None
Eastland
Hall Sappington, Amanda L, OD
Gender: Female
NPI: 1104178763
719 W Main St
(254) 630-0200
Clinic Affiliation: Jimmy Wadley Eye Care
PA
Practice Information: No Patients Under 6
yrs old
Board Certified Specialties: None
Eastland
McLean, Marcus L, OD
Gender: Male
NPI: 1689013674
1128 E Main St
(254) 433-8562
Clinic Affiliation: Abilene Advanced
Eyecare Inc
Board Certified Specialties: None
Eastland
Wadley, James W, OD
Gender: Male
NPI: 1922160423
719 W Main St
J (254) 630-0200
Clinic Affiliation: Jimmy Wadley Eye Care
PA
Board Certified Specialties: None
Eastland
ELDORADO
CHIROPRACTIC
Forlano, Rico J, DC
Gender: Male
NPI: 1669582946
418 S Hwy 277
J (325) 853-3331
Board Certified Specialties: None
Eldorado
GOLDTHWAITE
ANP/CERT/CLNP
Seth, John A, APN
Gender: Male
NPI: 1295893402
1501 W Front St
(325) 648-2850
Clinic Affiliation: Hamilton General Hospital
Board Certified Specialties: None
Goldthwaite
GENERAL SURGERY
" Bragg, Larry M, MD
Goldthwaite
Gender: Male
NPI: 1649278466
1501 W Front St
(325) 648-2850
Hospital Affiliation: Comanche County
Medical Ctr, Eastland Memorial Hospital,
Hamilton General Hospital, Lake Granbury
Medical Center, Tx Hlth Harris Methodist
Hosp
Clinic Affiliation: Hamilton General Hospital
Board Certified Specialties: General
Surgery
J - Wheelchair Access
32
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
HASKELL
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
PULMONARY DISEASES
Ulrich, Brian K, MD
Gender: Male
NPI: 1811975063
1339 E St
(940) 521-5500
Hospital Affiliation: Kell West Regional
Hospital Llc
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: None
Graham
GOLDTHWAITE Cont
PODIATRY
Smith, Dustin W, DPM
Gender: Male
NPI: 1164468344
1510 Hannah Valley
Rd
(325) 648-2263
Hospital Affiliation: Houston Northwest
Medical Center, Mem Hermann The
Woodlands Hosp, Mhhs Southwest Hospital,
St Lukes The Woodlands Hospital
Clinic Affiliation: Coryell Memorial Hospital
HBP
Board Certified Specialties: None
Goldthwaite
Gender: Male
NPI: 1073583076
1339 E St
(817) 763-5550
Hospital Affiliation: Baylor Scott White All
Saints Med, Kindred Hospital Fort Worth,
Lifecare Hospitals Of Fort Worth, Plaza
Medical Center Fort Worth, Tx Hlth Harris
Methodist Hosp Fw
Clinic Affiliation: Adesubomi Agoro MD
Board Certified Specialties: Pulmonary
Diseases
OBSTETRICS-GYNECOLOGY
" Cawley, James E, MD
Graham
J
THERAPEUTIC OPTOMETRY
Bartek, Melanie C, OD
Gender: Female
NPI: 1982694394
1020 Fourth St
J (325) 648-2040
Clinic Affiliation: Mills County Eye Care PC
Board Certified Specialties: None
" Agoro, Adesubomi B, MD
Goldthwaite
HAMLIN
Graham
Gender: Male
NPI: 1942265871
820 Montgomery Rd
Ste 203
(940) 549-8505
Hospital Affiliation: Faith Community
Hospital, Graham Regional Medical Center,
Hamilton Hospital, Stephens Memorial
Hospital
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
OCCUPATIONAL THERAPY
SPEECH PATHOLOGY
Ash, Mindy N, SLP
Gender: Female
NPI: 1952647729
701 Oak St
J (940) 549-0788
Clinic Affiliation: Complete Speech PLLC
Board Certified Specialties: None
Graham
CARDIAC ELECTROPHYSIOLOGY
Swarna, Udaya S, MD
Gender: Male
NPI: 1306944962
632 NW Second Rd
(325) 576-3646
Hospital Affiliation: Abilene Regional
Medical Center, Anson General Hospital,
Coleman County Medical Center, Hendrick
Medical Center, Houston Methodist Hospital,
North Runnels Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Hamlin
CARDIOVASCULAR DISEASE
" Swarna, Udaya S, MD
Hamlin
Gender: Male
NPI: 1306944962
632 NW Second Rd
(325) 576-3646
Hospital Affiliation: Abilene Regional
Medical Center, Anson General Hospital,
Coleman County Medical Center, Hendrick
Medical Center, Houston Methodist Hospital,
North Runnels Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
THERAPEUTIC OPTOMETRY
Hayley, Joe C, OD
Gender: Male
NPI: 1487687323
1529 Hwy 380 Bypass
J (940) 549-1621
Clinic Affiliation: Hayley Eye Clinic PC
Board Certified Specialties: None
Graham
GRAHAM
ANP/CERT/CLNP
Clark IV, Joseph L, APN
Gender: Male
NPI: 1467776484
# 618 Oak St
(940) 549-6953
Hospital Affiliation: Faith Community
Hospital
Clinic Affiliation: Brazos Family Clinic
Board Certified Specialties: None
Graham
GENERAL SURGERY
Erb, Julie D, OT
Gender: Female
NPI: 1801891445
701 Oak St
J (940) 549-0788
Clinic Affiliation: Ace Therapy
Board Certified Specialties: None
Graham
" Challagalla, Jagathi D, MD
Graham
J
" Behr, Donald A, MD
Graham
J
Gender: Male
NPI: 1881791762
820 Montgomery Rd
Ste 206
(940) 549-3564
Hospital Affiliation: Baylor Scott White All
Saints Med, Graham Regional Medical
Center, Kindred Hospital Dallas, Kindred
Hospital Tarrant County Fort Worth Sowe
Ca, Plaza Day Surgery, Plaza Medical
Center Fort Worth, Tx Hlth Harris Methodist
Hosp Fw, Tx Hlth Harris Methodist Hosp Sw,
Tx Hlth Huguley Fort Worth South
Board Certified Specialties: General
Surgery
" Challagalla, Jagathi D, MD
" Hay, Michael T, MD
Gender: Male
NPI: 1013992940
1301 Montgomery Rd
(940) 521-5360
Hospital Affiliation: Glen Rose Medical
Center, Shannon Medical Center
Clinic Affiliation: Graham Emergency
Services Inc
Board Certified Specialties: Orthopedic
Surgery
J
MEDICAL ONCOLOGY
Labbe, Thomas E, OD
Gender: Male
NPI: 1528170859
# 2121 State Hwy 16 S
J (940) 549-7011
Clinic Affiliation: Labbe Optometric Clinic
Inc
Practice Information: No Patients Under 6
yrs old
Board Certified Specialties: None
Cretors, Christa, LPT
Gender: Female
NPI: 1912243544
# 701 Oak St
J (940) 549-0788
Clinic Affiliation: T and C Consolidated
PLLC
Practice Information: No Patients Over 20
yrs old
Board Certified Specialties: None
Graham
Streich, Jodi H, OD
Gender: Female
NPI: 1891958294
1529 Hwy 380 Bypass
J (940) 549-1621
Clinic Affiliation: Hayley Eye Clinic PC
Board Certified Specialties: None
Graham
Keller, Victoria C, LPT
Gender: Female
NPI: 1407078207
519 Elm St
J (940) 521-0800
Clinic Affiliation: Thrive Physical Therapy
Board Certified Specialties: None
Graham
Challagalla, Jagathi D, MD
Gender: Female
NPI: 1376521617
1339 E St
J (940) 521-5500
Hospital Affiliation: Faith Community
Hospital, Kell West Regional Hospital Llc
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Hematology,
Oncology
Graham
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Kirkland, Terry L, OD
Gender: Male
NPI: 1902839889
1529 Hwy 380 Bypass
J (940) 549-1621
Clinic Affiliation: Hayley Eye Clinic PC
Board Certified Specialties: None
Graham
PHYSICAL THERAPY
INTERNAL MEDICINE
Swarna, Udaya S, MD
Gender: Male
NPI: 1306944962
632 NW Second Rd
(325) 576-3646
Hospital Affiliation: Abilene Regional
Medical Center, Anson General Hospital,
Coleman County Medical Center, Hendrick
Medical Center, Houston Methodist Hospital,
North Runnels Hospital
Clinic Affiliation: Hendrick Provider
Network
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Hamlin
Howell, Bruce W, OD
Gender: Male
NPI: 1124030812
# 2200 State Hwy 16 S
(940) 549-1800
Clinic Affiliation: Graham Eye Care LLC
Board Certified Specialties: None
Graham
Graham
Graham
Graham
Gender: Female
NPI: 1376521617
1339 E St
(940) 521-5500
Hospital Affiliation: Faith Community
Hospital, Kell West Regional Hospital Llc
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Hematology,
Oncology
Gender: Female
NPI: 1376521617
1339 E St
(940) 521-5500
Hospital Affiliation: Faith Community
Hospital, Kell West Regional Hospital Llc
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Hematology,
Oncology
ORTHOPEDIC SURGERY
HEMATOLOGY
Hayley, John, OD
Gender: Male
NPI: 1295043537
1529 Hwy 380 Bypass
J (940) 549-1621
Clinic Affiliation: Hayley Eye Clinic PC
Board Certified Specialties: None
Graham
ONCOLOGY
HASKELL
ANP/CERT/CLNP
Cason, Jeanne K, APN
Gender: Female
NPI: 1750407938
1 Ave N
(940) 864-2621
Clinic Affiliation: Haskell Memorial Hospital
Board Certified Specialties: None
Haskell
HEMATOLOGY-ONCOLOGY
Melnyk Jr, Anton M, MD
Gender: Male
NPI: 1801834544
1 Ave N
J (325) 672-4368
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
Haskell
J - Wheelchair Access
33
HASKELL
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
GENERAL SURGERY
" Grisham, Shandy L, APN
Mineral Wells
HASKELL Cont
Gender: Female
NPI: 1073566964
400 Southwest 25th Ave
(940) 325-0627
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Anp/Cert/Clnp
ONCOLOGY
" Melnyk Jr, Anton M, MD
Haskell
Gender: Male
NPI: 1801834544
1 Ave N
(325) 672-4368
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
J
RADIATION ONCOLOGY
J
Hopper, Lori S, APN
Gender: Female
NPI: 1396033619
202 Southwest 25th Ave Ste 1200
J (940) 325-3706
Clinic Affiliation: Michael L Bailey DO
Board Certified Specialties: None
Gender: Male
NPI: 1215979448
1 Ave N
(325) 672-4368
Hospital Affiliation: Baylor Scott White All
Saints Med, Baylor Scott White Med
Grapevine, Cook Childrens Medical Center,
Tx Hlth Harris Methodist Hosp Fw, Tx Hlth
Harris Methodist Hosp Heb, Tx Hlth Harris
Methodist Hosp Sw
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Radiation
Oncology
J
JUNCTION
Oconnor, Catherine B, APN
Gender: Female
NPI: 1942526785
!# 108 A Southwest Sixth Ave
(940) 468-4061
Clinic Affiliation: Treat Now Family Clinic
Board Certified Specialties: None
Mineral Wells
Gender: Male
NPI: 1841292489
400 Southwest 25th Ave
(940) 328-6547
Hospital Affiliation: Baylor Medical Center
At Irving, Palo Pinto General Hospital, Tx
Hlth Harris Methodist Hosp Heb
Clinic Affiliation: Palo Pinto County
Hospital District
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties:
Cardiovascular Disease
ANP/CERT/CLNP
Boyareddigari, Subrahmanyam R, MD
Gender: Male
NPI: 1790717874
202 Southwest 25th Ave
Ste 700
J (940) 328-1771
Hospital Affiliation: Faith Community
Hospital, Palo Pinto General Hospital
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Gastroenterology
Gender: Male
NPI: 1659489730
101 Holly Hill Rd
(940) 328-1335
Hospital Affiliation: Baylor Scott White All
Saints Med, Palo Pinto General Hospital,
Plaza Medical Center Fort Worth, Tx Hlth
Harris Methodist Hosp Fw, Tx Hlth Harris
Methodist Hosp Sw, Weatherford Regional
Med Ctr
Clinic Affiliation: Medical and Heart Center
PA
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Cardiovascular Disease
ANP/CERT/CLNP
Erwin, Terry C, APN
Gender: Male
NPI: 1114355641
109 NW Second St
(940) 654-6200
Mineral Wells
NPI: 1114355641
202 Southwest 25th Ave Ste 1200
(940) 325-3706
Clinic Affiliation: Accountable Care Now,
Michael L Bailey DO
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Bartosh, Nicole S, DO
Mineral Wells
J
" Friess, Gregory G, DO
J
" Cawley, James E, MD
J
Turk, David, DC
Gender: Male
NPI: 1699854547
112 Southeast Fourth Ave
J (940) 325-0077
Clinic Affiliation: Chiropractic Neurology
Center PA
Board Certified Specialties: None
Mineral Wells
Gender: Male
NPI: 1942265871
202 Southwest 25th Ave Ste 900
(940) 549-8505
Hospital Affiliation: Faith Community
Hospital, Graham Regional Medical Center,
Hamilton Hospital, Stephens Memorial
Hospital
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
" Reimer, Mark B, MD
Mineral Wells
GASTROENTEROLOGY
Gender: Male
NPI: 1689669327
202 Southwest 25th Ave
Ste 1000
(940) 328-7561
Hospital Affiliation: Baylor Scott White Med
Grapevine, Palo Pinto General Hospital, Tx
Hlth Harris Methodist Hosp Heb
Clinic Affiliation: Palo Pinto County
Hospital District
Board Certified Specialties:
Obstetrics-Gynecology
" Boyareddigari, Subrahmanyam R, MD
Mineral Wells
Gender: Male
NPI: 1790717874
202 Southwest 25th Ave
Ste 700
(940) 328-1771
Hospital Affiliation: Faith Community
Hospital, Palo Pinto General Hospital
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Gastroenterology
Gender: Female
NPI: 1326207838
400 Southwest 25th Ave
(940) 325-0627
Hospital Affiliation: Baylor Scott & White
Medical Ctr, Baylor Scott White All Saints
Med, Baylor Scott White Med Hillcrest, Glen
Rose Medical Center, John Peter Smith
Hospital, Palo Pinto General Hospital, Plaza
Medical Center Fort Worth, Tx Hlth Harris
Methodist Hosp Fw, Tx Hlth Huguley Fort
Worth South, Weatherford Regional Med Ctr
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
Mineral Wells
Mineral Wells
CHIROPRACTIC
J
ONCOLOGY
OBSTETRICS-GYNECOLOGY
Menard
MINERAL WELLS
NPI: 1871512640
400 Southwest 25th Ave
(940) 325-7891
Hospital Affiliation: University Med Ctr
Brackenridge
Clinic Affiliation: Palo Pinto County
Hospital District
Board Certified Specialties:
Obstetrics-Gynecology
Mineral Wells
" Reddy, Guduru R, MD
#
J
Gender: Female
NPI: 1871512640
202 Southwest 25th Ave
Ste 300
(940) 328-7561
INTERNAL MEDICINE
Mineral Wells
MENARD
Zimmerman, Renee, APN
Gender: Female
NPI: 1184728602
# 119 S Ellis St
(325) 396-4612
Clinic Affiliation: Frontera Healthcare
Network
Board Certified Specialties: None
Bartosh, Nicole S, DO
Gender: Female
NPI: 1326207838
400 Southwest 25th Ave
J (940) 325-0627
Hospital Affiliation: Baylor Scott & White
Medical Ctr, Baylor Scott White All Saints
Med, Baylor Scott White Med Hillcrest, Glen
Rose Medical Center, John Peter Smith
Hospital, Palo Pinto General Hospital, Plaza
Medical Center Fort Worth, Tx Hlth Harris
Methodist Hosp Fw, Tx Hlth Huguley Fort
Worth South, Weatherford Regional Med Ctr
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
" Puppala, Jagadish, MD
OBSTETRICS-GYNECOLOGY
" Walsh, Heather G, MD
Mineral Wells
Mineral Wells
Mineral Wells
Martinez, Alberto N, MD
Gender: Male
NPI: 1114923331
349 Reid Rd
J (325) 446-3305
Hospital Affiliation: Kimble Hospital
Clinic Affiliation: Kimble Hospital
Board Certified Specialties: None
Gender: Male
NPI: 1144332396
101 Holly Hill Rd
Ste A
(817) 599-7022
Hospital Affiliation: Baylor University
Medical Center, Palo Pinto General Hospital,
Weatherford Regional Med Ctr
Clinic Affiliation: Timberland Medical Group
Practice Information: No Patients Under 3
yrs old
Board Certified Specialties: General
Surgery
HEMATOLOGY-ONCOLOGY
CARDIOVASCULAR DISEASE
Junction
Mejia, Genevieve P, MD
Gender: Female
NPI: 1356502488
109 Reid Rd
J (325) 245-4000
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
J
Nakashima, Sachiko, APN
Gender: Female
NPI: 1699029561
400 SE First St Ste C
(940) 468-4061
Clinic Affiliation: Treat Now Family Clinic
Board Certified Specialties: None
FAMILY PRACTICE
Junction
" Walker, Andrew S, MD
Mineral Wells
Mineral Wells
" Sorgen, Stephen, MD
Gender: Male
NPI: 1003990615
220 Southwest 26th Ave
(940) 328-1261
Hospital Affiliation: Palo Pinto General
Hospital, Weatherford Regional Med Ctr
Clinic Affiliation: Mineral Wells Womens
Pavillion PA, Timberland Medical Group
Practice Information: Practice Limited to
Gynecology, Practice Limited to Obstetrics
Board Certified Specialties:
Obstetrics-Gynecology
Jordan, C Daniel, DO
Gender: Male
NPI: 1194921452
101 Holly Hill Rd
Ste A
J (817) 599-7022
Hospital Affiliation: Cedar Park Regional
Medical Ctr, Weatherford Regional Med Ctr
Clinic Affiliation: Timberland Medical Group
Board Certified Specialties: None
Mineral Wells
Mineral Wells
Haskell
" Tarkenton, Tim R, MD
Mineral Wells
Gender: Male
NPI: 1952351736
400 Southwest 25th Ave
(940) 325-0627
Hospital Affiliation: Baylor Scott White All
Saints Med, Kindred Hospital Fort Worth,
Kindred Hospital Tarrant County Fort Worth
Sowe Ca, North Hills Hospital, Palo Pinto
General Hospital, Plaza Medical Center Fort
Worth, Tx Hlth Harris Methodist Hosp, Tx
Hlth Harris Methodist Hosp Fw, Tx Hlth
Harris Methodist Hosp Heb, Tx Hlth Huguley
Fort Worth South
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
" Ganesa, Prasanthi, MD
Mineral Wells
!
J
Gender: Female
NPI: 1598794570
400 Southwest 25th Ave
(940) 325-0627
Hospital Affiliation: Baylor Scott White All
Saints Med, John Peter Smith Hospital,
Plaza Medical Center Fort Worth, Tx Hlth
Harris Methodist Hosp Fw, Tx Hlth Harris
Methodist Hosp Sw, Tx Hlth Huguley Fort
Worth South, Weatherford Regional Med Ctr
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
J - Wheelchair Access
34
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
OLNEY
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
ORTHOPEDIC SURGERY
" Janzen, Grant P, MD
Mineral Wells
MINERAL WELLS Cont
ONCOLOGY Cont
" Lynch, Siobhan P, MD
Mineral Wells
J
Gender: Female
NPI: 1457543340
400 Southwest 25th Ave
(940) 325-0627
Hospital Affiliation: Baylor Scott White All
Saints Med, John Peter Smith Hospital, Md
Anderson Cancer Center, Medical Center Of
Arlington, Plaza Medical Center Fort Worth,
Tx Hlth Arlington Memorial Hosp, Tx Hlth
Harris Methodist Hosp Fw, Tx Hlth Harris
Methodist Hosp Sw, Tx Hlth Huguley Fort
Worth South, Weatherford Regional Med Ctr
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old, Practice Limited to Oncology
Board Certified Specialties: Oncology
J
" Khan, Kassim A, MD
Mineral Wells
Gender: Male
NPI: 1235126731
1100 SE First St
(940) 325-7700
Hospital Affiliation: Palo Pinto General
Hospital, Plaza Medical Center Fort Worth
Clinic Affiliation: Kassim A Khan MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Ophthalmology
" Nguyen, Derrick D, MD
Mineral Wells
Gender: Male
NPI: 1518006501
400 Southwest 25th Ave
(940) 325-0627
Hospital Affiliation: Baylor Scott And White
Carrollton, Medical Center Of Lewisville, Tx
Hlth Presby Hosp Flower Mound
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Board Certified Specialties: Oncology
Page, Ray D, DO
Gender: Male
NPI: 1669422143
400 Southwest 25th Ave
J (940) 325-0627
Hospital Affiliation: Baylor Scott White All
Saints Med, John Peter Smith Hospital, Palo
Pinto General Hospital, Plaza Medical
Center Fort Worth, Tx Hlth Harris Methodist
Hosp, Tx Hlth Harris Methodist Hosp Fw, Tx
Hlth Harris Methodist Hosp Sw, Tx Hlth
Huguley Fort Worth South, Weatherford
Regional Med Ctr
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
" Lee, Seong Y, MD
Mineral Wells
J
Mineral Wells
OPHTHALMOLOGY
" Ali, Zahra K, MD
Mineral Wells
Gender: Female
NPI: 1427287499
601 FM 1821
(972) 638-0630
Hospital Affiliation: Plaza Medical Center
Fort Worth
Clinic Affiliation: Zahra K Ali PLLC
Practice Information: No Patients Under 6
yrs old
Board Certified Specialties:
Ophthalmology
" Bealka Jr, Neil M, MD
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
NPI: 1669466769
1100 SE First Ste A
(888) 594-0914
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: West TX Retina
Consultants PA
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
" Patel, Sunil S, MD
Brock, Eric R, MD
Gender: Male
NPI: 1396938973
715 W Hubbard St
J (940) 325-7900
Hospital Affiliation: Weatherford Regional
Med Ctr
Clinic Affiliation: Eric Brock MD Orthopedic
Surgery
Board Certified Specialties: None
J
Gender: Male
NPI: 1760476964
1100 SE First Ste A
(888) 594-0914
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
San Angelo Community Medical Center
Clinic Affiliation: West TX Retina
Consultants PA
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
" Rosenthal Jr, Harry, MD
Mineral Wells
J
Gender: Male
NPI: 1043237647
1100 SE First St Ste A
(940) 325-7700
Hospital Affiliation: Baylor Scott White All
Saints Med, Fort Worth Surgery Center,
North Hills Hospital, Plaza Medical Center
Fort Worth, Tx Hlth Harris Methodist Hosp
Fw, Tx Hlth Harris Methodist Hosp Sw, Tx
Hlth Huguley Fort Worth South
Clinic Affiliation: Texas Health Care PLLC
Board Certified Specialties:
Ophthalmology
" Browne, Michael G, MD
J
Gender: Male
NPI: 1992730980
202 S W 25th Ave
Ste 1300
(940) 328-7507
Hospital Affiliation: Palo Pinto General
Hospital
Clinic Affiliation: Palo Pinto Orthopedic
Specialists
Board Certified Specialties: Orthopedic
Surgery
RADIATION ONCOLOGY
Dahiya, Marta C, MD
Gender: Female
NPI: 1962474403
400 Southwest 25th Ave
(940) 325-0627
Hospital Affiliation: Baptist Health System,
Methodist Hospital, Methodist Specialty And
Transplant Hospital, Metropolitan Methodist
Hospital, South Texas Regional Medical
Center, St Lukes Baptist Hospital
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Board Certified Specialties: None
Mineral Wells
PAIN MANAGEMENT
" Lindley, David, DO
Mineral Wells
Gender: Male
NPI: 1245264621
202 Southwest 25th Ave
Ste 800
(940) 328-7517
Hospital Affiliation: Palo Pinto General
Hospital
Clinic Affiliation: David Lindley DO PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pain
Management
THERAPEUTIC OPTOMETRY
Loy, Jeremy E, OD
Gender: Male
NPI: 1710970256
1800 SE First St
Ste A
J (817) 885-7951
Clinic Affiliation: Southwest Family Eye
Hlth Ctr PLL
Board Certified Specialties: None
Mineral Wells
PEDIATRICS
THORACIC SURGERY
Reddy, Guduru R, MD
Gender: Male
NPI: 1659489730
# 101 Holly Hill Rd
J (940) 328-1335
Hospital Affiliation: Baylor Scott White All
Saints Med, Palo Pinto General Hospital,
Plaza Medical Center Fort Worth, Tx Hlth
Harris Methodist Hosp Fw, Tx Hlth Harris
Methodist Hosp Sw, Weatherford Regional
Med Ctr
Clinic Affiliation: Medical and Heart Center
PA
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Cardiovascular Disease
Mineral Wells
Mineral Wells
Gremminger, Michael J, LPT
Gender: Male
NPI: 1861450488
711 Southwest First St
J (940) 328-1187
Clinic Affiliation: Brazos Valley Physical
Therapy
Practice Information: No Patients Under 6
yrs old
Board Certified Specialties: None
" Reddy, Janardhana P, MD
J
Gender: Male
NPI: 1750375200
2801 Hwy 180 E
(254) 968-6051
Hospital Affiliation: Eastland Memorial
Hospital, Glen Rose Medical Center,
Hamilton General Hospital, Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Board Certified Specialties:
Ophthalmology
PODIATRY
Gender: Male
NPI: 1043374507
400 SE First St Ste B
(940) 325-1155
Hospital Affiliation: Palo Pinto General
Hospital
Board Certified Specialties: Thoracic
Surgery
UROLOGY
" Deshmukh, Avi T, MD
Mineral Wells
#
J
Mineral Wells
" Terrell, Frank V, MD
Gender: Male
NPI: 1861578965
202 Southwest 25th Ave
Ste 500
(940) 325-3330
Hospital Affiliation: Faith Community
Hospital, Palo Pinto General Hospital,
Stephens Memorial Hospital, Tx Hlth Harris
Methodist Hosp, Weatherford Regional Med
Ctr
Clinic Affiliation: William J Warren DPM PA
Board Certified Specialties: Podiatry
Mineral Wells
PHYSICAL THERAPY
Mineral Wells
#
J
" Warren, William J, DPM
Mineral Wells
Mineral Wells
Mineral Wells
Mineral Wells
Gender: Male
NPI: 1336182310
2801 Hwy 180 E
Ste 60
(254) 968-6051
Hospital Affiliation: Baylor Scott White Med
Hillcrest, Comanche County Medical Ctr,
Coryell Memorial Hospital, Hamilton General
Hospital, Hsps Providence Memorial
Campus, Providence Health Center, Tx Hlth
Harris Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: No Patients Under 13
yrs old, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
Gender: Male
NPI: 1306935440
1100 SE First Ste A
(888) 594-0914
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: West TX Retina
Consultants PA
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
Gender: Male
NPI: 1386640415
218 Southwest 16th St
Ste A
(817) 599-3690
Hospital Affiliation: Eastland Memorial
Hospital, Glen Rose Medical Center,
Hamilton General Hospital, Lake Granbury
Medical Center, Palo Pinto General Hospital,
Tx Hlth Harris Methodist Hosp
Clinic Affiliation: North Central Texas
Urology PLLC
Board Certified Specialties: Urology
OLNEY
GENERAL SURGERY
" Santos, Alfred A, MD
Olney
Lockyer, John E, DPM
Gender: Male
NPI: 1306061346
505 Southwest First St
J (940) 325-0778
Hospital Affiliation: Palo Pinto General
Hospital
Clinic Affiliation: John E Lockyer DPM
Board Certified Specialties: None
Mineral Wells
Gender: Male
NPI: 1518065937
901 W Hamilton
(940) 564-8108
Hospital Affiliation: Hamilton Hospital,
Kindred Hospital Dallas, Wise Regional
Health System
Clinic Affiliation: Hamilton Hospital District
Board Certified Specialties: General
Surgery
J - Wheelchair Access
35
OZONA
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Ashlock, Leslie J, LPT
Gender: Female
NPI: 1285957910
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
OZONA
OCCUPATIONAL THERAPY
Boyd, Delyn D, OT
Gender: Female
NPI: 1740355932
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Brown, Michael W, OT
Gender: Male
NPI: 1245304153
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
East, Amanda B, OT
Gender: Female
NPI: 1154496347
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Ozona
Ozona
Ozona
Estes, Rebecca S, OT
Gender: Female
NPI: 1093882748
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Gibbs, Amy R, OT
Gender: Female
NPI: 1992004303
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Hoelscher, Robbi C, OT
Gender: Female
NPI: 1699840686
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Bearden, Keila B, LPT
Gender: Female
NPI: 1215050885
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Lane, Kimberly S, OT
Gender: Female
NPI: 1518033919
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Langford, Sarah A, OT
Gender: Female
NPI: 1790924793
# 908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Ozona
Riley, Whitney L, OT
Gender: Female
NPI: 1245571199
908 First St
(325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
PHYSICAL THERAPY
Asbill, Stacey L, LPT
Gender: Female
NPI: 1497822647
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Karr, Gina W, LPT
Gender: Female
NPI: 1316920200
908 First St
(325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Kasner, Kimberley S, LPT
Gender: Female
NPI: 1356417059
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Book, Ashley L, LPT
Gender: Female
NPI: 1801171046
908 First St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Keating, Priscilla M, LPT
Gender: Female
NPI: 1841366440
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Boyd, Lori J, LPT
Gender: Female
NPI: 1063534089
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Lambaren, Christopher A, LPT
Gender: Male
NPI: 1457561755
# 908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Cheek, Megan B, LPT
Gender: Female
NPI: 1457612426
# 908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Martin, Kelly S, LPT
Gender: Female
NPI: 1316013360
# 908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Ozona
Ozona
Ozona
Ozona
Ozona
Ozona
Cordes, Megan L, LPT
Gender: Female
NPI: 1629391313
908 First St
(325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
McSpadden, Karen D, LPT
Gender: Female
NPI: 1174883235
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Greer, Leigh A, LPT
Gender: Female
NPI: 1174762421
# 908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Owens, Jean A, LPT
Gender: Female
NPI: 1265509343
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Ozona
Hicks, Bradley S, LPT
Gender: Male
NPI: 1477547495
# 908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Rutland, Marsha E, LPT
Gender: Female
NPI: 1437143468
908 First St
J (325) 392-9672
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Ozona
Hicks, Erin L, LPT
Gender: Female
NPI: 1265649198
# 908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Schaeffer, Elizabeth H, LPT
Gender: Female
NPI: 1851469951
# 908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Huckaby, Teresa L, LPT
Gender: Female
NPI: 1467691469
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Villers, James F, LPT
Gender: Male
NPI: 1336217199
# 908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Ozona
Ozona
Ozona
SPEECH PATHOLOGY
Douglas, Khristina M, SP
Gender: Female
NPI: 1952476137
908 First St
J (325) 392-9872
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Fischer, Kellie D, SLP
Gender: Female
NPI: 1386820611
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Gray, Louise K, SLP
Gender: Female
NPI: 1003192865
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Herndon, Kirsten S, SP
Gender: Female
NPI: 1477627297
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Holler, Susan B, SLP
Gender: Female
NPI: 1629229398
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Jameson, Dean G, SP
Gender: Male
NPI: 1285701524
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Kleypas, Susan C, SLP
Gender: Female
NPI: 1326396607
# 908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Lester, Carol R, SLP
Gender: Female
NPI: 1811169311
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Roach, Kristy M, SLP
Gender: Female
NPI: 1831264233
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
Tumlinson, Kaci L, SLP
Gender: Female
NPI: 1780933838
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
J - Wheelchair Access
36
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
SAN ANGELO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Augustin, Anna M, APN
Gender: Female
NPI: 1831523448
120 E Beauregard
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
" Carlile, Maegin M, APN
San Angelo
OZONA Cont
SPEECH PATHOLOGY Cont
Wilson, Suzan, SLP
Gender: Female
NPI: 1437427242
908 First St
J (325) 392-9872
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ozona
RISING STAR
ANP/CERT/CLNP
Delacruz, Shannon L, APN
Gender: Female
NPI: 1164893889
902 W College St
(254) 643-0006
(325) 643-3010
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
Rising Star
Barnett, Catherine A, APN
Gender: Female
NPI: 1659567360
120 E Beauregard Ave
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Beisel, Monica J, APN
Gender: Female
NPI: 1790824076
1636 Hunters Glen
J (325) 949-5722
NPI: 1295797991
2142 Sunset Dr
(325) 245-4000
J
NPI: 1295797991
5730 Sherwood Way
(325) 944-3851
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
Gender: Male
NPI: 1710984893
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Texas Childrens
Hospital
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Allergy-Immunology
J
NPI: 1235191446
3350 Executive Dr
Ste 100
(325) 245-4501
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: Anp/Cert/Clnp
J
Allen, Laura, APN
Gender: Female
NPI: 1528436243
# 1610 S Chadbourne St
(325) 947-5625
Clinic Affiliation: La Esperanza Clinic Inc
Board Certified Specialties: None
Gender: Female
NPI: 1033456744
225 E Beauregard
(325) 481-2187
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Anp/Cert/Clnp
J
Davis, Christopher W, APN
Gender: Male
NPI: 1326312026
115 W First St
(325) 481-2662
" Burrage, Brandon C, APN
Gender: Male
NPI: 1285934646
3150 Appaloosa Cir
(325) 227-8309
Clinic Affiliation: San Angelo Summit
Orthopedics
Board Certified Specialties: Anp/Cert/Clnp
San Angelo
Hagelstein, Deborah L, APN
Gender: Female
NPI: 1346215878
102 N Magdalen St
J (325) 481-2193
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
" Henrikson, Jean L, APN
San Angelo
Gender: Female
NPI: 1326009739
3180 Executive Dr
Ste 102
(325) 944-1240
NPI: 1326009739
3555 Knickerbocker Rd
(325) 224-5327
Clinic Affiliation: Cardiology Assoc of W
Texas, West Texas Medical Assoc
Board Certified Specialties: Anp/Cert/Clnp
J
Canion, Nicholas J, APN
Gender: Male
NPI: 1629008768
115 W First St
(325) 481-2662
Hester, Roseann M, APN
Gender: Female
NPI: 1821245929
120 E Beauregard Ave
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
NPI: 1326312026
402 N Bryant Blvd
(325) 481-2662
San Angelo
J
J
San Angelo
NPI: 1649468273
3555 Knickerbocker Rd
(325) 224-5771
Clinic Affiliation: Shannon Clinic, West
Texas Medical Assoc
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Anp/Cert/Clnp
Gender: Female
NPI: 1235191446
115 W First
(325) 481-2662
Gender: Male
NPI: 1922381920
2626 N Bryant Blvd
(325) 481-2275
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Anp/Cert/Clnp
" Dallas, Heather M, APN
Gender: Female
NPI: 1649468273
2030 Pulliam St
(325) 659-7290
J
" Guanajuato III, Felix, APN
San Angelo
San Angelo
" Braziel, Jennifer M, APN
San Angelo
J
Coon, Kimberly S, APN
Gender: Female
NPI: 1972577492
102 N Magdalen St
J (325) 655-2200
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
San Angelo
ANP/CERT/CLNP
" Alford, Wilma D, APN
Conner, Kathe, APN
Gender: Female
NPI: 1992944565
1901 Johnson St
J (325) 942-2171
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Gibbs, Kayla J, APN
Gender: Female
NPI: 1134472509
3555 Knickerbocker Rd
J (325) 224-5151
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: None
San Angelo
San Angelo
Bouissey, Sherrie L, APN
Gender: Female
NPI: 1295797991
115 W First St
J (325) 481-2662
#
J
Gender: Female
NPI: 1457774283
2626 N Bryant Blvd
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Anp/Cert/Clnp
J
San Angelo
ALLERGY-IMMUNOLOGY
" Abramson, Stuart L, MD
" Compton, Cora J, APN
San Angelo
NPI: 1790824076
35 E 31st St
(325) 658-5339
(325) 944-8900
Clinic Affiliation: Angelo State Univ, La
Esperanza Clinic Inc
Board Certified Specialties: None
CHIROPRACTIC
SAN ANGELO
Clayton, Leisa D, APN
Gender: Female
NPI: 1053741678
2626 N Bryant Blvd
J (325) 481-2375
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Gabrielli, Melissa R, APN
Gender: Female
NPI: 1548528110
3555 Knickerbocker Rd
(325) 224-5891
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: None
San Angelo
San Angelo
NPI: 1790824076
2033 W Beauregard Ave
(325) 944-8900
ROSCOE
Anthony, Nicholas T, DC
Gender: Male
NPI: 1013207455
1301 Seventh St
J (325) 766-3423
Board Certified Specialties: None
Carlisle, Lee, APN
Gender: Female
NPI: 1164423943
1901 Johnson St
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
San Angelo
J
Elliott, Loree, APN
Gender: Female
NPI: 1669715470
3350 Executive Dr
Ste 108
(325) 245-4271
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
Gender: Female
NPI: 1003168055
120 E Beauregard
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Anp/Cert/Clnp
J
San Angelo
J
Ros coe
San Angelo
#
NPI: 1326312026
5730 Sherwood Way
(325) 944-3851
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
" Dienert, Gloria X, APN
" Hilmes, Kara L, APN
San Angelo
J
San Angelo
San Angelo
J
Gender: Female
NPI: 1962786814
102 N Magdalen St
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Anp/Cert/Clnp
Duryea, Keith, APN
Gender: Male
NPI: 1932173473
# 102 N Magdalen St
J (325) 481-2277
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
" Hoak, Jessie L, APN
San Angelo
Gender: Female
NPI: 1790065936
3605 Executive Dr
(325) 245-4000
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: Anp/Cert/Clnp
San Angelo
Arp, Christina M, APN
Gender: Female
NPI: 1447627807
225 E Beauregard
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
#
NPI: 1629008768
402 N Bryant Blvd
(325) 655-5125
NPI: 1629008768
5730 Sherwood Way
(325) 944-3851
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
Gender: Female
NPI: 1316221492
102 N Magdalen St
(325) 481-2193
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Anp/Cert/Clnp
Hogg, Melissa L, APN
Gender: Female
NPI: 1750699302
102 N Magdalen St
J (325) 481-2281
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
J - Wheelchair Access
37
SAN ANGELO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Patterson, Sheila F, APN
Gender: Female
NPI: 1700267259
# 4251 Sunset Dr
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Simpson, Patricia A, APN
Gender: Female
NPI: 1154544898
2142 Sunset Dr
J (325) 245-4171
San Angelo
SAN ANGELO Cont
ANP/CERT/CLNP Cont
" Hohensee, Melissa P, APN
San Angelo
Gender: Female
NPI: 1487080479
120 E Beauregard
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Anp/Cert/Clnp
J
Ramirez, Kristin F, APN
Gender: Female
NPI: 1366739856
102 N Magdalen
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
" Huseman, Patricia G, APN
" Jeter, Tresea M, APN
San Angelo
Gender: Female
NPI: 1225248602
2142 Sunset Dr
(325) 245-4000
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: Anp/Cert/Clnp
Lange, Wanda S, APN
Gender: Female
NPI: 1326170259
102 N Magdalen Ave
J (432) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Lindsey, Scott W, APN
Gender: Male
NPI: 1609030592
35 E 31st St
J (325) 942-8577
Clinic Affiliation: La Esperanza Clinic Inc
Board Certified Specialties: None
Gender: Female
NPI: 1033494893
120 E Beauregard Ave
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Anp/Cert/Clnp
J
Mills, Valarie V, APN
Gender: Female
NPI: 1144297185
# 102 N Magdalen St
J (325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Nguyen, Tham D, APN
Gender: Male
NPI: 1700289618
4450 Sunset Dr
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Smith, Opal, APN
Gender: Female
NPI: 1922076694
225 E Beauregard Ave
J (325) 481-2270
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Ryan, Kellie M, APN
Gender: Female
NPI: 1255393872
225 E Beauregard Ave
J (325) 658-1511
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
San Angelo
Smithwick, Jerrie D, APN
Gender: Female
NPI: 1881875698
3016 Vista Del Arroya
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Saldivar, Oralia, APN
Gender: Female
NPI: 1043608102
115 W First St
(325) 481-2662
Snook, Ashley P, APN
Gender: Female
NPI: 1255589719
2239 N Bryant
J (325) 658-7561
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
NPI: 1043608102
3501 Knickerbocker Rd
(325) 949-9511
NPI: 1043608102
402 N Bryant Blvd
(325) 655-5340
#
" Sosolik, Debra L, APN
San Angelo
NPI: 1043608102
5730 Sherwood Way
(325) 944-3851
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
Gender: Female
NPI: 1962690693
1610 S Chadbourne St
(325) 659-8594
Clinic Affiliation: La Esperanza Clinic Inc
Board Certified Specialties: Anp/Cert/Clnp
J
Stallard, Christopher A, APN
Gender: Male
NPI: 1134480908
115 W First St
(325) 481-2662
San Angelo
" Schnitzer, Delilah M, APN
San Angelo
J
Gender: Female
NPI: 1295003325
4141 College Hills Blvd
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Anp/Cert/Clnp
NPI: 1134480908
402 N Bryant Blvd
(325) 655-5125
Schultz, Susan L, APN
NPI: 1881853679
120 E Beauregard Ave
J (325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
NPI: 1134480908
5730 Sherwood Way
(325) 944-3851
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
Serna, Fermin A, APN
Gender: Male
NPI: 1124449368
! 102 N Magdalen
(325) 658-1511
San Angelo
!
Taylor, Rebecca C, APN
Gender: Female
NPI: 1609834639
102 N Magdalen St
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Taylor Chinn, Michelle L, APN
Gender: Female
NPI: 1659349249
# 120 E Beauregard Ave
J (325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Wilke, Angela D, APN
Gender: Female
NPI: 1669651964
# 4235 Southwest Blvd
J (325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Wilkinson, Susan C, APN
Gender: Female
NPI: 1184815342
# 2018 Pulliam St
J (325) 659-7290
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
" Wilson, Mary E, APN
San Angelo
Gender: Female
NPI: 1518191444
3350 Executive Dr
Ste 100
(325) 245-4501
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: Anp/Cert/Clnp
J
San Angelo
San Angelo
San Angelo
Millican, Kay C, APN
Gender: Female
NPI: 1184686784
2030 Pulliam St
Ste 5
J (325) 659-7375
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Gender: Female
NPI: 1417393042
2626 N Bryant
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Anp/Cert/Clnp
" Robinson, Tammie L, APN
San Angelo
San Angelo
" Smith, Kathryn S, APN
San Angelo
San Angelo
Looka, Lori M, APN
Gender: Female
NPI: 1336114867
120 E Beauregard
J (325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Marburger, Jennifer A, APN
Gender: Female
NPI: 1750531539
3555 Knickerbocker Rd
J (325) 224-9555
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: None
Slaven, Jennifer D, APN
Gender: Female
NPI: 1427297506
3555 Knickerbocker Rd
J (325) 949-9555
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: None
San Angelo
Ramos, Amanda M, APN
Gender: Female
NPI: 1114315371
# 102 N Magdalen
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Luttrell, Mary B, APN
Gender: Female
NPI: 1487096665
1610 S Chadbourne St
J (325) 947-5629
Clinic Affiliation: La Esperanza Clinic Inc
Board Certified Specialties: None
J
San Angelo
San Angelo
San Angelo
NPI: 1154544898
3350 Executive Dr
(325) 245-4291
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
San Angelo
Gender: Female
NPI: 1972560704
120 E Beauregard
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Anp/Cert/Clnp
San Angelo
" Stokes, Cindy L, APN
San Angelo
J
NPI: 1124449368
120 E Harris
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Gender: Female
NPI: 1225039944
35 E 31st St
(325) 657-8154
NPI: 1225039944
3501 Knickerbocker Rd
(325) 245-4461
Clinic Affiliation: La Esperanza Clinic Inc,
Regional Employee Assistance Program
Board Certified Specialties: Anp/Cert/Clnp
AUDIOLOGY
Artho, Wendy B, AUDIO
Gender: Female
NPI: 1942471438
3001 S Jackson St
(325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Hamilton, Debra J, AUDIO
Gender: Female
NPI: 1396794061
4450 Sunset Dr
J (325) 481-2283
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Mangrem, Kelsi D, AUDIO
Gender: Female
NPI: 1225441553
3001 S Jackson
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
McArthur, Melissa J, AUDIO
Gender: Female
NPI: 1134463300
3605 Executive Dr
J (325) 224-5211
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: None
San Angelo
Middlebrooks, Angela K, AUDIO
Gender: Female
NPI: 1871784207
# 3001 S Jackson St
J (325) 223-6363
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
J - Wheelchair Access
38
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
SAN ANGELO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Blanc, Michael S, MD
" Lai, Stephen, MD
San Angelo
SAN ANGELO Cont
AUDIOLOGY Cont
Miller, Adrianne L, AUDIO
Gender: Female
NPI: 1003009234
3001 S Jackson
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Pendergrass, Mia R, AUDIO
Gender: Female
NPI: 1699170043
4450 Sunset Dr
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
J
San Angelo
Ray, Carri H, AUDIO
Gender: Female
NPI: 1902945355
3001 S Jackson St
J (325) 793-3400
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Gender: Female
NPI: 1184747206
102 N Magdalen St
(325) 481-2281
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Cardiovascular Disease
J
Gender: Male
NPI: 1558383877
102 N Magdalen
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Cardiac
Electrophysiology
Gender: Male
NPI: 1912987264
102 N Magdalen
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Cardiovascular Disease
Gender: Male
NPI: 1700968740
2141 Hamilton Way
Ste 108
(325) 245-4581
Hospital Affiliation: Baylor Scott White All
Saints Med, Chi St Lukes Hlth Baylor Coll
Med, Conroe Regional Medical Center,
Kingwood Medical Center, North Hills
Hospital, Plaza Medical Center Fort Worth,
San Angelo Community Medical Center, Tx
Hlth Harris Methodist Hosp Fw
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Cardiac
Electrophysiology
McClish, John C, MD
Gender: Male
NPI: 1427019249
102 N Magdalen Ave
J (325) 481-2281
Hospital Affiliation: Hendrick Medical
Center, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
" Haddad, Rudy M, MD
Gender: Male
NPI: 1861470023
102 N Magdalen
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Cardiovascular Disease
" Thambidorai, Senthil, MD
J
Gender: Male
NPI: 1407837578
102 N Magdalen St
(325) 481-2281
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Cardiovascular Disease
San Angelo
San Angelo
San Angelo
" Marsh, Charles A, MD
San Angelo
Marsh Jr, Denver C, MD
Gender: Male
NPI: 1649251711
102 N Magdalen St Fl
Third
J (325) 481-2281
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
" Haddad, Christopher A, MD
" Koul, Ashok K, MD
J
San Angelo
San Angelo
San Angelo
Gender: Male
NPI: 1548353634
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Baylor Scott White All
Saints Med, Tx Hlth Harris Methodist Hosp
Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties:
Cardiovascular Disease
J
" Geevarghese, Samia B, MD
San Angelo
San Angelo
CARDIAC ELECTROPHYSIOLOGY
San Angelo
Gender: Male
NPI: 1932139953
3350 Executive Dr
Ste 100
(325) 245-4000
Hospital Affiliation: Baylor Scott White Med
Ctr Frisco, Dallas Medical Center Llc,
Lifecare Hospitals Of Dallas, Medical Center
Of Lewisville, Medical City Dallas Hospital,
San Angelo Community Medical Center, Tx
Hlth Presbyterian Hosp Plano
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Cardiovascular Disease
" Neill, James E, MD
San Angelo
Gender: Male
NPI: 1922065002
102 N Magdalen
(325) 655-2200
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Cardiovascular Disease
" Harvey, David B, MD
San Angelo
Gender: Male
NPI: 1174514475
102 N Magdalen St
(325) 481-2281
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Cardiovascular Disease
#
J
Hospers, Teresa A, MD
Gender: Female
NPI: 1447239298
2141 Hamilton Way
Ste 100
(325) 245-4301
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr, Christus
Santa Rosa Hosp Westover, Christus Santa
Rosa New Braunfels, Mission Trails Baptist,
North Central Baptist Hospital, Northeast
Baptist Hospital, San Angelo Community
Medical Center, Shannon Medical Center, St
Lukes Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Board Certified Specialties: None
J
Pilgrim, Scott M, MD
Gender: Male
NPI: 1487855169
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
San Angelo
San Angelo
CARDIOVASCULAR DISEASE
Barker, Gregory M, MD
Gender: Male
NPI: 1003081308
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
San Angelo
" Sherrod, Gene A, MD
J
" Ivans, David L, MD
J
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Anderson, Brian J, DC
Gender: Male
NPI: 1023011988
# 3950 Sunset Dr
J (325) 949-1600
Clinic Affiliation: Angelo Back & Rehab PA
Board Certified Specialties: None
San Angelo
Brooks, Steven, DC
Gender: Male
NPI: 1417067273
4116 Sunset Dr
J (325) 223-5555
Clinic Affiliation: Lone Star Chiropractic
Clinics Inc dba Brady Ch
Board Certified Specialties: None
San Angelo
Collier, Jimmy W, DC
Gender: Male
NPI: 1336157569
# 4241 Soutwest Blvd
Ste 106
J (325) 947-2225
Clinic Affiliation: Collier Jim W DC
Board Certified Specialties: None
San Angelo
Jones, Melissa D, DC
Gender: Female
NPI: 1336528066
4241 Southwest Blvd
Ste 106
(325) 947-2225
Clinic Affiliation: Collier Jim W DC
Board Certified Specialties: None
San Angelo
Pittman, Timothy S, DC
Gender: Male
NPI: 1417063827
3467 Knickerbocker Rd
Ste B
J (325) 223-9355
Clinic Affiliation: Omega Chiroporactic
Board Certified Specialties: None
San Angelo
Power, Jeffrey G, DC
Gender: Male
NPI: 1629156161
# 3419 Johnson Ave
Ste A
J (325) 812-8140
Clinic Affiliation: Power Family Chiropractic
PC
Board Certified Specialties: None
San Angelo
Smith, Kevin A, DC
Gender: Male
NPI: 1578989182
# 3950 Sunset Dr
(325) 949-1600
Clinic Affiliation: Angelo Back & Rehab PA
Board Certified Specialties: None
San Angelo
Storey, Benjamin S, DC
Gender: Male
NPI: 1396899142
# 2412 College Hills Blvd
Ste 206
J (325) 949-1518
San Angelo
#
San Angelo
San Angelo
Gender: Male
NPI: 1093772618
102 N Magdalen St
(325) 481-2170
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Cardiovascular Disease
CHIROPRACTIC
Gender: Male
NPI: 1538150859
102 N Magdalen Ave
3 Fl
(325) 481-2281
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Cardiovascular Disease
CERTIFIED NURSE MIDWIFE
Smith, Opal, APN
Gender: Female
NPI: 1922076694
225 E Beauregard Ave
J (325) 481-2270
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
J
NPI: 1396899142
2412 College Hills Blvd
Ste 212
(325) 949-1518
Clinic Affiliation: Two Storey Chiropractic
Board Certified Specialties: None
Stotts, Darci J, DC
Gender: Female
NPI: 1851319453
# 3402 Knickerbocker Rd
J (325) 949-8688
Clinic Affiliation: Chiropractic of San
Angelo
Board Certified Specialties: None
San Angelo
Wallace, Drew G, DC
Gender: Male
NPI: 1205921608
1801 W Ave N
(325) 949-7878
Clinic Affiliation: Angelo Chiropractic
Center
Board Certified Specialties: None
San Angelo
J - Wheelchair Access
39
SAN ANGELO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Greeson, Charles E, MD
" Artnak Jr, Edward J, MD
San Angelo
SAN ANGELO Cont
CHIROPRACTIC Cont
Wright, Monty C, DC
Gender: Male
NPI: 1124176284
302 E Beauregard Ave
J (325) 655-1070
Clinic Affiliation: Wright Chiropractic PC
Board Certified Specialties: None
#
San Angelo
Young, Blake M, DC
Gender: Male
NPI: 1376901215
# 2412 College Hills Blvd
Ste 206
J (325) 949-1518
Clinic Affiliation: Two Storey Chiropractic
Board Certified Specialties: None
Basinger, Alice A, MD
Gender: Female
NPI: 1790716595
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatrics
" Johnston, Kay A, MD
J
" Coates Jr, Stephen W, MD
Gender: Female
NPI: 1417930652
3123 Green Meadow Dr
(325) 944-3376
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Bel Ami Dermatology PA
Board Certified Specialties: Dermatology
J
" Ramirez, Mark A, MD
J
J
DERMATOLOGY
#
Hocker, Jamie, RD
Gender: Female
NPI: 1063779635
# 102 N Magdalen
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
#
Gender: Male
NPI: 1427039494
3605 Exective Dr
(325) 224-5521
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: Dermatology
" Charlesworth, Ernest N, MD
San Angelo
J
Gender: Male
NPI: 1114921459
120 E Beauregard Ave
(325) 481-2294
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Dermatology
" Delacerda, Ashley B, MD
San Angelo
#
Gender: Female
NPI: 1457644551
120 E Beauregard
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Dermatology
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
NPI: 1891956587
4450 Sunset Dr
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Gastroenterology
Stokes, Eugene W, MD
Gender: Male
NPI: 1336120989
# 4450 Sunset Dr
J (325) 481-2277
Hospital Affiliation: Scenic Mountain
Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
" Richeh, Chadi, MD
San Angelo
" Alexander, Ross A, MD
J
" Ihde II, Glenn M, MD
San Angelo
Gender: Male
NPI: 1962442350
3605 Executive Dr
(325) 949-9555
Hospital Affiliation: Baylor Medical Center
Waxahachie, Baylor University Medical
Center, Kindred Hospital Mansfield, Medical
Center Of Arlington, San Angelo Community
Medical Center, Trinity Park Surgery Center,
Usmd Hospital At Arlington Lp
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: General
Surgery
" Jastrow III, Kenneth M, MD
San Angelo
Gender: Male
NPI: 1740556448
102 N Magdalen
(325) 658-1511
Hospital Affiliation: Mem Hermann Hospital
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: General
Surgery
J
San Angelo
ENDOCRINOLOGY, DIABETES &
METABOLISM
San Angelo
Gender: Male
NPI: 1053392688
120 E Beauregard
(325) 481-2340
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: General
Surgery
" Hubble, Levi L, MD
DIETICIAN
#
" Grant, Robert N, MD
San Angelo
San Angelo
Gender: Male
NPI: 1780670448
102 N Megdalen St
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Dermatology
San Angelo
NPI: 1912918111
120 E Harris St
(325) 481-8694
Hospital Affiliation: Baylor Scott White All
Saints Med, Baylor Scott White Med
Hillcrest, Baylor University Medical Center,
Cook Childrens Medical Center, Hendrick
Medical Center, John Peter Smith Hospital,
Midland Memorial Hospital, Tx Hlth Harris
Methodist Hosp Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Gender: Male
NPI: 1487635066
4450 Sunset Dr
(325) 481-2277
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Gastroenterology
Danbert, Robert J, DO
Gender: Male
NPI: 1477510295
2142 Sunset Dr
J (325) 245-4045
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
" Ritter, Steven E, MD
J
Flynn, Emmette T, MD
Gender: Male
NPI: 1326029372
215 E College Ave
J (325) 481-2340
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
San Angelo
Gender: Male
NPI: 1639373210
3555 Knickerbocker Rd
(325) 481-2294
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: West Texas Dermatology
and Skin C
Board Certified Specialties: Dermatology
San Angelo
San Angelo
Gender: Male
NPI: 1659352433
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Gastroenterology
San Angelo
San Angelo
San Angelo
Kukolich, Mary K, MD
Gender: Female
NPI: 1912918111
1002 S Abe St
Ste B
J (325) 655-4675
J
San Angelo
San Angelo
CLINICAL GENETICS
San Angelo
Gender: Male
NPI: 1003919994
120 E Beauregard
Ave
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 1
yrs old
Board Certified Specialties: Dermatology
" Kim, Danny S, MD
San Angelo
Gender: Male
NPI: 1013125046
3605 Executive Dr
(325) 224-5229
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: General
Surgery
GENERAL SURGERY
Gender: Male
NPI: 1710214218
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Endocrinology,
Diabetes & Metabolism
" Brown, Benton L, MD
San Angelo
J
GASTROENTEROLOGY
" Acosta, Luis J, MD
San Angelo
Gender: Male
NPI: 1144482605
102 N Magdalen
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: General
Surgery
" Cargile III, John S, MD
San Angelo
Gender: Male
NPI: 1720106966
3501 Knickerbocker Rd
(325) 949-9511
J
NPI: 1720106966
3605 Executive Dr
(325) 245-4611
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr, Lifecare
Hospitals San Antonio, Methodist Hospital,
San Angelo Community Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Gastroenterology
Gender: Male
NPI: 1639150675
102 N Magdalen Ave
Ste 270
(325) 481-2344
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: General
Surgery
" Cornell, Jess M, MD
San Angelo
J
Gender: Male
NPI: 1427039460
102 N Magdalen St
Ste
(325) 481-2344
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: General
Surgery
Whitehead III, William F, MD
Gender: Male
NPI: 1487635876
215 E College Ave
(325) 481-2340
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
GERIATRIC MEDICINE
Chitwood, Darcie A, DO
Gender: Female
NPI: 1780851337
3350 Executive Dr
Ste 108
J (325) 245-4000
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
* Leaving Network: 2016-12-24
San Angelo
HEMATOLOGY
Needleman, Samuel W, MD
Gender: Male
NPI: 1841267671
102 N Magdalen
J (325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
J - Wheelchair Access
40
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
SAN ANGELO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
SAN ANGELO Cont
INTERNAL MEDICINE
" Hughston, Ty M, MD
San Angelo
Gender: Male
NPI: 1265426027
120 E Beauregard Ave
(325) 481-2291
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
" Ajufo, Christopher A, MD
San Angelo
HEMATOLOGY Cont
Gender: Male
NPI: 1811220015
120 E Harris
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
Ray, Anish, MD
Gender: Male
NPI: 1609024256
1002 S Abe St
Ste B
(325) 655-4675
San Angelo
NPI: 1609024256
120 E Harris St
(325) 481-8694
Hospital Affiliation: Cook Childrens Medical
Center, Md Anderson Cancer Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Oncology
" Anderton, Carl D, MD
Cummings, David A, MD
Gender: Male
NPI: 1710942511
102 N Magdalen St
J (325) 481-2025
Hospital Affiliation: Covenant Medical
Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Hunt, John D, MD
Gender: Male
NPI: 1174685317
# 2141 Hamilton Way
Ste 110
J (325) 653-8484
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: John D Hunt MD
Board Certified Specialties: Internal
Medicine
San Angelo
Prieto, Roberto, MD
Gender: Male
NPI: 1942294608
3555 Knickerbocker Rd
J (325) 224-5761
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
San Angelo
Rios, Ana M, MD
Gender: Female
NPI: 1487709754
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Leon, Miltiadis N, MD
Gender: Male
NPI: 1558328690
3180 Executive Dr Ste 102
(325) 944-1240
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Cardiology Assoc of W
Texas
Board Certified Specialties: None
" Perez Povis, Lorena D, MD
San Angelo
Gender: Female
NPI: 1861601270
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
J
" Vidacic, Aleksandra, MD
San Angelo
Gender: Female
NPI: 1629272224
120 E Beauregard
(625) 653-6741
Hospital Affiliation: Citizens Medical
Center, Seton Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
San Angelo
" Borgfeld, Paul A, MD
Gender: Male
NPI: 1104820976
120 E Harris Ave
(325) 658-1511
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
Marsh, Charles A, MD
Gender: Male
NPI: 1407837578
102 N Magdalen St
J (325) 481-2281
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Cardiovascular Disease
San Angelo
Cole, Steven T, DO
Gender: Male
NPI: 1184644726
120 E Beauregard
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Danbert, Robert J, DO
Gender: Male
NPI: 1477510295
2142 Sunset Dr
J (325) 245-4045
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
" Das, Gopimohan, MD
" Marsh Jr, Denver C, MD
San Angelo
J
San Angelo
Gender: Male
NPI: 1649251711
102 N Magdalen St Fl
Third
(325) 481-2281
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
INTERVENTIONAL CARDIOLOGY
Leon, Miltiadis N, MD
Gender: Male
NPI: 1558328690
3180 Executive Dr Ste 102
(325) 944-1240
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Cardiology Assoc of W
Texas
Board Certified Specialties: None
San Angelo
" McClish, John C, MD
San Angelo
Gender: Male
NPI: 1427019249
3555 Knickerbocker Rd
(325) 949-9555
Hospital Affiliation: Hendrick Medical
Center, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Hendrick Provider
Network
Board Certified Specialties: Interventional
Cardiology
" McCloy, Steven T, MD
San Angelo
Gender: Male
NPI: 1316228430
120 E Harris
(325) 653-6741
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
J
" Hardwicke, Alan C, MD
San Angelo
Gender: Male
NPI: 1912969627
3350 Executive Dr
Ste 108
(325) 245-4201
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: Internal
Medicine
San Angelo
San Angelo
J
San Angelo
INFECTIOUS DISEASES
Perez Povis, Lorena D, MD
Gender: Female
NPI: 1861601270
120 E Beauregard Ave
J (325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
Gender: Male
NPI: 1174685317
2141 Hamilton Way
Ste 110
(325) 653-8484
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: John D Hunt MD
Board Certified Specialties: Internal
Medicine
#
Gender: Male
NPI: 1912999871
120 E Beauregard
(325) 481-2291
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
!
J
San Angelo
San Angelo
" Hunt, John D, MD
San Angelo
San Angelo
HEMATOLOGY-ONCOLOGY
Cheruku, Rajanarender R, MD
Gender: Male
NPI: 1700867330
102 N Magdalen
J (325) 658-1511
Hospital Affiliation: Baylor S&w Med Ctr
Brenham, San Angelo Community Medical
Center, Shannon Medical Center, St Joseph
Regional Health Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
J
Noack, Tamara B, MD
Gender: Female
NPI: 1538126297
3555 Knickerbocker Rd
J (325) 224-5327
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: None
San Angelo
Hinshaw, Roberta, MD
Gender: Female
NPI: 1821082843
120 E Beauregard Ave
J (325) 481-2291
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Gender: Male
NPI: 1487648416
120 E Beauregard
(325) 481-2284
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Internal
Medicine
" Mejia, Bryan A, MD
San Angelo
Gender: Male
NPI: 1114107828
3555 Knickerbocker Rd
(325) 224-5881
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: Internal
Medicine
Montoya Jr, Steve F, MD
Gender: Male
NPI: 1699770313
3501 Executive Dr
J (325) 949-5081
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Nephrology
Assoc
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
San Angelo
Sun, Kai M, DO
Gender: Male
NPI: 1023286317
3350 Executive Dr
Ste 100
(325) 245-4501
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
MATERNAL & FETAL MEDICINE
Hill, Christina C, MD
Gender: Female
NPI: 1215905096
# 225 E Beauregard
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
San Angelo
J - Wheelchair Access
41
SAN ANGELO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
OBSTETRICS-GYNECOLOGY
Crenshaw, Rebecca S, MD
Gender: Female
NPI: 1205899622
2142 Sunset Dr
(325) 245-4171
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
SAN ANGELO Cont
NEPHROLOGY
" Demory, Anthony C, MD
San Angelo
Gender: Male
NPI: 1316944572
120 E Beauregard Ave
(325) 481-2291
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Nephrology
Montoya Jr, Steve F, MD
Gender: Male
NPI: 1699770313
3501 Executive Dr
J (325) 949-5081
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Nephrology
Assoc
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
" De Jesus, Maria A, MD
Gender: Female
NPI: 1336176387
102 N Magdalen
(325) 658-1511
Hospital Affiliation: Fmc Dialysis Services
Vista Del Sol, Hunt Regional Medical Center
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 14
yrs old
Board Certified Specialties: Neurology
" Stevenson, John A, MD
Gender: Male
NPI: 1205820966
3555 Knickerbocker Rd
(325) 224-5771
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: Nephrology
J
" Hopkins, Timothy E, MD
San Angelo
J
Gender: Male
NPI: 1437131513
102 N Magdalen St
(325) 481-2193
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Neurological
Surgery
Hutchins, Leslie M, MD
Gender: Female
NPI: 1023278660
# 102 N Magdalen
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
NEUROLOGY
" Bursaw, Andrew W, DO
San Angelo
J
Hajovsky, Deborah R, MD
Gender: Female
NPI: 1508822511
3555 Knickerbocker Rd
J (325) 224-5358
Hospital Affiliation: San Angelo Community
Medical Center, Scenic Mountain Medical
Center, Shannon Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: None
Gender: Male
NPI: 1770894560
102 N Magdalen
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Neurology
" Vanderzant, Christopher W, DO
Harzke, Charles D, MD
Gender: Male
NPI: 1538274766
35 E 31st St
(325) 658-5339
San Angelo
Gender: Male
NPI: 1285616391
102 N Magdalen St
(325) 481-2293
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Neurology
J
NUCLEAR CARDIOLOGY
Marsh, Charles A, MD
Gender: Male
NPI: 1407837578
102 N Magdalen St
J (325) 481-2281
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Cardiovascular Disease
San Angelo
NPI: 1538274766
3555 Knickerbocker Rd
(325) 224-5871
Hospital Affiliation: Baptist Health System,
San Angelo Community Medical Center,
Shannon Medical Center
Clinic Affiliation: La Esperanza Clinic Inc,
West Texas Medical Assoc
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: None
" Henke, Clyde A, MD
" Monaghan, Orloff, MD
J
NUTRITION & DIETETICS
Bartz, Emily, RD
Gender: Female
NPI: 1144450636
# 102 N Magdalen
(325) 658-1511
San Angelo
" Hill, Christina C, MD
San Angelo
NPI: 1144450636
612 S Irene St
(325) 658-6571
Clinic Affiliation: Edu Svc Reg Xv, Shannon
Clinic
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
#
Gender: Female
NPI: 1215905096
225 E Beauregard
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
Gender: Male
NPI: 1568443174
225 E Beauregard Ave
(325) 481-2270
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
" Moss, Jennifer M, MD
San Angelo
Gender: Female
NPI: 1508019993
3019 Green Meadow
(325) 944-9999
Hospital Affiliation: San Angelo Community
Medical Center
Practice Information: Female Patients only
Board Certified Specialties:
Obstetrics-Gynecology
Novak, Yvonne, MD
Gender: Female
NPI: 1659354934
! 4235 Southwest Blvd
J (325) 481-2197
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
" Ornelas, Jacob D, MD
San Angelo
Gender: Male
NPI: 1972766715
225 E Beauregard Ave
(325) 481-2285
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
San Angelo
Gender: Male
NPI: 1770545386
3501 Knickerbocker Rd
(325) 225-5295
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties:
Obstetrics-Gynecology
Gender: Male
NPI: 1841272291
225 E Beauregard Ave
(325) 481-2285
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
San Angelo
San Angelo
Gender: Male
NPI: 1205032703
215 E College
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Neurology
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
NPI: 1679556054
225 E Beauregard Ave
(325) 481-2285
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
J
San Angelo
J
" Meyer, John R, MD
San Angelo
" Dunham, Gregory M, MD
" Richeh, Wael, MD
J
Mejia, Genevieve P, MD
Gender: Female
NPI: 1356502488
3501 Knickerbocker Rd
J (325) 245-4000
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
San Angelo
San Angelo
San Angelo
Gender: Male
NPI: 1700867348
102 N Magdalen St
Ste 210
(325) 481-2193
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Neurological
Surgery
Gender: Female
NPI: 1033171152
35 E 31st St
(325) 944-8900
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: La Esperanza Clinic Inc
Practice Information: Female Patients only
Board Certified Specialties:
Obstetrics-Gynecology
J
Gender: Female
NPI: 1386890069
3555 Knickerbocker Rd
(325) 949-9555
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Neurology,
Sleep Medicine
NEUROLOGICAL SURGERY
" Duarte, Luis E, MD
" Carrizales, Rosalinda, DO
" Narasimha Rao, Archana, MD
#
Gender: Female
NPI: 1871575951
225 E Beauregard Ave
(325) 481-2270
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
San Angelo
San Angelo
San Angelo
San Angelo
#
J
San Angelo
San Angelo
Parhizgar, Amin, MD
Gender: Male
NPI: 1184881625
120 E Beauregard
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
" Adams, Laura M, MD
San Angelo
San Angelo
" Sutliff, Lourell E, MD
San Angelo
J
Gender: Male
NPI: 1558344408
225 E Beauregard Ave
(325) 481-2270
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
" Wilson, Kelly W, MD
San Angelo
J
Gender: Male
NPI: 1942283551
225 E Beauregard Ave
(325) 481-2285
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Obstetrics-Gynecology
J - Wheelchair Access
42
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
SAN ANGELO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Estes, Rebecca S, OT
Gender: Female
NPI: 1093882748
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
SAN ANGELO Cont
OCCUPATIONAL THERAPY
Blackburn, Rondi M, OT
Gender: Female
NPI: 1710265111
612 S Irene St
(325) 658-6571
Clinic Affiliation: Edu Svc Reg Xv
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
San Angelo
Blackington, Dustin, OT
Gender: Male
NPI: 1134591712
3001 S Jackson
(325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Boyd, Delyn D, OT
Gender: Female
NPI: 1740355932
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Brown, Michael W, OT
Gender: Male
NPI: 1245304153
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Calvert, Gwendolyn C, OT
Gender: Female
NPI: 1679997332
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Carpenter, Tiffany M, OT
Gender: Female
NPI: 1093766545
# 3126 Appaloosa Cir
J (325) 944-4399
Clinic Affiliation: Brett Carpenter PLLC
Practice Information: No Patients Under 7
yrs old
Board Certified Specialties: None
San Angelo
Colunga, Kathy, OT
Gender: Female
NPI: 1851615686
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Dodds, Ruth B, OT
Gender: Female
NPI: 1649237769
# 3001 S Jackson St
J (325) 223-6300
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
East, Amanda B, OT
Gender: Female
NPI: 1154496347
# 3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Fine, Misty L, OT
Gender: Female
NPI: 1659614626
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Fuchs, Robin, OT
Gender: Female
NPI: 1487031712
# 3001 S Jackson St
(325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Warman, Leroy, OT
Gender: Male
NPI: 1235534637
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Wymore, Matthew A, OT
Gender: Male
NPI: 1841513579
3001 S Jackson St
(325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
" Janzen, Grant P, MD
San Angelo
J
San Angelo
ONCOLOGY
" Lee, Seong Y, MD
San Angelo
J
" Ray, Anish, MD
San Angelo
Gender: Male
NPI: 1609024256
1002 S Abe St
Ste B
(325) 655-4675
Gibbs, Amy R, OT
Gender: Female
NPI: 1992004303
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Hoelscher, Robbi C, OT
Gender: Female
NPI: 1699840686
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Koehn, Kathleen A, OT
Gender: Female
NPI: 1639204670
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Lane, Kimberly S, OT
Gender: Female
NPI: 1518033919
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
NPI: 1609024256
120 E Harris St
(325) 481-8694
Hospital Affiliation: Cook Childrens Medical
Center, Md Anderson Cancer Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Oncology
OPHTHALMOLOGY
Daftarian, Soheil M, MD
Gender: Male
NPI: 1326384553
3605 Executive Dr
J (325) 224-5811
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: None
San Angelo
J
" Goldman, Matthew A, MD
San Angelo
Gender: Male
NPI: 1285618520
4450 Sunset Dr
(325) 481-2286
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Ophthalmology
Langford, Sarah A, OT
Gender: Female
NPI: 1790924793
# 3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Preedom, Maya E, OT
Gender: Female
NPI: 1831165125
612 S Irene
J (325) 658-6571
Clinic Affiliation: Edu Svc Reg Xv
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
Lui, Shun H, MD
Gender: Male
NPI: 1093799330
4450 Sunset Dr
J (325) 481-2286
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
" Patel, Sunil S, MD
San Angelo
J
" Fish, Kenton, MD
San Angelo
Alexander, Robert W, MD
Gender: Male
NPI: 1558330159
3605 Executive Dr
J (325) 224-5720
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: None
San Angelo
" Beaty, Stacy G, MD
San Angelo
Gender: Male
NPI: 1457388589
4450 Sunset Dr
(325) 481-2292
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Orthopedic
Surgery
San Angelo
J
Riley, Whitney L, OT
Gender: Female
NPI: 1245571199
3001 S Jackson
(325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Gender: Male
NPI: 1881857662
3605 Executive Dr
(325) 949-9555
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties:
Ophthalmology
Gender: Male
NPI: 1760476964
3605 Executive Dr
(800) 810-7411
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
San Angelo Community Medical Center
Clinic Affiliation: West TX Retina
Consultants PA
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
ORTHOPEDIC SURGERY
" Hackl, Theodore E, MD
San Angelo
Gender: Male
NPI: 1669466769
3605 Executive Dr
(800) 810-7411
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center
Clinic Affiliation: West TX Retina
Consultants PA
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
San Angelo
San Angelo
Gender: Male
NPI: 1942284419
4450 Sunset Dr
(325) 481-2286
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Ophthalmology
Gender: Male
NPI: 1306935440
3605 Executive Dr
(800) 810-7411
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: West TX Retina
Consultants PA
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
" Defee, Jason M, MD
San Angelo
J
Gender: Male
NPI: 1033326806
3814 Sherwood Way
(325) 658-8020
Hospital Affiliation: Big Bend Regional
Medical Center, San Angelo Community
Medical Center, Scenic Mountain Medical
Center, Shannon Medical Center
Clinic Affiliation: Jason M Defee MD
Board Certified Specialties: Orthopedic
Surgery
J - Wheelchair Access
43
SAN ANGELO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
SAN ANGELO Cont
OTOLARYNGOLOGY
PEDIATRIC CARDIOLOGY
Borgman, Kristie Y, MD
Gender: Female
NPI: 1033266846
2141 Hamilton Way
Ste 100
J (325) 245-4301
" Hafner, Jonathan W, MD
San Angelo
ORTHOPEDIC SURGERY Cont
Foxcroft, Paul J, MD
Gender: Male
NPI: 1841275054
# 4450 Sunset Dr
J (325) 481-2292
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Martinez, Rodolfo R, DO
Gender: Male
NPI: 1740571280
4450 Sunset Dr
J (325) 481-2292
Hospital Affiliation: Baylor Scott & White
Medical Ctr
Clinic Affiliation: Shannon Clinic
Practice Information: Clinic charge will
apply; may increase your costs
Board Certified Specialties: None
San Angelo
Mull, James R, MD
Gender: Male
NPI: 1396889887
3150 Appaloosa Cir
J (325) 227-8309
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: San Angelo Summit
Orthopedics
Board Certified Specialties: None
" Huchton, David M, MD
#
J
" Vosburg, Caleb, MD
Gender: Male
NPI: 1972619781
4450 Sunset Dr
(325) 481-2292
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Orthopedic
Surgery
" Wilkinson, Joe B, MD
San Angelo
J
Gender: Male
NPI: 1003874033
3605 Executive Dr
(325) 224-5722
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: Orthopedic
Surgery
" Zubak, Joseph J, MD
J
" Walvoord, Keith, MD
Gender: Male
NPI: 1013974583
3605 Executive Dr
(325) 224-5211
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties:
Otolaryngology
" Bush, David M, MD
Gender: Male
NPI: 1033171228
2141 Hamilton Way
Ste 100
(325) 245-4301
" Williamson, Leslie K, MD
Gender: Female
NPI: 1477538502
4450 Sunset Dr
(325) 481-2283
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Otolaryngology
J
NPI: 1033171228
225 E Beauregard
(325) 658-1511
Hospital Affiliation: Baptist Health System,
Methodist Hospital, Methodist Specialty And
Transplant Hospital, Methodist Stone Oak
Hospital, Metropolitan Methodist Hospital,
North Central Baptist Hospital, Northeast
Baptist Hospital, Northeast Methodist
Hospital, St Lukes Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Cardiology
J
PAIN MANAGEMENT
" Thom, William H, MD
San Angelo
#
Gender: Male
NPI: 1225015456
4450 Subset Dr
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pain
Management
Case, Christopher L, MD
Gender: Male
NPI: 1912011032
1002 A Abe St
Ste B
J (325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Hospers, Teresa A, MD
Gender: Female
NPI: 1447239298
2141 Hamilton Way
Ste 100
(325) 245-4301
San Angelo
J
J
San Angelo
Vulcan, Marius, MD
Gender: Male
NPI: 1104142397
3605 Executive Dr
(325) 224-5951
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: None
San Angelo
Darling, Matthew J, DO
Gender: Male
NPI: 1407843113
2141 Hamilton Way
Ste 100
(325) 245-4301
NPI: 1447239298
225 E Beauregarda Ave
(210) 614-3264
NPI: 1447239298
3555 Knickerbocker Rd
(800) 697-7008
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr, Christus
Santa Rosa Hosp Westover, Christus Santa
Rosa New Braunfels, Mission Trails Baptist,
North Central Baptist Hospital, Northeast
Baptist Hospital, San Angelo Community
Medical Center, Shannon Medical Center, St
Lukes Baptist Hospital
Clinic Affiliation: Bloom Kenneth R MD,
Magella Medical Assoc Billing Inc
Board Certified Specialties: None
" Kashyap, Pooja, MD
San Angelo
J
San Angelo
NPI: 1407843113
225 E Beauregard Ave
(325) 658-1511
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Hackman, Anne M, MD
Gender: Female
NPI: 1790732931
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: None
San Angelo
San Angelo
San Angelo
San Angelo
Gender: Male
NPI: 1447310073
4450 Sunset Dr
(325) 481-2292
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Orthopedic
Surgery
NPI: 1629136692
225 E Beauregard Ave
(210) 614-6234
Hospital Affiliation: Christus Santa Rosa
Hosp Med Ctr, Christus Santa Rosa New
Braunfels, Medina Regional Hospital,
Methodist Hospital, Methodist Specialty And
Transplant Hospital, Metropolitan Methodist
Hospital, Northeast Baptist Hospital, San
Angelo Community Medical Center,
Southwest General Hospital, St Lukes
Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Board Certified Specialties: None
San Angelo
J
NPI: 1588845705
225 E Beauregard St
(325) 658-1511
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr, Christus
Santa Rosa Hosp Westover, Christus Santa
Rosa New Braunfels, Methodist Hospital,
Methodist Specialty And Transplant Hospital,
North Central Baptist Hospital, Northeast
Baptist Hospital, Shannon Medical Center, St
Lukes Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
Brennen, David M, MD
Gender: Male
NPI: 1629136692
2141 Hamilton Way
Ste 100
J (325) 245-4301
Gender: Male
NPI: 1891899076
4450 Sunset Dr
(325) 481-2286
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Otolaryngology
J
Goldstein, Brian S, MD
Gender: Male
NPI: 1588845705
2141 Hamilton Way
Ste 100
(325) 245-4301
San Angelo
San Angelo
" Lasiter, John C, MD
" Reid, Thomas R, MD
San Angelo
Gender: Male
NPI: 1811972946
4450 Sunset Dr
(325) 481-2283
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties:
Otolaryngology
San Angelo
San Angelo
J
NPI: 1033266846
225 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Baptist Health System,
Medina Regional Hospital, Methodist
Specialty And Transplant Hospital,
Metropolitan Methodist Hospital, San Angelo
Community Medical Center, Shannon
Medical Center, Southwest General Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Board Certified Specialties: None
J
San Angelo
San Angelo
Gender: Male
NPI: 1073598926
4450 Sunset Dr
(325) 481-2292
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Orthopedic
Surgery
San Angelo
Gender: Male
NPI: 1811165608
3605 Executive Dr
(325) 224-5354
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties:
Otolaryngology
San Angelo
Dzurik, Matthew V, MD
Gender: Male
NPI: 1912094053
1002 S Abe St
Ste B
(325) 655-4675
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
San Angelo
J
Gender: Female
NPI: 1861707150
2141 Hamilton Way
Ste 100
(325) 245-4301
NPI: 1861707150
225 E Beauregard
(325) 658-1511
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr,
Methodist Hospital, North Central Baptist
Hospital, St Lukes Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Cardiology
J - Wheelchair Access
44
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
SAN ANGELO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Muyskens, Steve, MD
Gender: Male
NPI: 1407021868
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
San Angelo
SAN ANGELO Cont
PEDIATRIC CARDIOLOGY Cont
" Kollars, Catharine A, MD
San Angelo
J
Gender: Female
NPI: 1578543435
2141 Hamilton Way
Ste 100
(325) 245-1301
Zamora Salinas, Rolando, MD
Gender: Male
NPI: 1073592838
2141 Hamilton Way
Ste 100
(325) 245-4301
San Angelo
NPI: 1073592838
225 E Beauregard Ave
(210) 224-8079
J
NPI: 1073592838
3555 Knickerbocker Rd
(800) 697-7008
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr, Christus
Santa Rosa New Braunfels, Methodist
Hospital, Mission Trails Baptist, North
Central Baptist Hospital, Northeast Baptist
Hospital, San Angelo Community Medical
Center, Shannon Medical Center, St Lukes
Baptist Hospital
Clinic Affiliation: Bloom Kenneth R MD,
Magella Medical Assoc Billing Inc
Board Certified Specialties: None
" Olabiyi, Olawale, MD
San Angelo
J
NPI: 1578543435
225 E Beauregard Ave
(325) 858-1511
Hospital Affiliation: Christus Santa Rosa
Hosp Med Ctr, Christus Santa Rosa Hosp
Westover, Methodist Hospital, Methodist
Specialty And Transplant Hospital,
Metropolitan Methodist Hospital, North
Central Baptist Hospital, Northeast Baptist
Hospital, Northeast Methodist Hospital, San
Angelo Community Medical Center, St Lukes
Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Cardiology
Gender: Male
NPI: 1861666547
2141 Hamilton Way
Ste 100
(325) 245-4301
NPI: 1861666547
225 E Beauregard
(325) 658-1511
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Board Certified Specialties: Pediatric
Cardiology
Gender: Male
NPI: 1760510929
1002 S Abe St
Ste B
(325) 655-4675
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatric
Cardiology
" Londono Obregon, Camila L, MD
J
J
Gender: Female
NPI: 1154633212
2141 Hamilton Way
Ste 100
(325) 245-4301
NPI: 1154633212
225 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Christus Santa Rosa
Hosp Med Ctr, Christus Santa Rosa New
Braunfels, Medina Regional Hospital,
Methodist Hospital, Methodist Specialty And
Transplant Hospital, North Central Baptist
Hospital, Northeast Baptist Hospital, San
Angelo Community Medical Center, Shannon
Medical Center, St Lukes Baptist Hospital
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Practice Information: No Patients Over 20
yrs old
Board Certified Specialties: Pediatric
Cardiology
Mandel, Corey S, MD
Gender: Male
NPI: 1598858680
1002 S Abe St
Ste B
J (325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
San Angelo
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
PEDIATRIC HEMATOLOGY-ONCOLOGY
" Beam, Donald T, MD
San Angelo
Gender: Male
NPI: 1891709853
1002 S Abe St
Ste B
(325) 655-4675
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatric
Hematology-Oncology
San Angelo
NPI: 1790741254
225 E Beauregard Ave
(210) 658-1511
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr, Christus
Santa Rosa New Braunfels, Methodist
Hospital, North Central Baptist Hospital,
Northeast Baptist Hospital, San Angelo
Community Medical Center, Shannon
Medical Center, St Lukes Baptist Hospital,
University Health System
Clinic Affiliation: Magella Medical Assoc
Billing Inc
Board Certified Specialties: Pediatric
Cardiology
San Angelo
San Angelo
" De La Torre, Alejandro J, MD
Gender: Female
NPI: 1790741254
2141 Hamilton Way
Ste 100
(325) 245-4301
" Kuo, James A, MD
Easley, David J, MD
Gender: Male
NPI: 1639139488
2141 Hamilton Way
Ste 100
J (512) 628-1810
Hospital Affiliation: Baylor Scott & White
Medical Ctr, Dell Childrens Med Ctr Cent Tx,
San Angelo Community Medical Center
Clinic Affiliation: Specially For Children
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
San Angelo
PEDIATRIC ENDOCRINOLOGY
" Porisch, Mary E, MD
San Angelo
San Angelo
Lai, Stephen, MD
Gender: Male
NPI: 1548353634
1002 S Abe St
Ste B
J (325) 655-4675
Hospital Affiliation: Baylor Scott White All
Saints Med, Tx Hlth Harris Methodist Hosp
Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties:
Cardiovascular Disease
J
PEDIATRIC GASTROENTEROLOGY
Readinger, Richard I, MD
Gender: Male
NPI: 1891892550
1002 S Abe St
Ste B
J (325) 655-4675
Hospital Affiliation: Cook Childrens Home
Health, Tx Hlth Harris Methodist Hosp Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
San Angelo
Roten, Lisa M, MD
Gender: Female
NPI: 1750489993
1002 S Abe St
Ste B
J (325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
San Angelo
Schutte, Deborah A, MD
Gender: Female
NPI: 1891889754
1002 S Abe St
Ste B
J (325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Gender: Male
NPI: 1720285604
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatric
Endocrinology
Radack, Jill A, MD
Gender: Female
NPI: 1306036686
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
San Angelo
Roy, Sani A, MD
Gender: Female
NPI: 1306163753
1002 S Abe St
(325) 655-4675
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
San Angelo
" Steelman, Joel W, MD
San Angelo
Gender: Male
NPI: 1790813137
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatric
Endocrinology
San Angelo
" Wilson, Donnie, MD
San Angelo
Gender: Male
NPI: 1699737528
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatric
Endocrinology
" Heym, Kenneth M, MD
San Angelo
Gender: Male
NPI: 1861406803
1002 S Abe St
Ste B
(325) 655-4675
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatric
Hematology-Oncology
Murray, Jeffrey C, MD
Gender: Male
NPI: 1134224876
1002 S Abe St
Ste B
J (325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
San Angelo
PEDIATRIC INFECTIOUS DISEASE
Eger, Lynne, MD
Gender: Male
NPI: 1871603522
1002 S Abe St
Ste B
J (325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 19
yrs old
Board Certified Specialties: None
San Angelo
" Mazade, Marc A, MD
San Angelo
J
Gender: Male
NPI: 1902999097
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Baylor Scott White All
Saints Med, Cook Childrens Medical Center,
Tx Hlth Arlington Memorial Hosp, Tx Hlth
Harris Methodist Hosp Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatric
Infectious Disease
J - Wheelchair Access
45
SAN ANGELO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
PHYSICAL THERAPY
" Basinger, Alice A, MD
San Angelo
SAN ANGELO Cont
Gender: Female
NPI: 1790716595
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatrics
PEDIATRIC INFECTIOUS DISEASE Cont
" Shelton, Mark M, MD
San Angelo
Gender: Male
NPI: 1922192780
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center, John Peter Smith Hospital, Medical
Center Of Arlington, Plaza Medical Center
Fort Worth, Tx Hlth Arlington Memorial Hosp,
Tx Hlth Harris Methodist Hosp Fw
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatric
Infectious Disease
J
" Whitworth, Mary S, MD
San Angelo
PEDIATRIC NEPHROLOGY
Bedri, Badreldin, MD
Gender: Male
NPI: 1558599407
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
San Angelo
Bayles, Amy E, APN
Gender: Female
NPI: 1114122454
! 1002 S Abe St
Ste B
(325) 655-4675
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
Campanini, Emir R, MD
Gender: Male
NPI: 1528372315
2141 Hamilton Way
Ste 100
(325) 245-4040
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
Hernandez, Angel W, MD
Gender: Male
NPI: 1457444531
1002 S Abe St
Ste B
J (325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: None
San Angelo
Baxter, Tammy G, LPT
Gender: Female
NPI: 1396819306
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Hospers, Teresa A, MD
Gender: Female
NPI: 1447239298
225 E Beauregarda Ave
J (210) 614-3264
San Angelo
Bearden, Keila B, LPT
Gender: Female
NPI: 1215050885
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
NPI: 1447239298
3555 Knickerbocker Rd
(800) 697-7008
Hospital Affiliation: Baptist Health System,
Christus Santa Rosa Hosp Med Ctr, Christus
Santa Rosa Hosp Westover, Christus Santa
Rosa New Braunfels, Mission Trails Baptist,
North Central Baptist Hospital, Northeast
Baptist Hospital, San Angelo Community
Medical Center, Shannon Medical Center, St
Lukes Baptist Hospital
Clinic Affiliation: Bloom Kenneth R MD
Board Certified Specialties: None
J
" Gillespie, Robert S, MD
PEDIATRIC NEUROLOGY
Ayers, Lance P, LPT
Gender: Male
NPI: 1013396597
# 4450 Sunset Dr
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
San Angelo
San Angelo
Gender: Male
NPI: 1912043738
1002 S Abe Ste
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatric
Nephrology
Ashlock, Leslie J, LPT
Gender: Female
NPI: 1285957910
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
San Angelo
Gender: Female
NPI: 1205925716
1002 S Abe St
Ste B
(325) 655-4675
Hospital Affiliation: Cook Childrens Medical
Center
Clinic Affiliation: Cook Childrens Physician
Network
Board Certified Specialties: Pediatric
Infectious Disease
J
Asbill, Stacey L, LPT
Gender: Female
NPI: 1497822647
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Boyd, Lori J, LPT
Gender: Female
NPI: 1063534089
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Podaralla, Srikanth, MD
Gender: Male
NPI: 1629246731
2141 Hamilton Way
Ste 100
(325) 245-4000
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
San Angelo
Buhle, Charlotte R, LPT
Gender: Female
NPI: 1619227659
3001 S Jackson
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Carpenter, Brett W, LPT
Gender: Male
NPI: 1174572994
# 3126 Appaloosa Cir
J (325) 944-4399
Clinic Affiliation: Brett Carpenter PLLC
Practice Information: No Patients Under 6
yrs old
Board Certified Specialties: None
San Angelo
" Rider, Jane C, MD
San Angelo
Gender: Female
NPI: 1275596843
12 E Twohig Ste 201
(325) 340-9899
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Angelo Behavior Center
LLP
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: Pediatrics
PEDIATRICS
Cheek, Megan B, LPT
Gender: Female
NPI: 1457612426
# 3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
" Sorrels, William F, DO
San Angelo
Ayestaran Cassani, Alejandra, MD
Gender: Female
NPI: 1003121245
2141 Hamilton Way
Ste 100
(325) 245-4301
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: None
San Angelo
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
#
Cordes, Megan L, LPT
Gender: Female
NPI: 1629391313
3001 S Jackson St
(325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Gender: Male
NPI: 1942202791
12 E Twohig Ste 201
(325) 340-9899
Clinic Affiliation: Angelo Behavior Center
LLP
Board Certified Specialties: Pediatrics
Greer, Leigh A, LPT
Gender: Female
NPI: 1174762421
# 3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Grobler, Neil S, LPT
Gender: Male
NPI: 1659748986
# 3001 S Jackson
(325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Hicks, Bradley S, LPT
Gender: Male
NPI: 1477547495
# 3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Hicks, Erin L, LPT
Gender: Female
NPI: 1265649198
# 3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Holik, Brian J, LPT
Gender: Male
NPI: 1780094102
4450 Sunset Dr
J (325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Huckaby, Teresa L, LPT
Gender: Female
NPI: 1467691469
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Jackson, Leslie F, LPT
Gender: Female
NPI: 1639323892
612 S Irene St
(325) 658-6571
Clinic Affiliation: Edu Svc Reg Xv
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
San Angelo
Karr, Gina W, LPT
Gender: Female
NPI: 1316920200
3001 S Jackson St
(325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Kasner, Kimberley S, LPT
Gender: Female
NPI: 1356417059
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Keating, Priscilla M, LPT
Gender: Female
NPI: 1841366440
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
J - Wheelchair Access
46
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
SAN ANGELO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
PULMONARY DISEASES
Taylor, Dayna L, LPT
Gender: Female
NPI: 1528104890
612 S Irene St
J (325) 658-6571
Clinic Affiliation: Edu Svc Reg Xv
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
San Angelo
SAN ANGELO Cont
PHYSICAL THERAPY Cont
Lambaren, Christopher A, LPT
Gender: Male
NPI: 1457561755
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Martin, Kelly S, LPT
Gender: Female
NPI: 1316013360
# 3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
McMillan, Lindsey R, LPT
Gender: Female
NPI: 1831265883
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
McSpadden, Karen D, LPT
Gender: Female
NPI: 1174883235
3001 S Jackson
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
" Myers, Sandra M, LPT
San Angelo
Gender: Female
NPI: 1770834889
4450 Sunset Dr
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Physical
Therapy
J
Owens, Jean A, LPT
Gender: Female
NPI: 1265509343
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Owens, Shauna S, LPT
Gender: Female
NPI: 1134422819
4450 Sunset Dr
(325) 481-2240
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Priddy, Leddy M, LPT
Gender: Female
NPI: 1801142294
3001 S Jackson
J (325) 223-6304
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Rutland, Marsha E, LPT
Gender: Female
NPI: 1437143468
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Gender: Male
NPI: 1962435461
120 E Harris
(325) 658-1511
Hospital Affiliation: Central Texas Rehab
Hospital Llc, Cornerstone Hospital Austin,
Healthsouth Rehabilitation Hospital Of
Austin, Heart Hospital Of Austin, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Pulmonary
Diseases
#
Williams, Randy L, LPT
Gender: Male
NPI: 1295711083
120 E Beauregard Ave
J (325) 658-1511
San Angelo
NPI: 1295711083
4450 Sunset Dr
(325) 658-1511
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Gender: Female
NPI: 1477712891
120 E Harris
(325) 658-1511
Hospital Affiliation: Cornerstone Hospital
Austin, Healthsouth Rehabilitation Hospital
Of Austin, Heart Hospital Of Austin, Seton
Medical Center, Seton Northwest Hospital,
Shannon Medical Center, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Pulmonary
Diseases
#
PODIATRY
" Anderson, Milo D, DPM
San Angelo
Gender: Male
NPI: 1053339713
3555 Knickerbocker Rd
(325) 224-5121
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: Podiatry
" Lummus, Jimmie D, DPM
San Angelo
Gender: Male
NPI: 1336100791
3162 Appaloosa Circle
(325) 658-4020
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Angelo Podiatry Assoc PA
Board Certified Specialties: Podiatry
" Westmoreland, Scott E, DPM
San Angelo
J
Gender: Male
NPI: 1073775524
120 E Harris
(325) 653-6741
Hospital Affiliation: Baylor University
Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pulmonary
Diseases
" Liming, John D, MD
San Angelo
Gender: Male
NPI: 1144294315
120 E Harris Ave
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pulmonary
Diseases
" Dvorak, Anna K, MD
Wilson, Laura N, LPT
Gender: Female
NPI: 1558760371
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
J
" Keriwala, Raj, MD
San Angelo
San Angelo
San Angelo
Harford, Paul H, MD
Gender: Male
NPI: 1710902036
120 E Harris Ave
(325) 656-1511
Hospital Affiliation: Cornerstone Hospital
Austin, Healthsouth Rehabilitation Hospital
Of Austin, Heart Hospital Of Austin, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, Shannon Medical
Center, St Davids Medical Center, St Davids
S Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: None
" Morrison, Robert J, MD
San Angelo
Gender: Male
NPI: 1750307757
120 E Harris
(325) 658-1511
Hospital Affiliation: Cornerstone Hospital
Austin, Healthsouth Rehabilitation Hospital
Of Austin, Heart Hospital Of Austin, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Pulmonary
Diseases
San Angelo
" Perret II, Kenneth A, MD
San Angelo
#
J
" Hayden, Shailaja J, MD
San Angelo
Gender: Male
NPI: 1023095783
120 E Beauregard Ave
(325) 481-2033
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Podiatry
Gender: Female
NPI: 1427226224
120 E Harris
(325) 653-6741
Hospital Affiliation: Central Texas Rehab
Hospital Llc, Cornerstone Hospital Austin,
Heart Hospital Of Austin, Seton Medical
Center, Seton Northwest Hospital, Shannon
Medical Center, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Pulmonary
Diseases
Schaeffer, Elizabeth H, LPT
Gender: Female
NPI: 1851469951
# 3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Deaton, William J, MD
San Angelo
White, Jennifer L, LPT
Gender: Female
NPI: 1578796710
4450 Sunset Dr
J (325) 481-2240
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
San Angelo
San Angelo
Gender: Male
NPI: 1972687127
102 N Magdale
(325) 658-1511
Hospital Affiliation: Cornerstone Hospital
Austin, Heart Hospital Of Austin, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Pulmonary
Diseases
#
Villers, James F, LPT
Gender: Male
NPI: 1336217199
# 3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Gender: Male
NPI: 1013933019
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Cornerstone Hospital
Austin, Dell Childrens Med Ctr Cent Tx,
Healthsouth Rehabilitation Hospital Of
Austin, Heart Hospital Of Austin, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Pulmonary
Diseases
" Dallas, John D, MD
San Angelo
San Angelo
J
" Hinze, John D, DO
San Angelo
Gender: Male
NPI: 1790701894
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Cornerstone Hospital
Austin, Healthsouth Rehabilitation Hospital
Of Austin, Heart Hospital Of Austin,
Northwest Hills Surgical Hospital, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Pulmonary
Diseases
" Rustmann, Walter C, DO
San Angelo
Gender: Male
NPI: 1235116054
120 E Beauregard Ave
(325) 658-1511
NPI: 1235116054
3308 Loop 306
Ste 3308
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pulmonary
Diseases
J - Wheelchair Access
47
SAN ANGELO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Billings, Lynsey N, SLP
Gender: Female
NPI: 1922401330
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Lester, Carol R, SLP
Gender: Female
NPI: 1811169311
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
SAN ANGELO Cont
PULMONARY DISEASES Cont
" Shah, Koonj A, MD
San Angelo
Gender: Male
NPI: 1316193907
120 E Harris
(325) 653-6741
Hospital Affiliation: Central Texas Rehab
Hospital Llc, Cornerstone Hospital Austin,
Seton Medical Center, Seton Northwest
Hospital, Shannon Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Pulmonary
Diseases
" Shapiro, Michael, MD
San Angelo
Gender: Male
NPI: 1306861604
120 E Harris
(325) 658-1511
Hospital Affiliation: Cornerstone Hospital
Austin, Healthsouth Rehabilitation Hospital
Of Austin, Heart Hospital Of Austin, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Shannon Clinic
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Pulmonary
Diseases
" Zarate Caceres, Hernan A, MD
San Angelo
!
J
Gender: Male
NPI: 1528275518
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Pulmonary
Diseases
RHEUMATOLOGY
" Taylor, Jason G, MD
San Angelo
J
Gender: Male
NPI: 1194787184
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Baylor Scott & White
Medical Ctr, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Rheumatology
SLEEP MEDICINE
San Angelo
Boeshart, Linda, SLP
Gender: Female
NPI: 1326345299
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Ramon, Regina, SLP
Gender: Female
NPI: 1356733299
612 S Irene
(325) 658-6571
Clinic Affiliation: Edu Svc Reg Xv
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
San Angelo
San Angelo
Brinkman, Anna C, SLP
Gender: Female
NPI: 1619322880
3001 S Jackson
(325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Reeves, Susan D, SLP
Gender: Female
NPI: 1952479040
105 Westland Ave
(325) 340-4020
Clinic Affiliation: Reeves Rehab
Board Certified Specialties: None
San Angelo
" Narasimha Rao, Archana, MD
Gender: Female
NPI: 1386890069
3555 Knickerbocker Rd
(325) 949-9555
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Neurology,
Sleep Medicine
SPEECH PATHOLOGY
Bailey, Kyla M, SLP
Gender: Female
NPI: 1548646284
# 3001 S Jackson St
(325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
SPORTS MEDICINE
Martinez, Rodolfo R, DO
Gender: Male
NPI: 1740571280
4450 Sunset Dr
J (325) 481-2292
Hospital Affiliation: Baylor Scott & White
Medical Ctr
Clinic Affiliation: Shannon Clinic
Practice Information: Clinic charge will
apply; may increase your costs
Board Certified Specialties: None
San Angelo
THERAPEUTIC OPTOMETRY
Brasher, J Warren, OD
Gender: Male
NPI: 1114028883
# 1721 Knickerbocker Rd
J (325) 944-8531
Clinic Affiliation: Advanced Eye Care
Board Certified Specialties: None
San Angelo
Douglas, Khristina M, SP
Gender: Female
NPI: 1952476137
3001 S Jackson St
J (325) 223-6300
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
Roach, Kristy M, SLP
Gender: Female
NPI: 1831264233
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
San Angelo
Sitzes, Patricia J, SLP
Gender: Female
NPI: 1568710085
612 S Irene St
(325) 658-6571
Clinic Affiliation: Edu Svc Reg Xv
Board Certified Specialties: None
San Angelo
Fischer, Kellie D, SLP
Gender: Female
NPI: 1386820611
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Garcia, Laura, OD
Gender: Female
NPI: 1982612511
# 4241 Southwest Blvd
Ste 108
J (325) 949-6697
Clinic Affiliation: Sunset Eye Care PC
Board Certified Specialties: None
San Angelo
Gold, Jamie L, OD
Gender: Female
NPI: 1841504180
# 1721 Knickerbocker
Rd
(325) 944-8531
Clinic Affiliation: Advanced Eye Care
Board Certified Specialties: None
San Angelo
Stribling, Katherine M, SLP
Gender: Female
NPI: 1316298029
612 S Irene St
J (325) 658-6571
Clinic Affiliation: Edu Svc Reg Xv
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
San Angelo
Greig, Patricia M, SLP
Gender: Female
NPI: 1295076867
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Tumlinson, Kaci L, SLP
Gender: Female
NPI: 1780933838
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Holler, Susan B, SLP
Gender: Female
NPI: 1629229398
3001 S Jackson
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Villarreal, Clarisa A, SLP
Gender: Female
NPI: 1285808881
133 W Concho Ave
Ste 109
J (325) 340-4020
Clinic Affiliation: Reeves Rehab
Board Certified Specialties: None
San Angelo
Jameson, Dean G, SP
Gender: Male
NPI: 1285701524
3001 S Jackson St
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
San Angelo
Wymore, Jessie L, SLP
Gender: Female
NPI: 1437239332
612 S Irene
(325) 658-6571
Clinic Affiliation: Edu Svc Reg Xv
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
San Angelo
Wilson, Jerrye Lyn H, SLP
Gender: Female
NPI: 1629129309
3001 S Jackson St
(325) 223-6379
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Jolley, Paula, SP
Gender: Female
NPI: 1306997044
612 S Irene St
J (325) 658-6571
Clinic Affiliation: Edu Svc Reg Xv
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
San Angelo
Wilson, Suzan, SLP
Gender: Female
NPI: 1437427242
3001 S Jackson St
J (325) 233-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Kleypas, Susan C, SLP
Gender: Female
NPI: 1326396607
# 3001 S Jackson
J (325) 223-6300
Clinic Affiliation: West Texas Rehabilitation
Center Inc Abilene
Board Certified Specialties: None
San Angelo
Grimes, Edward L, OD
Gender: Male
NPI: 1003917030
4450 Sunset Dr
(325) 481-2286
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
San Angelo
Holle, Douglas T, OD
Gender: Male
NPI: 1215986252
# 4241 Southwest Blvd
Ste 108
J (325) 949-6697
Clinic Affiliation: Sunset Eye Care PC
Board Certified Specialties: None
San Angelo
Lamm, Harold G, OD
Gender: Male
NPI: 1336134667
1605 W Ave N
J (325) 653-0118
Board Certified Specialties: None
San Angelo
Larsen, Alan C, OD
Gender: Male
NPI: 1689662058
2705 Sherwood Way
J (325) 949-5750
Board Certified Specialties: None
San Angelo
Matthews, John P, OD
Gender: Male
NPI: 1982647533
115 S Adams
J (325) 653-2383
Board Certified Specialties: None
San Angelo
J - Wheelchair Access
48
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
STEPHENVILLE
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" McIver, Bradley D, MD
San Angelo
SAN ANGELO Cont
THORACIC SURGERY
" Bennett, Robert D, MD
San Angelo
Gender: Male
NPI: 1518906825
3350 Executive Dr
Ste 100
(325) 245-4501
Hospital Affiliation: San Angelo Community
Medical Center, Texoma Medical Center,
Wilson N Jones Regional Med Ctr
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties: Thoracic
Surgery
" Felger, Jason E, MD
San Angelo
Gender: Male
NPI: 1538182951
102 N Magdalen Ave
(325) 481-2134
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Thoracic
Surgery
" Hume, Andrew T, MD
San Angelo
Gender: Male
NPI: 1063435915
102 N Magdalen St
(325) 481-2134
Hospital Affiliation: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Thoracic
Surgery
J
UROLOGY
" Bradley, Brian A, MD
San Angelo
Gender: Male
NPI: 1356383269
3555 Knickerbocker Rd
(325) 224-5641
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: Urology
J
" Brantly, Elisa K, MD
San Angelo
Gender: Female
NPI: 1619157427
120 E Beauregard Ave
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Urology
J
Cook, Donald W, MD
Gender: Male
NPI: 1558328146
3605 Executive Dr
J (325) 224-5259
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: None
San Angelo
" Flood, R G, MD
San Angelo
NPI: 1235117953
120 E Beauregard Ave
(325) 481-2231
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Urology
J
J
CARDIOVASCULAR DISEASE
" Blanc, Michael S, MD
Sonora
J
SAN SABA
ANP/CERT/CLNP
Delacruz, Shannon L, APN
Gender: Female
NPI: 1164893889
403 W Wallace St
(325) 372-5701
(325) 643-3010
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
San Saba
Gender: Male
NPI: 1932139953
308 Hudspeth St
(325) 245-4501
Hospital Affiliation: Baylor Scott White Med
Ctr Frisco, Dallas Medical Center Llc,
Lifecare Hospitals Of Dallas, Medical Center
Of Lewisville, Medical City Dallas Hospital,
San Angelo Community Medical Center, Tx
Hlth Presbyterian Hosp Plano
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Cardiovascular Disease
NEUROLOGICAL SURGERY
Little, Karen, APN
Gender: Female
NPI: 1720061856
403 W Wallace St
(325) 372-5701
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
San Saba
" Hopkins, Timothy E, MD
Sonora
J
PODIATRY
Williams, Kory D, DPM
Gender: Male
NPI: 1205071487
2005 W Wallace St
J (325) 372-5163
Hospital Affiliation: Medical Center Of
Mckinney, Mother Frances Hospital
Clinic Affiliation: Scott and White Hospital
Llano
Practice Information: Clinic charge will
apply; may increase your costs
Board Certified Specialties: None
San Saba
Gender: Male
NPI: 1437131513
308 Hudspeth St
(325) 481-2193
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Neurological
Surgery
OBSTETRICS-GYNECOLOGY
J
Gender: Female
NPI: 1073566964
150 River N Blvd
(866) 454-6560
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Anp/Cert/Clnp
Hess, Lawrence R, APN
Gender: Male
NPI: 1720176217
950 Bluebonnet Dr
J (254) 968-1500
Hospital Affiliation: Glen Rose Medical
Center
Clinic Affiliation: Hood Medical Group
Board Certified Specialties: None
Stephenville
Lucas, Cheryl, APN
Gender: Female
NPI: 1952774549
# 135 River N Blvd
J (254) 965-2810
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
Stephenville
Pickett, Jennifer J, APN
Gender: Female
NPI: 1265682009
950 Bluebonnet Dr
J (254) 968-1500
Clinic Affiliation: Hood Medical Group
Board Certified Specialties: None
Stephenville
Steele Perkins, Shanna L, APN
Gender: Female
NPI: 1700943263
# 135 River N Blvd
(254) 965-2810
Clinic Affiliation: Cross Timbers Health
Clinics
Board Certified Specialties: None
Stephenville
" Henke, Clyde A, MD
Sonora
Gender: Male
NPI: 1770545386
308 Hudspeth St
(325) 245-4501
Hospital Affiliation: San Angelo Community
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certified Specialties:
Obstetrics-Gynecology
SANTA ANNA
ORTHOPEDIC SURGERY
ANP/CERT/CLNP
" Surber, Ashley D, APN
Stephenville
J
" Wilkinson, Joe B, MD
Sonora
Delacruz, Shannon L, APN
Gender: Female
NPI: 1164893889
105 N Second St
(325) 348-3566
(325) 643-3010
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
Santa Anna
J
Hensley, Margaret A, APN
Gender: Female
NPI: 1225038763
105 N Second St
J (325) 346-3566
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
Santa Anna
Gender: Male
NPI: 1003874033
308 Hudspeth St
(325) 387-2521
Hospital Affiliation: San Angelo Community
Medical Center, Shannon Medical Center
Clinic Affiliation: West Texas Medical
Assoc
Board Certified Specialties: Orthopedic
Surgery
" Lander, Stuart R, MD
Stephenville
J
STAMFORD
Thane, Trussell L, OD
Gender: Male
NPI: 1609838101
1501 Columbia
J (325) 773-2083
Board Certified Specialties: None
Stamford
Rogers, Denice D, APN
Gender: Female
NPI: 1144270471
105 N Second St
(325) 348-3566
Clinic Affiliation: Regional Employee
Assistance
Board Certified Specialties: None
Santa Anna
" Conner, Robin A, APN
Stephenville
Gender: Female
NPI: 1598891376
950 Bluebonnet Dr
(254) 968-1500
Clinic Affiliation: Hood Medical Group
Board Certified Specialties: Anp/Cert/Clnp
Kingman, Andrew T, MD
Gender: Male
NPI: 1306076138
120 E Beauregard
(325) 658-1511
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: None
Gender: Male
NPI: 1215991906
150 River N Blvd
(254) 918-2271
Hospital Affiliation: Baylor Heart And
Vascular Center, Baylor Scott White All
Saints Med, Baylor University Medical
Center, North Hills Hospital, Tx Hlth Harris
Methodist Hosp, Tx Hlth Heart & Vascular
Hosp Arl, Tx Hlth Huguley Fort Worth South
Clinic Affiliation: Heart Place
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties:
Cardiovascular Disease
" Ramachandran, Poongodhai, MD
Stephenville
STEPHENVILLE
ANP/CERT/CLNP
Gender: Female
NPI: 1720461718
561 N Graham
(254) 965-2663
Clinic Affiliation: Cross Timbers
Orthopedics PA
Board Certified Specialties: Anp/Cert/Clnp
CARDIOVASCULAR DISEASE
THERAPEUTIC OPTOMETRY
San Angelo
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Grisham, Shandy L, APN
Stephenville
SONORA
Gender: Male
NPI: 1356329015
120 E Beauregard Ave
(325) 481-2231
Hospital Affiliation: Shannon Medical
Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Urology
J
Gender: Female
NPI: 1265489348
2291 Northwest Loop
(254) 968-5000
Hospital Affiliation: Comanche County
Medical Ctr, Lake Granbury Medical Center,
Plaza Medical Center Fort Worth, Tx Hlth
Harris Methodist Hosp Fw, Wadley Regional
Medical Center
Clinic Affiliation: Cardiac Care PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
J - Wheelchair Access
49
STEPHENVILLE
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Erck, Charles S, MD
" Ong, Lester C, MD
Stephenville
STEPHENVILLE Cont
CARDIOVASCULAR DISEASE Cont
" Williams, Brandie D, MD
Stephenville
Gender: Female
NPI: 1023251410
150 River N Blvd
(817) 252-5000
Hospital Affiliation: Baylor Scott &white
Med Ctr Plano, Tx Hlth Harris Methodist
Hosp
Clinic Affiliation: Thr Community Based
Pcps
Board Certified Specialties:
Cardiovascular Disease
* Leaving Network: 2017-01-
CHIROPRACTIC
Nance, Jerry C, DC
Gender: Male
NPI: 1396884581
# 140 S Virginia St
J (254) 965-6100
Clinic Affiliation: Nance Chiropractic Clinic
PC
Board Certified Specialties: None
#
J
Thomas, Steven M, DC
Gender: Male
NPI: 1073513073
2551 Northwest Loop
Ste B
J (254) 968-4600
Clinic Affiliation: Chiropractic and Spinal
Decompres
Board Certified Specialties: None
FAMILY PRACTICE
Ip, Kam W, MD
Gender: Male
NPI: 1174529523
# 150 River N Blvd
J (817) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Board Certified Specialties: None
Stephenville
J
GENERAL SURGERY
" Bragg, Larry M, MD
Stephenville
J
Gender: Male
NPI: 1649278466
103 E Frey
(254) 965-2310
Hospital Affiliation: Comanche County
Medical Ctr, Eastland Memorial Hospital,
Hamilton General Hospital, Lake Granbury
Medical Center, Tx Hlth Harris Methodist
Hosp
Clinic Affiliation: Larry M Bragg MD
Board Certified Specialties: General
Surgery
Gender: Male
NPI: 1407851009
150 River N Blvd
(254) 968-6051
Hospital Affiliation: Glen Rose Medical
Center, Tx Hlth Harris Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Board Certified Specialties: General
Surgery
Bartosh, Nicole S, DO
Gender: Female
NPI: 1326207838
150 River N Blvd
J (866) 454-6560
Hospital Affiliation: Baylor Scott & White
Medical Ctr, Baylor Scott White All Saints
Med, Baylor Scott White Med Hillcrest, Glen
Rose Medical Center, John Peter Smith
Hospital, Palo Pinto General Hospital, Plaza
Medical Center Fort Worth, Tx Hlth Harris
Methodist Hosp Fw, Tx Hlth Huguley Fort
Worth South, Weatherford Regional Med Ctr
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
Stephenville
Turner, Taryn J, DO
Gender: Female
NPI: 1184724122
150 River N Blvd
(254) 968-6051
Clinic Affiliation: Dallas Renal Group PA
Board Certified Specialties: Nephrology
Stephenville
INTERVENTIONAL CARDIOLOGY
NUCLEAR CARDIOLOGY
Lander, Stuart R, MD
Gender: Male
NPI: 1215991906
150 River N Blvd
J (254) 918-2271
Hospital Affiliation: Baylor Heart And
Vascular Center, Baylor Scott White All
Saints Med, Baylor University Medical
Center, North Hills Hospital, Tx Hlth Harris
Methodist Hosp, Tx Hlth Heart & Vascular
Hosp Arl, Tx Hlth Huguley Fort Worth South
Clinic Affiliation: Heart Place
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties:
Cardiovascular Disease
Stephenville
Ramachandran, Poongodhai, MD
Gender: Female
NPI: 1265489348
2291 Northwest Loop
J (254) 968-5000
Hospital Affiliation: Comanche County
Medical Ctr, Lake Granbury Medical Center,
Plaza Medical Center Fort Worth, Tx Hlth
Harris Methodist Hosp Fw, Wadley Regional
Medical Center
Clinic Affiliation: Cardiac Care PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Stephenville
OBSTETRICS-GYNECOLOGY
" Howser III, Donald M, MD
Stephenville
Gender: Male
NPI: 1750389425
950 Bluebonnet Dr
(254) 968-1500
Hospital Affiliation: Glen Rose Medical
Center, Lake Granbury Medical Center, Tx
Hlth Presby Hospital Denton
Clinic Affiliation: Hood Medical Group
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
" Frerking, Tyrus R, DO
Stephenville
J
INTERNAL MEDICINE
" Boucher, David C, MD
Gender: Male
NPI: 1134114093
950 Bluebonnet Dr
(254) 968-1500
Hospital Affiliation: Lake Granbury Medical
Center
Clinic Affiliation: Hood Medical Group
Board Certified Specialties: Interventional
Cardiology
Stephenville
J
Lander, Stuart R, MD
Gender: Male
NPI: 1215991906
150 River N Blvd
J (254) 918-2271
Hospital Affiliation: Baylor Heart And
Vascular Center, Baylor Scott White All
Saints Med, Baylor University Medical
Center, North Hills Hospital, Tx Hlth Harris
Methodist Hosp, Tx Hlth Heart & Vascular
Hosp Arl, Tx Hlth Huguley Fort Worth South
Clinic Affiliation: Heart Place
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties:
Cardiovascular Disease
Stephenville
Gender: Male
NPI: 1639174675
150 River N Blvd
(254) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Gokul, Bhagwandas D, MD
Gender: Male
NPI: 1356346951
# 150 River N Blvd
J (254) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Stephenville
Jordan, Sarah T, MD
Gender: Female
NPI: 1619139342
1250 Bluebonnet St
(254) 968-1500
Stephenville
NPI: 1619139342
950 Bluebonnet St
(254) 968-1500
Hospital Affiliation: Lake Granbury Medical
Center
Clinic Affiliation: Hood Medical Group
Board Certified Specialties: None
" McMillion, Janie S, MD
Stephenville
Gender: Female
NPI: 1073519427
150 River N Blvd
(817) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Board Certified Specialties:
Obstetrics-Gynecology
NEPHROLOGY
" Turner, Taryn J, DO
Stephenville
Gender: Female
NPI: 1184724122
150 River N Blvd
(254) 968-6051
Clinic Affiliation: Dallas Renal Group PA
Board Certified Specialties: Nephrology
" Moore, Jeffrey D, MD
Stephenville
J
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Ramachandran, Poongodhai, MD
Gender: Female
NPI: 1265489348
2291 Northwest Loop
J (254) 968-5000
Hospital Affiliation: Comanche County
Medical Ctr, Lake Granbury Medical Center,
Plaza Medical Center Fort Worth, Tx Hlth
Harris Methodist Hosp Fw, Wadley Regional
Medical Center
Clinic Affiliation: Cardiac Care PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
HEMATOLOGY-ONCOLOGY
" Shults, Sandra D, MD
J
Gender: Male
NPI: 1255337119
150 River N Blvd
(254) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: No Patients Under 14
yrs old
Board Certified Specialties: Internal
Medicine
Stephenville
" Frazier, Charles R, MD
Stephenville
Gender: Female
NPI: 1376739474
725 N Grahan St
(254) 965-1171
Hospital Affiliation: Huntsville Memorial
Hospital, Tx Hlth Harris Methodist Hosp
Clinic Affiliation: Hill Medical Services
PLLC
Board Certified Specialties: Family
Practice
#
J
Stephenville
Stephenville
Stephenville
Stephenville
Gender: Male
NPI: 1811992407
150 River N Blvd
(254) 968-6051
Hospital Affiliation: Comanche County
Medical Ctr, Eastland Memorial Hospital,
Glen Rose Medical Center, Hamilton
General Hospital, Tx Hlth Harris Methodist
Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Board Certified Specialties: General
Surgery
Gender: Male
NPI: 1023014008
150 River N Blvd
(254) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
J
Morse, Steven, MD
Gender: Male
NPI: 1225328941
1250 Bluebonnet St
(254) 968-1500
Hospital Affiliation: Lake Granbury Medical
Center
Clinic Affiliation: Hood Medical Group
Board Certified Specialties: None
Stephenville
J - Wheelchair Access
50
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
STEPHENVILLE
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Montgomery, Laura L, OT
Gender: Female
NPI: 1912082991
515 Lingleville Rd
J (254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
" Nguyen, Derrick D, MD
Stephenville
STEPHENVILLE Cont
OBSTETRICS-GYNECOLOGY Cont
Sargent, Karen S, MD
Gender: Female
NPI: 1275886459
150 River N Blvd
(254) 968-6051
Stephenv ille
NPI: 1275886459
160 River N Blvd
(254) 965-2500
Clinic Affiliation: Community Health Clinic,
Stephenville Med & Surg Clin
Board Certified Specialties: None
" Bartosh, Nicole S, DO
Stephenville
J
" Smith, James W, DO
Gender: Male
NPI: 1053316745
150 River N Blvd
(254) 968-6051
NPI: 1053316745
160 River N Blvd
(254) 965-2500
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Community Health Clinic,
Stephenville Med & Surg Clin
Board Certified Specialties:
Obstetrics-Gynecology
J
OCCUPATIONAL THERAPY
" Friess, Gregory G, DO
J
Baldree, Suzanne, OT
Gender: Female
NPI: 1528142569
515 Lingleville Rd
J (254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenv ille
Hiser, Tracey S, OT
Gender: Female
NPI: 1447491642
515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenv ille
King, Kailey E, OT
Gender: Female
NPI: 1053603332
515 W Lingleville Rd
J (254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
" Ganesa, Prasanthi, MD
!
J
McGough, Carolyn P, OT
Gender: Female
NPI: 1497961544
515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Page, Ray D, DO
Gender: Male
NPI: 1669422143
150 River N Blvd
J (866) 454-6560
Hospital Affiliation: Baylor Scott White All
Saints Med, John Peter Smith Hospital, Palo
Pinto General Hospital, Plaza Medical
Center Fort Worth, Tx Hlth Harris Methodist
Hosp, Tx Hlth Harris Methodist Hosp Fw, Tx
Hlth Harris Methodist Hosp Sw, Tx Hlth
Huguley Fort Worth South, Weatherford
Regional Med Ctr
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
J
" Redrow, Mark W, MD
Stephenville
J
Gender: Male
NPI: 1689615726
725 N Graham St
Ste 800
(254) 965-1176
Hospital Affiliation: Baylor Scott White All
Saints Med, Kindred Hospital Tarrant County
Fort Worth Sowe Ca, Medical Center Of
Arlington, Plaza Medical Center Fort Worth,
Tx Hlth Harris Methodist Hosp Fw, Tx Hlth
Harris Methodist Hosp Sw
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
" Terrell, Frank V, MD
J
Gender: Female
NPI: 1457543340
150 River N Blvd
(866) 454-6560
Hospital Affiliation: Baylor Scott White All
Saints Med, John Peter Smith Hospital, Md
Anderson Cancer Center, Medical Center Of
Arlington, Plaza Medical Center Fort Worth,
Tx Hlth Arlington Memorial Hosp, Tx Hlth
Harris Methodist Hosp Fw, Tx Hlth Harris
Methodist Hosp Sw, Tx Hlth Huguley Fort
Worth South, Weatherford Regional Med Ctr
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old, Practice Limited to Oncology
Board Certified Specialties: Oncology
" Adams, Brook A, MD
Stephenville
Gender: Male
NPI: 1679612675
950 Bluebonnet St
(254) 968-1500
Hospital Affiliation: Lake Granbury Medical
Center
Clinic Affiliation: Hood Medical Group
Board Certified Specialties: Orthopedic
Surgery
" Evans, William R, MD
Stephenville
J
" Bealka Jr, Neil M, MD
" Richie Gillespie, Mayme F, MD
Gender: Female
NPI: 1386647048
561 N Graham
(254) 965-2663
Hospital Affiliation: Baylor Scott White All
Saints Med, Baylor Surgicare At Fortworth,
Cook Childrens Medical Center, John Peter
Smith Hospital, Plaza Medical Center Fort
Worth, Tx Hlth Harris Methodist Hosp Fw, Tx
Hlth Presbyterian Hosp Dallas
Clinic Affiliation: Cross Timbers
Orthopedics PA
Board Certified Specialties: Orthopedic
Surgery
" Kerr, Kevin A, MD
J
Gender: Male
NPI: 1033188800
561 N Graham
(254) 965-2663
Hospital Affiliation: Baylor Surgicare At
Granbury, Comanche County Medical Ctr,
Glen Rose Medical Center, Hamilton
General Hospital, Lake Granbury Medical
Center, Tx Hlth Harris Methodist Hosp, Tx
Hlth Harris Methodist Hosp Sw
Clinic Affiliation: Cross Timbers
Orthopedics PA
Board Certified Specialties: Orthopedic
Surgery
Stephenville
Stephenville
Gender: Male
NPI: 1407052780
150 River N Blvd
(254) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: Public Transportation
Access, TDD Capacity
Board Certified Specialties:
Ophthalmology
Gender: Male
NPI: 1750375200
150 River N Blvd
(254) 968-6051
Hospital Affiliation: Eastland Memorial
Hospital, Glen Rose Medical Center,
Hamilton General Hospital, Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Board Certified Specialties:
Ophthalmology
ORTHOPEDIC SURGERY
OPHTHALMOLOGY
Gender: Male
NPI: 1336182310
150 River N Blvd
(254) 968-6051
Hospital Affiliation: Baylor Scott White Med
Hillcrest, Comanche County Medical Ctr,
Coryell Memorial Hospital, Hamilton General
Hospital, Hsps Providence Memorial
Campus, Providence Health Center, Tx Hlth
Harris Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: No Patients Under 13
yrs old, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
Gender: Male
NPI: 1396919361
150 River N Blvd
(254) 968-6051
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Stephenville Med & Surg
Clin
Practice Information: Public Transportation
Access, TDD Capacity
Board Certified Specialties:
Ophthalmology
Stephenville
Stephenville
Gender: Female
NPI: 1598794570
150 River N Blvd
(866) 454-6560
Hospital Affiliation: Baylor Scott White All
Saints Med, John Peter Smith Hospital,
Plaza Medical Center Fort Worth, Tx Hlth
Harris Methodist Hosp Fw, Tx Hlth Harris
Methodist Hosp Sw, Tx Hlth Huguley Fort
Worth South, Weatherford Regional Med Ctr
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
" Lynch, Siobhan P, MD
J
" Kerr, Trevor, MD
Stephenville
Stephenville
Stephenville
Stephenv ille
Stephenv ille
Gender: Male
NPI: 1952351736
150 River N Blvd
(866) 454-6560
Hospital Affiliation: Baylor Scott White All
Saints Med, Kindred Hospital Fort Worth,
Kindred Hospital Tarrant County Fort Worth
Sowe Ca, North Hills Hospital, Palo Pinto
General Hospital, Plaza Medical Center Fort
Worth, Tx Hlth Harris Methodist Hosp, Tx
Hlth Harris Methodist Hosp Fw, Tx Hlth
Harris Methodist Hosp Heb, Tx Hlth Huguley
Fort Worth South
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
Stephenville
Stephenv ille
McConnell, Charlotte M, OT
Gender: Female
NPI: 1801156005
515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Gender: Female
NPI: 1326207838
150 River N Blvd
(866) 454-6560
Hospital Affiliation: Baylor Scott & White
Medical Ctr, Baylor Scott White All Saints
Med, Baylor Scott White Med Hillcrest, Glen
Rose Medical Center, John Peter Smith
Hospital, Palo Pinto General Hospital, Plaza
Medical Center Fort Worth, Tx Hlth Harris
Methodist Hosp Fw, Tx Hlth Huguley Fort
Worth South, Weatherford Regional Med Ctr
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
Stephenville
Stephenv ille
Carr, Tracey A, OT
Gender: Female
NPI: 1356553531
515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Gender: Male
NPI: 1518006501
150 River N Blvd
(866) 454-6560
Hospital Affiliation: Baylor Scott And White
Carrollton, Medical Center Of Lewisville, Tx
Hlth Presby Hosp Flower Mound
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Board Certified Specialties: Oncology
ONCOLOGY
Stephenv ille
J
Stephenville
" Vanden Berge, Kevin M, MD
Stephenville
J
Gender: Male
NPI: 1760695449
103 E Frey St
(254) 968-0292
Hospital Affiliation: Comanche County
Medical Ctr, Glen Rose Medical Center, Lake
Granbury Medical Center, Tx Hlth Harris
Methodist Erath Co, Tx Hlth Harris Methodist
Hosp
Clinic Affiliation: Vb Orthopaedics PA
Board Certified Specialties: Orthopedic
Surgery
J - Wheelchair Access
51
STEPHENVILLE
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 17, 2016
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Haney, Derek R, LPT
Gender: Male
NPI: 1619027760
2269 Northwest Loop
J (254) 965-2040
Clinic Affiliation: Stephenville Sports
Rehab & Physical Ther Inc
Board Certified Specialties: None
England-Sims, Dawn M, SLP
Gender: Female
NPI: 1952626160
# 515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenville
STEPHENVILLE Cont
PAIN MANAGEMENT
Balch III, Robert J, DO
Gender: Male
NPI: 1477751774
150 River N Blvd
(817) 984-6210
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp Fw
Clinic Affiliation: Balch Interventional Pain
and Wel
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
Stephenville
Kirby, Ted M, LPT
Gender: Male
NPI: 1770913618
2269 Northwest Loop
J (254) 965-2040
Clinic Affiliation: Stephenville Sports
Rehab & Physical Ther Inc
Board Certified Specialties: None
Moore Jones, Gwendolyn D, LPT
Gender: Female
NPI: 1154389773
515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenville
" Balch, Cayli N, DO
Stephenville
" Balch III, Robert J, DO
Stephenville
Gender: Male
NPI: 1477751774
150 River N Blvd
(817) 984-6210
Hospital Affiliation: Tx Hlth Harris
Methodist Hosp Fw
Clinic Affiliation: Balch Interventional Pain
and Wel
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
Stepczynski, Jacek M, LPT
Gender: Male
NPI: 1518027978
515 W Lingleville Rd
J (254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Bierman, Jeffrey, LPT
Gender: Male
NPI: 1861863375
2269 Northwest Loop
(254) 965-2040
Clinic Affiliation: Stephenville Sports
Rehab & Physical Ther Inc
Board Certified Specialties: None
Blackburn, Robert M, LPT
Gender: Male
NPI: 1003980871
2269 Northwest Loop
J (254) 965-2040
Clinic Affiliation: Stephenville Sports
Rehab & Physical Ther Inc
Board Certified Specialties: None
Carter, Roberta, LPT
Gender: Female
NPI: 1891139853
515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenville
Cox, Angela D, LPT
Gender: Female
NPI: 1851513048
515 W Lingleville Rd
J (254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenville
Cunningham, Jennifer L, LPT
Gender: Female
NPI: 1134367949
515 Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenville
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gaona, Dona J, SLP
Gender: Female
NPI: 1699926816
515 W Lingleville Rd
J (254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
SPORTS MEDICINE
Kehoe Lee, Kathleen L, SLP
Gender: Female
NPI: 1659730992
515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Womack, Brandi R, LPT
Gender: Female
NPI: 1447599329
2269 Northwest Loop
(254) 965-2040
Clinic Affiliation: Stephenville Sports
Rehab & Physical Ther Inc
Board Certified Specialties: None
Long, Laura M, SP
Gender: Female
NPI: 1740340181
515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenville
PODIATRY
Massie, Kathy J, SLP
Gender: Female
NPI: 1710062781
515 Lingleville Rd
J (254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenville
" Warren, William J, DPM
Stephenville
Gender: Male
NPI: 1861578965
150 River N Blvd
(254) 968-6051
Hospital Affiliation: Faith Community
Hospital, Palo Pinto General Hospital,
Stephens Memorial Hospital, Tx Hlth Harris
Methodist Hosp, Weatherford Regional Med
Ctr
Clinic Affiliation: Stephenville Med & Surg
Clin
Board Certified Specialties: Podiatry
Stephenville
Yarborough, Sarah A, SLP
Gender: Female
NPI: 1073833000
515 W Lingleville Rd
J (254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenville
" Maruska, Matthew C, DO
Stephenville
Gender: Male
NPI: 1164717963
561 N Graham
(254) 965-2663
Hospital Affiliation: Glen Rose Medical
Center
Clinic Affiliation: Cross Timbers
Orthopedics PA
Board Certified Specialties: Sports
Medicine
Stephenville
Stephenville
J
Wilson, Misty D, SLP
Gender: Female
NPI: 1407931421
515 W Lingleville Rd
J (254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenville
Stephenville
Stephenville
Stephenville
PHYSICAL THERAPY
Stephenville
Ford Burleson, Stacie, SLP
Gender: Female
NPI: 1588857023
515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenville
PHYSICAL MEDICINE &
REHABILITATION
Gender: Female
NPI: 1255587010
150 River N Blvd
(817) 984-6210
Clinic Affiliation: Balch Interventional Pain
and Wel
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
Stephenville
McAllum, Shelby V, SLP
Gender: Female
NPI: 1215097662
515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
THERAPEUTIC OPTOMETRY
Moore, David A, OD
Gender: Male
NPI: 1710177274
# 261 N Harbin Dr
(254) 968-2345
Clinic Affiliation: Moore Eye Center
Board Certified Specialties: None
Stephenville
UROLOGY
" Deshmukh, Avi T, MD
Stephenville
Gender: Male
NPI: 1386640415
561 N Graham St
(817) 599-3690
Hospital Affiliation: Eastland Memorial
Hospital, Glen Rose Medical Center,
Hamilton General Hospital, Lake Granbury
Medical Center, Palo Pinto General Hospital,
Tx Hlth Harris Methodist Hosp
Clinic Affiliation: North Central Texas
Urology PLLC
Board Certified Specialties: Urology
J
Stephenville
RADIATION ONCOLOGY
McKennon, Mary J, SP
Gender: Female
NPI: 1841375839
515 W Lingleville Rd
J (254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
" Rudy, Delbert C, MD
Stephenville
Gender: Male
NPI: 1386630481
150 River N Blvd
(254) 968-6051
Hospital Affiliation: Baylor Orthopedic And
Spine Hosp, Cook Childrens Medical Center,
Methodist Mansfield Medical Ctr, Tx Hlth
Harris Methodist Hosp, University Of Texas
Health Center At Tyler, Usmd Hospital At
Arlington Lp
Clinic Affiliation: Stephenville Med & Surg
Clin
Board Certified Specialties: Urology
Stephenville
Dahiya, Marta C, MD
Gender: Female
NPI: 1962474403
150 River N Blvd
(866) 454-6560
Hospital Affiliation: Baptist Health System,
Methodist Hospital, Methodist Specialty And
Transplant Hospital, Metropolitan Methodist
Hospital, South Texas Regional Medical
Center, St Lukes Baptist Hospital
Clinic Affiliation: The Center For Cancer
and Blood Disorders
Board Certified Specialties: None
Stephenville
Proctor, Elizabeth R, SLP
Gender: Female
NPI: 1639425184
515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
J
Stephenville
SPEECH PATHOLOGY
Dipprey, Tina N, SLP
Gender: Female
NPI: 1366739260
515 W Lingleville Rd
(254) 965-3611
Clinic Affiliation: Countryside Therapy Grp
Inc
Board Certified Specialties: None
Stephenville
Wall, Krista L, SLP
Gender: Female
NPI: 1689930109
2269 Northwest Loop
J (254) 965-2040
Clinic Affiliation: Stephenville Sports
Rehab & Physical Ther Inc
Board Certified Specialties: None
Stephenville
SWEETWATER
ANP/CERT/CLNP
Bolton, Alesha E, APN
Gender: Female
NPI: 1013380450
201 E Arizona Ave
(325) 236-8641
Clinic Affiliation: Rpmh Rural Health Clinic
Board Certified Specialties: None
Sweetwater
Crisp, Marcie D, APN
Gender: Female
NPI: 1699009001
! 200 E Arizona Ave
(325) 670-3303
Clinic Affiliation: Texas Midwest Emerg
Physicians PA
Board Certified Specialties: None
Sweetwater
J - Wheelchair Access
52
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_spec
Specialists
THROCKMORTON
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
SWEETWATER Cont
ORTHOPEDIC SURGERY
RHEUMATOLOGY
" Marvel, James E, MD
" Taylor, Jason G, MD
Sweetwater
ANP/CERT/CLNP Cont
Kelley, Cheryl A, APN
Gender: Female
NPI: 1306838602
201 E Arizona Ave
(325) 235-8641
Clinic Affiliation: Rpmh Rural Health Clinic
Board Certified Specialties: None
Sweetwater
#
J
CHIROPRACTIC
Walker, Curtis L, DC
Gender: Male
NPI: 1497733034
# 900 E 15th Place
Walker Chiropractic
J (325) 235-1165
Sweetwater
Sweetwater
Gender: Male
NPI: 1043248677
301 Jenny George Ln
Ste 5B
(325) 235-6814
Hospital Affiliation: Christus Mother
Frances Hospital, East Texas Medical Center
Pittsburg, East Texas Medical Center
Quitman, Rolling Plains Memorial Hospital
Clinic Affiliation: Discovery Medical
Network Sweetwa
Practice Information: No Patients Under 3
yrs old
Board Certified Specialties: Orthopedic
Surgery
OTOLARYNGOLOGY
" Acevedo, Jason L, MD
Sweetwater
#
NPI: 1497733034
900 E 15th St
(325) 235-1165
Clinic Affiliation: Walker Chiropractic Clinic
Inc
Board Certified Specialties: None
J
" Moses, Lufkin R, DO
J
Gender: Male
NPI: 1598710915
301 Jenny George Ln
Ste 6
(325) 235-3800
Hospital Affiliation: Mitchell County
Hospital District, Rolling Plains Memorial
Hospital
Clinic Affiliation: Family Medical Assoc
Board Certified Specialties: General
Surgery
" Walthall, Ellen D, MD
Sweetwater
J
Gender: Female
NPI: 1174694707
301 Jenny George Ln
(325) 236-8886
Hospital Affiliation: Rolling Plains Memorial
Hospital
Clinic Affiliation: Walthall Surgical Center
PLLC
Board Certified Specialties: General
Surgery
HEMATOLOGY-ONCOLOGY
Melnyk Jr, Anton M, MD
Gender: Male
NPI: 1801834544
201 E Arizona Ave
J (325) 672-4368
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
Sweetwater
J
" Melnyk Jr, Anton M, MD
J
Gender: Male
NPI: 1801834544
201 E Arizona Ave
(325) 672-4368
Hospital Affiliation: Abilene Regional
Medical Center, Haskell Memorial Hospital,
Hendrick Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
THERAPEUTIC OPTOMETRY
Wilkinson, Cody J, OD
Gender: Male
NPI: 1326020322
1406 Hailey St
J (325) 235-2624
Clinic Affiliation: Wilkinson & Shaffer PC
Board Certified Specialties: None
Sweetwater
THROCKMORTON
ANP/CERT/CLNP
NPI: 1740380534
301 Jenny George Ln
Ste B Ste 4
(325) 695-0469
Hospital Affiliation: Abilene Regional
Medical Center
Clinic Affiliation: Abilene Physicians Group
Board Certified Specialties:
Otolaryngology
King, Robert R, APN
Gender: Male
NPI: 1073686929
802 N Minter Ave
(940) 849-2471
Clinic Affiliation: Throckmorton County
Memorial Hospital
Board Certified Specialties: None
PAIN MANAGEMENT
Brandecker, Edward J, MD
Gender: Male
NPI: 1992700413
201 E Arizonia
J (325) 795-8888
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Rolling Plains Memorial Hospital
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
Sweetwater
PHYSICAL MEDICINE &
REHABILITATION
" Brandecker, Edward J, MD
Sweetwater
J
ONCOLOGY
Sweetwater
J
Throckmorton
GENERAL SURGERY
Sweetwater
Gender: Male
NPI: 1740380534
200 E Arizona Ave
(325) 235-2030
Gender: Male
NPI: 1194787184
201 E Arizona Ave
(325) 658-1511
Hospital Affiliation: Baylor Scott & White
Medical Ctr, Shannon Medical Center
Clinic Affiliation: Shannon Clinic
Board Certified Specialties: Rheumatology
Gender: Male
NPI: 1992700413
201 E Arizonia
(325) 795-8888
Hospital Affiliation: Abilene Regional
Medical Center, Hendrick Medical Center,
Rolling Plains Memorial Hospital
Clinic Affiliation: Abilene Diagnostic Clinic
PLLC
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
RADIATION ONCOLOGY
" Sorgen, Stephen, MD
Sweetwater
J
Gender: Male
NPI: 1215979448
201 E Arizona Ave
(325) 672-4368
Hospital Affiliation: Baylor Scott White All
Saints Med, Baylor Scott White Med
Grapevine, Cook Childrens Medical Center,
Tx Hlth Harris Methodist Hosp Fw, Tx Hlth
Harris Methodist Hosp Heb, Tx Hlth Harris
Methodist Hosp Sw
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Radiation
Oncology
J - Wheelchair Access
53
ABILENE
Independent Provider Network (IPN)
bmk_pin_sasp
OCTOBER 17, 2016
Supervised and Sponsored Providers
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
INDEPENDENT
O
ctober 17, 2016PROVIDER NETW ORK ( IPN)
Spillers, Bridgett D, APN
1665 Antilley Rd
Ste 120
(325) 793-5148
ANP/CERT/CLNP
Abney, Jennifer C, APN
1665 Antilley Rd
Ste 150
J (325) 437-5912
Abilene
Adames, Michael, APN
5302 Buffalo Gap Rd
Ste 104
(325) 307-6226
Castillo, Jessica, APN
1904 Pine St
Ste 3A
J (325) 670-6180
Cates, Sharon K, APN
1749 Pine St
(325) 696-0600
Abilene
Cox, Misti M, APN
1665 Antilley Rd
Ste 120
(325) 793-5148
Abilene
1665 Antilley Rd
Ste 230
(325) 793-5237
Faglie, Melanie A, APN
1201 N 18th St
J (325) 793-3100
Thiberville, Sunnie J, APN
1924 Pine St
Ste 401A
(325) 670-4000
Vaughan, Christopher A, APN
1633 Cottonwood St
J (325) 672-4372
Rice, Wendi V, CNM
1924 Pine St Ste 401B
(325) 670-4242
Nichols, Alan K, APN
1665 Antilley Rd
Ste 200
J (325) 793-5290
Abor, Calvin J, PA
1850 Hickory St
Ste 103
(325) 670-3770
1725 Hickory St
(325) 437-3600
Brown, Phillip J, PA
1150 N 18th St
Ste 401
(325) 670-4560
Wilson, Jennifer V, APN
128 W Fourth
(325) 854-1365
BRADY
Chaka, Ted A, PA
4351 Ridgemont Dr
J (325) 698-4545
Abilene
ANP/CERT/CLNP
Brady
Dutton, Belinda W, PA
1758 S Clack St
(325) 695-7246
Abilene
J
Ryan, Kellie M, APN
2008 Nine Rd
(325) 658-1511
PHYSICIAN ASSISTANT
4009 Ridgemont Dr
(325) 232-8830
Brady
Frailing, John M, PA
1150 N 18th St
Ste 401
(325) 670-4560
Abilene
Penn, Tracy A, PA
2205 S Bridge St
Ste 300
(325) 597-0102
Wright, Marion J, PA
2010 Nine Rd
J (325) 597-2114
Brady
Luecke, Christy A, PA
1665 Antilley Rd
Ste 200
J (325) 793-5290
Abilene
BRECKENRIDGE
J
Posey, Klarisa R, APN
2502 Crockett Dr
Ste B
J (325) 643-5695
Brownwood
Steele Perkins, Shanna L, APN
3804 Hwy 377 S
(325) 643-5167
104 S Park Dr
(325) 648-0704
PHYSICIAN ASSISTANT
J
Cloy, Michael J, PA
109 S Park Dr
(325) 643-3300
Corta, Peter J, PA
3804 Hwy 377 S
J (254) 643-5167
Brownwood
Berkley, Cortney R, APN
2802 W Walker
(254) 559-7215
Breckenridge
1665 Antilley Rd
Ste 120
(325) 793-5148
McIntire, Rebecca L, APN
101 S Hartford St
J (254) 559-3363
Breckenridge
Polone, Regan W, PA
1665 Antilley Rd
Ste 200
J (325) 793-5130
Abilene
PHYSICIAN ASSISTANT
Edens, Nancy A, PA
2802 W Walker St
(254) 559-7215
Breckenridge
Polone, Shannon S, PA
1150 N 18th St
Ste 300
J (325) 670-6457
104 S Park Dr
(254) 965-2810
J
Hagood, Nicholas R, PA
118 S Park Dr
Ste C
(325) 600-4264
Brownwood
Stephenson, Sara L, PA
103 S Park Dr Ste B
J (325) 643-8080
Brownwood
CISCO
ANP/CERT/CLNP
Cisc o
Belk, Jacqueline, APN
707 Conrad Hilton
Blvd
(254) 761-5909
CLYDE
ANP/CERT/CLNP
Clyde
ANP/CERT/CLNP
Manuel, Jody R, PA
1749 Pine St
(325) 696-0600
Abilene
Abilene
Riley, Peggy L, APN
3449 N Tenth St
J (325) 437-8620
Baird
Abilene
Abilene
Abilene
Calingo, Zarina M, APN
109 W Fifth St
J (325) 854-1741
Baird
Brady, Branon C, PA
2074 Antilley Rd
(325) 698-3865
J
Williams, Ryan C, PA
101 Ave J
(325) 823-3231
ANP/CERT/CLNP
Abilene
Renfro, Sarah B, APN
1665 Antilley Rd
Ste 260
J (325) 695-4969
Abilene
Wilburn, Travis R, APN
450 Kenshalo St
(325) 762-3661
125 S Park Dr
Ste H
(325) 649-0999
Brownwood
Barff Jr, Henry W, PA
1150 N 18th St
Ste 401
(325) 670-4560
Preston, Shona, APN
6399 Directors Pkwy
Ste 200
J (325) 794-5420
Abilene
Price, Diana L, APN
725 Pate St
(325) 762-2447
BAIRD
Abilene
Parkhill, Rachel P, APN
1233 N 18th St
(325) 437-3687
Morgan, Tanja, APN
109 Southpark Dr
J (325) 643-3300
PHYSICIAN ASSISTANT
Abilene
Abilene
McCullough, Tammy P, APN
109 S Park Dr
J (325) 643-3300
Brownwood
Brownwood
Anson
Abilene
Lucas, Cheryl, APN
3804 Hwy 377 S
J (325) 643-5167
Brownwood
ANSON
PHYSICIAN ASSISTANT
Abilene
Abilene
Jamison, Emily M, APN
725 Pate St
(325) 762-2447
Abilene
Johnston, Freddie R, APN
4542 S 14th St
(325) 701-9961
Nash, David G, APN
1888 Antilley Rd
(325) 795-1888
Albany
CERTIFIED NURSE MIDWIFE
Abilene
Keesee, Courtnee L, APN
1924 Pine St
Ste 401C
(325) 670-4080
Albany
Abilene
Graham Williams, Olivia R, APN
1201 N 18th St
J (325) 793-3100
Delacruz, Shannon L, APN
302 E Commerce St
(325) 643-3010
Brownwood
Brownwood
Albany
Abilene
Headstream, Teresa K, APN
1665 Antilley Rd
Ste 200
(325) 793-5130
ANP/CERT/CLNP
Abilene
Abilene
Abilene
ALBANY
Tankersley, Boyce, APN
1665 Antilley Rd
Ste 210
(325) 793-5140
Abilene
Abilene
Goetz, Millie K, APN
1201 N 18th St
(325) 793-3100
Szabo, Karen A, PA
1665 Antilley Rd
Ste 180
(325) 695-7740
BROWNWOOD
ANP/CERT/CLNP
Abilene
1665 Antilley Rd
Ste 120
(325) 793-5148
Abilene
Abilene
Stephenson, Donald J, PA
1888 Antilley Rd
J (325) 795-0225
Abilene
Taff, Amber M, APN
1665 Antilley Rd
Ste 200
(325) 793-5237
Abilene
Bishop, Krystal N, APN
1924 Pine St
Ste 401C
J (325) 670-4080
Abilene
Abilene
Abilene
Barton, Kathryn J, APN
1665 Antilley Rd
Ste 200
(325) 437-8661
Smith, Trudy L, PA
4009 Ridgemont Dr
(325) 232-8830
Abilene
ABILENE
Adames, Michael, APN
1712 N Access Rd
(325) 893-4010
Calingo, Zarina M, APN
140 W Fifth St
J (325) 854-1741
Clyde
Clyde
Torres, Sherron L, APN
1712 N Access Rd
(325) 893-4010
PHYSICIAN ASSISTANT
Clyde
Schowengerdt, Rebecca, PA
1712 N Access Rd
(325) 893-4010
Sirianni, Valerie R, PA
1749 Pine St
(325) 696-0600
J - Wheelchair Access
54
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_sasp
SAN ANGELO
Supervised and Sponsored Providers
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Braziel, Jennifer M, APN
3555 Knickerbocker Rd
J (325) 224-5771
San Angelo
DE LEON
ANP/CERT/CLNP
Damron, Julie D, APN
1100 W Reynosa Ave
J (254) 893-5895
De Leon
Lucas, Cheryl, APN
1100 W Reynosa St
J (254) 893-5895
De Leon
Steele Perkins, Shanna L, APN
1100 W Reynosa Ave
(254) 893-5895
EASTLAND
ANP/CERT/CLNP
Corta, Peter J, PA
1100 W Reynosa
(254) 893-5895
De Leon
J
DEL RIO
ANP/CERT/CLNP
Graham, Moira E, APN
1801 N Bedell Ave
(830) 768-9200
Del Rio
1801 N Bedell
(830) 768-9200
Hernandez, Cynthia M, APN
801 N Bedell Ave
J (830) 703-1733
Del Rio
Hoehn, Jerri, APN
1801 N Bedell Ave
J (830) 768-9200
Del Rio
Meza, Bertha A, APN
1801 N Bedell
(830) 768-9200
Del Rio
1801 N Bedell Ave
(830) 769-9200
Olney
PHYSICIAN ASSISTANT
OZONA
Williams, Ryan C, PA
304 S Daugherty Ave
(254) 629-2601
Shinn, Linda K, PA
1200 N Bedell Ave
(830) 774-2505
Ozona
GOLDTHWAITE
ANP/CERT/CLNP
Ozona
Seth, John A, APN
1501 W Front St
(325) 648-2850
Goldthwaite
Thomson, Deborah A, PA
2209 Bedell Ave
J (830) 775-1272
EARLY
Delacruz, Shannon L, APN
2005 Hwy 183 N
(325) 372-5701
(325) 643-3010
PHYSICIAN ASSISTANT
Brennan, Dennis M, PA
2005 Hwy 183 N
J (325) 643-3010
Early
Early
Early
Cooper Jr, Charles G, PA
2005 Hwy 183 N
(325) 643-3010
Knight, Macy E, PA
2005 Hwy 183 N
(325) 643-3010
Taff, Richard, PA
2005 Hwy 183 N
J (325) 643-3010
Early
Canion, Nicholas J, APN
402 N Bryant Blvd
(325) 655-5125
San Angelo
Whitten Jr, Buren A, PA
104 Ave H
(325) 392-3788
Delacruz, Shannon L, APN
902 W College St
(254) 643-0006
(325) 643-3010
Ris ing Star
Clark IV, Joseph L, APN
618 Oak St
(940) 549-6953
Graham
PHYSICIAN ASSISTANT
HASKELL
Brennan, Dennis M, PA
902 W College St
J (254) 643-0006
Ris ing Star
ANP/CERT/CLNP
Knight, Macy E, PA
902 W College
(254) 643-0006
Ris ing Star
Cason, Jeanne K, APN
1 Ave N
(940) 864-2621
Haskell
Taff, Richard, PA
902 W College St
J (254) 643-0006
Ris ing Star
MASON
PHYSICIAN ASSISTANT
Mason
5730 Sherwood Way
(325) 944-3851
115 W First St
(325) 481-2662
Carlile, Maegin M, APN
120 E Beauregard
J (325) 658-1511
San Angelo
Carlisle, Lee, APN
1901 Johnson St
(325) 658-1511
San Angelo
ANP/CERT/CLNP
ANP/CERT/CLNP
SAN ANGELO
Alexander, Sherry A, PA
216 E College Ave
(325) 347-5926
Clayton, Leisa D, APN
2626 N Bryant Blvd
J (325) 481-2375
San Angelo
Compton, Cora J, APN
2626 N Bryant Blvd
J (325) 658-1511
San Angelo
Conner, Kathe, APN
1901 Johnson St
J (325) 942-2171
San Angelo
Coon, Kimberly S, APN
102 N Magdalen St
J (325) 655-2200
San Angelo
Dallas, Heather M, APN
225 E Beauregard
J (325) 481-2187
San Angelo
Davis, Christopher W, APN
5730 Sherwood Way
(325) 944-3851
San Angelo
ANP/CERT/CLNP
115 W First St
(325) 481-2662
Alford, Wilma D, APN
3350 Executive Dr
Ste 100
J (325) 245-4501
San Angelo
MENARD
ANP/CERT/CLNP
Zimmerman, Renee, APN
119 S Ellis St
(325) 396-4612
115 W First
(325) 481-2662
Menard
J
Erwin, Terry C, APN
202 Southwest 25th Ave Ste 1200
(940) 325-3706
Mineral Wells
Arp, Christina M, APN
225 E Beauregard
(325) 658-1511
San Angelo
Augustin, Anna M, APN
120 E Beauregard
(325) 658-1511
Duryea, Keith, APN
102 N Magdalen St
J (325) 481-2277
Elliott, Loree, APN
3350 Executive Dr
Ste 108
(325) 245-4271
San Angelo
109 NW Second St
(940) 654-6200
Barnett, Catherine A, APN
120 E Beauregard Ave
(325) 658-1511
Gabrielli, Melissa R, APN
3555 Knickerbocker Rd
(325) 224-5891
San Angelo
San Angelo
Grisham, Shandy L, APN
400 Southwest 25th Ave
(940) 325-0627
Mineral Wells
J
Dienert, Gloria X, APN
102 N Magdalen St
J (325) 658-1511
San Angelo
San Angelo
San Angelo
ANP/CERT/CLNP
402 N Bryant Blvd
(325) 481-2662
Allen, Laura, APN
1610 S Chadbourne St
(325) 947-5625
San Angelo
MINERAL WELLS
ANP/CERT/CLNP
Early
Burrage, Brandon C, APN
3150 Appaloosa Cir
J (325) 227-8309
San Angelo
Thelen, Andrea K, PA
104 Medical Dr
(325) 392-3788
RISING STAR
GRAHAM
Del Rio
Del Rio
2030 Pulliam St
(325) 659-7290
PHYSICIAN ASSISTANT
Del Rio
1801 N Bedell Ave
(830) 768-9200
Williams, Ryan C, PA
901 W Hamilton St
(940) 564-5521
Eas tland
PHYSICIAN ASSISTANT
Boenicke, Brandan C, PA
1801 N Bedell
(830) 768-9200
PHYSICIAN ASSISTANT
Stewart, Julie B, APN
1004 W Main St
(254) 631-0111
Eas tland
De Leon
PHYSICIAN ASSISTANT
OLNEY
Beisel, Monica J, APN
35 E 31st St
(325) 658-5339
Hopper, Lori S, APN
202 Southwest 25th Ave Ste 1200
J (940) 325-3706
Mineral Wells
Nakashima, Sachiko, APN
400 SE First St Ste C
(940) 468-4061
Mineral Wells
Oconnor, Catherine B, APN
108 A Southwest Sixth Ave
(940) 468-4061
J
2033 W Beauregard Ave
(325) 944-8900
J
35 E 31st St
(325) 944-8900
Mineral Wells
J
1636 Hunters Glen
(325) 949-5722
J
Guanajuato III, Felix, APN
2626 N Bryant Blvd
J (325) 481-2275
San Angelo
J
Henrikson, Jean L, APN
3180 Executive Dr
Ste 102
(325) 944-1240
San Angelo
Bouissey, Sherrie L, APN
2142 Sunset Dr
J (325) 245-4000
Williams, Ryan C, PA
400 Southwest 25th Ave
(940) 325-7891
Mineral Wells
J
5730 Sherwood Way
(325) 944-3851
J
115 W First St
(325) 481-2662
Hagelstein, Deborah L, APN
102 N Magdalen St
(325) 481-2193
San Angelo
San Angelo
PHYSICIAN ASSISTANT
Gibbs, Kayla J, APN
3555 Knickerbocker Rd
(325) 224-5151
San Angelo
San Angelo
3555 Knickerbocker Rd
(325) 224-5327
J
Hester, Roseann M, APN
120 E Beauregard Ave
(325) 658-1511
San Angelo
J - Wheelchair Access
55
SAN ANGELO
Independent Provider Network (IPN)
bmk_pin_sasp
OCTOBER 17, 2016
Supervised and Sponsored Providers
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Schultz, Susan L, APN
120 E Beauregard Ave
J (325) 658-1511
Chancellor, Laura R, PA
4450 Sunset Dr
J (325) 481-2277
San Angelo
SAN ANGELO Cont
ANP/CERT/CLNP Cont
Serna, Fermin A, APN
102 N Magdalen
(325) 658-1511
Hilmes, Kara L, APN
102 N Magdalen St
J (325) 481-2193
Hogg, Melissa L, APN
102 N Magdalen St
J (325) 481-2281
Hohensee, Melissa P, APN
120 E Beauregard
J (325) 658-1511
San Angelo
Huseman, Patricia G, APN
120 E Beauregard
(325) 658-1511
San Angelo
Jeter, Tresea M, APN
2142 Sunset Dr
(325) 245-4000
San Angelo
Lange, Wanda S, APN
102 N Magdalen Ave
J (432) 658-1511
San Angelo
Lindsey, Scott W, APN
35 E 31st St
J (325) 942-8577
San Angelo
Looka, Lori M, APN
120 E Beauregard
J (325) 658-1511
San Angelo
Luttrell, Mary B, APN
1610 S Chadbourne St
J (325) 947-5629
San Angelo
Favor, Tanya L, PA
102 N Magdalen St
(325) 658-1511
Slaven, Jennifer D, APN
3555 Knickerbocker Rd
J (325) 949-9555
Fentress, Dustin R, PA
120 E Beauregard Ave
J (325) 658-1511
San Angelo
San Angelo
Smith, Kathryn S, APN
2626 N Bryant
(325) 658-1511
Smith, Opal, APN
225 E Beauregard Ave
J (325) 481-2270
Hayton, Stephanie L, PA
5730 Sherwood Way
J (325) 944-3851
San Angelo
Smithwick, Jerrie D, APN
3016 Vista Del Arroya
(325) 658-1511
J
Herdman, Emily B, PA
5730 Sherwood Way
(325) 944-3851
Snook, Ashley P, APN
2239 N Bryant
J (325) 658-7561
San Angelo
115 W First St
(325) 481-2662
Sosolik, Debra L, APN
1610 S Chadbourne St
J (325) 659-8594
San Angelo
402 N Bryant Blvd
(325) 655-5125
Stallard, Christopher A, APN
5730 Sherwood Way
(325) 944-3851
San Angelo
102 N Magdalea
(325) 658-1511
McDonald, Natalie M, PA
120 E Beauregard
J (325) 481-2231
115 W First St
(325) 481-2662
402 N Bryant Blvd
(325) 655-5125
Romatowski, Robert, PA
402 N Bryant
J (325) 655-5125
Stokes, Cindy L, APN
3501 Knickerbocker Rd
(325) 245-4461
San Angelo
35 E 31st St
(325) 657-8154
Taylor, Rebecca C, APN
102 N Magdalen St
(325) 658-1511
J
5730 Sherwood Way
(325) 944-3851
J
115 W First St
(325) 481-2662
Shinn, Linda K, PA
3502 Knicker Bocker Rd
(325) 658-1511
Taylor Chinn, Michelle L, APN
120 E Beauregard Ave
J (325) 658-1511
Smith, Loretta L, PA
5730 Sherwood Way
J (325) 944-3851
Wilke, Angela D, APN
4235 Southwest Blvd
J (325) 658-1511
Wilkinson, Susan C, APN
2018 Pulliam St
J (325) 659-7290
Ryan, Kellie M, APN
225 E Beauregard Ave
J (325) 658-1511
San Angelo
J
115 W First St
(325) 481-2662
J
402 N Bryant Blvd
(325) 655-5125
Stevens, Bradley N, PA
5730 Sherwood Way
J (325) 944-3851
Wilson, Mary E, APN
3350 Executive Dr
Ste 100
J (325) 245-4501
Saldivar, Oralia, APN
5730 Sherwood Way
(325) 944-3851
3501 Knickerbocker Rd
(325) 949-9511
115 W First St
(325) 481-2662
402 N Bryant Blvd
(325) 655-5340
Schnitzer, Delilah M, APN
4141 College Hills Blvd
J (325) 658-1511
San Angelo
PHYSICIAN ASSISTANT
Knight, Macy E, PA
105 N Second St
(325) 348-3566
Santa Anna
STEPHENVILLE
ANP/CERT/CLNP
Conner, Robin A, APN
950 Bluebonnet Dr
(254) 968-1500
Stephenville
Grisham, Shandy L, APN
150 River N Blvd
J (866) 454-6560
Stephenville
Studt, Mary E, PA
2626 N Bryant Blvd
(325) 658-1511
Smith, Opal, APN
225 E Beauregard Ave
(325) 481-2270
Thomas Aguilar, Velma E, PA
102 N Magdalen St
J (325) 481-2193
San Angelo
PHYSICIAN ASSISTANT
Alexander, Janis K, PA
120 E Beauregard Ave
J (325) 658-1511
Whitehead, Brandi L, PA
120 E Beauregard Ave
J (325) 658-1511
San Angelo
San Angelo
Hess, Lawrence R, APN
950 Bluebonnet Dr
(254) 968-1500
Stephenville
J
Lucas, Cheryl, APN
135 River N Blvd
J (254) 965-2810
Stephenville
Pickett, Jennifer J, APN
950 Bluebonnet Dr
(254) 968-1500
Stephenville
J
Steele Perkins, Shanna L, APN
135 River N Blvd
(254) 965-2810
Stephenville
Surber, Ashley D, APN
561 N Graham
(254) 965-2663
Stephenville
San Angelo
San Angelo
J
2141 Hamilton Way
Ste 100
(325) 245-4301
J
CERTIFIED NURSE MIDWIFE
San Angelo
Rogers, Denice D, APN
105 N Second St
(325) 348-3566
Santa Anna
San Angelo
San Angelo
Robinson, Tammie L, APN
120 E Beauregard Ave
J (325) 658-1511
San Angelo
Hensley, Margaret A, APN
105 N Second St
J (325) 346-3566
Santa Anna
San Angelo
San Angelo
Ramos, Amanda M, APN
102 N Magdalen
(325) 658-1511
San Angelo
Delacruz, Shannon L, APN
105 N Second St
(325) 348-3566
(325) 643-3010
Santa Anna
San Angelo
San Angelo
Ramirez, Kristin F, APN
102 N Magdalen
(325) 658-1511
San Angelo
SANTA ANNA
ANP/CERT/CLNP
San Angelo
San Angelo
Patterson, Sheila F, APN
4251 Sunset Dr
(325) 658-1511
Knight, Macy E, PA
403 W Wallace St
(325) 372-5701
San Saba
San Angelo
San Angelo
San Angelo
Alexander, Steven D, PA
2005 W Wallace St
J (325) 372-5163
San Saba
San Angelo
San Angelo
Nguyen, Tham D, APN
4450 Sunset Dr
(325) 658-1511
115 W First St
(325) 481-2662
San Angelo
San Angelo
PHYSICIAN ASSISTANT
San Angelo
San Angelo
J
Little, Karen, APN
403 W Wallace St
(325) 372-5701
San Saba
Green, Julie A, PA
120 E Beauregard Ave
(325) 658-1511
San Angelo
San Angelo
Delacruz, Shannon L, APN
403 W Wallace St
(325) 372-5701
(325) 643-3010
San Saba
San Angelo
2142 Sunset Dr
(325) 245-4171
Marburger, Jennifer A, APN
3555 Knickerbocker Rd
J (325) 224-9555
Mills, Valarie V, APN
102 N Magdalen St
J (325) 658-1511
115 W First St
(325) 481-2662
Simpson, Patricia A, APN
3350 Executive Dr
J (325) 245-4291
J
SAN SABA
ANP/CERT/CLNP
402 N Bryant Blvd
(325) 655-5125
San Angelo
San Angelo
Millican, Kay C, APN
2030 Pulliam St
Ste 5
J (325) 659-7375
San Angelo
120 E Harris
(325) 658-1511
San Angelo
San Angelo
Dotson, Teena T, PA
5730 Sherwood Way
(325) 944-3851
San Angelo
San Angelo
Hoak, Jessie L, APN
3605 Executive Dr
(325) 245-4000
San Angelo
J
PHYSICIAN ASSISTANT
Cody, Jessie L, PA
150 River N Blvd
(866) 454-6560
Stephenville
Corta, Peter J, PA
135 River N Blvd
J (254) 965-2810
Stephenville
Balderas, Alicia I, PA
2626 N Bryant Blvd
J (325) 658-1511
Stephenville
Battilega Merrill, Patricia M, PA
4450 Sunset Dr
J (325) 658-1511
Stephenville
San Angelo
Eschbach, Tyler O, PA
950 Bluebonnet Dr
(254) 968-1500
San Angelo
Sawyer, Becky L, PA
103 E Frey St
(254) 968-0292
J - Wheelchair Access
56
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_sasp
Supervised and Sponsored Providers
THROCKMORTON
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
STEPHENVILLE Cont
PHYSICIAN ASSISTANT Cont
Stava, Victor L, PA
950 Bluebonnett Dr
(254) 968-1500
Stephenv ille
SWEETWATER
ANP/CERT/CLNP
Bolton, Alesha E, APN
201 E Arizona Ave
(325) 236-8641
Sweetwater
Crisp, Marcie D, APN
200 E Arizona Ave
(325) 670-3303
Sweetwater
Kelley, Cheryl A, APN
201 E Arizona Ave
(325) 235-8641
Sweetwater
PHYSICIAN ASSISTANT
Stone, Joshua S, PA
201 E Arizona Ave
(325) 235-8641
Sweetwater
THROCKMORTON
ANP/CERT/CLNP
King, Robert R, APN
802 N Minter Ave
(940) 849-2471
Throckmorton
J - Wheelchair Access
57
ABILENE
Independent Provider Network (IPN)
bmk_pin_hosp
Hospitals
OCTOBER 17, 2016
INDEPENDENT
O
ctober 17, 2016PROVIDER NETW ORK ( IPN)
ABILENE
Abilene Regional Medical Center
NPI: 1851344162
6250 US Hwy 83 84
J (325) 428-1000
Abilene
Abilene
Continuecare Hospital At Hendrick
NPI: 1992709661
1900 Pine St
(325) 670-5151
Hendrick Medical Center
NPI: 1063418937
1900 Pine
J (325) 670-2000
Abilene
ANSON
Anson General Hospital
NPI: 1457393571
101 Ave J
J (325) 823-3231
Ans on
BALLINGER
Ballinger Memorial Hospital
NPI: 1225038938
608 Ave B
J (325) 365-2531
Ballinger
BRADY
Heart of Texas Memorial Hospital
NPI: 1558349399
2008 Nine Rd
J (325) 597-2901
Brady
BRECKENRIDGE
Stephens Memorial Hospital
NPI: 1831196005
200 S Geneva St
J (254) 559-2241
Breck enridge
COLEMAN
Coleman County Medical Center
NPI: 1740263318
310 S Pecos St
J (325) 625-2135
Coleman
COLORADO CITY
Mitchell County Hospital District
NPI: 1184631673
997 W Interstate 20
J (325) 728-3431
Colorado City
COMANCHE
Comanche County Medical Ctr
NPI: 1861517229
10201 Hwy 16N
J (254) 879-4900
Comanche
DEL RIO
Val Verde Regional Medical Center
NPI: 1104830900
801 Bedell Ave
J (830) 775-8566
ELDORADO
SWEETWATER
Schleicher County Medical Center
NPI: 1295764553
102 N US Hwy 277
J (325) 853-2507
Rolling Plains Memorial Hosp
NPI: 1275581852
200 E Arizona Ave
J (325) 235-1701
Eldorado
Sweetwater
GRAHAM
THROCKMORTON
Graham Regional Medical Center
NPI: 1881691061
1301 Montgomery Rd
J (940) 549-3400
Throckmorton County Memorial Hospital
NPI: 1356418974
802 N Minter St
J (940) 849-2151
Graham
Throck morton
HAMLIN
WINTERS
Hamlin Memorial Hospital
NPI: 1396739710
632 Northwest Second St
J (325) 576-3646
North Runnels Hospital
NPI: 1205837770
7821 State Hwy 153
J (325) 754-4553
Hamlin
Winters
HASKELL
Haskell Memorial Hospital
NPI: 1184607897
1 N Ave N
J (940) 864-2621
Hask ell
JUNCTION
Kimble Hospital
NPI: 1972588390
349 Reid Rd
J (325) 446-3321
Junction
MINERAL WELLS
Palo Pinto General Hospital
NPI: 1972590602
400 Southwest 25th Ave
J (940) 325-7891
Mineral Wells
OLNEY
Hamilton Hospital
NPI: 1134137466
901 W Hamilton St
J (940) 564-5521
Olney
ROTAN
Fisher County Hospital District
NPI: 1598746703
774 State Hwy 70 N
J (325) 735-2256
Rotan
SAN ANGELO
San Angelo Community Medical Center
NPI: 1194776104
3501 Knickerbocker Rd
J (325) 949-9511
San Angelo
Shannon Medical Center
NPI: 1992707228
120 E Harris Ave
J (325) 653-6741
San Angelo
Del Rio
EASTLAND
Eastland Memorial Hosp
NPI: 1689650921
304 S Daugherty St
J (254) 629-2601
SONORA
Lillian M Hudspeth Memorial Hospital
NPI: 1831140979
308 Hudspeth Ave
J (325) 387-2521
Sonora
Eas tland
EDEN
Concho County Hospital
NPI: 1326025701
614 Eaker St
J (325) 869-5911
STAMFORD
Stamford Memorial Hospital
NPI: 1649224825
1601 Columbia St
J (325) 773-2725
Stamford
Eden
STEPHENVILLE
TX Hlth Harris Methodist Hosp
NPI: 1922031541
411 N Belknap St
J (254) 965-1500
* Leaving Network: 2017-01Stephenville
J - Wheelchair Access
58
OCTOBER 17, 2016
Independent Provider Network (IPN)
QUEST
Quest Diagnostics (Quest)
Quest is the exclusive provider of outpatient clinical reference laboratory services for HMO Blue Texas members in the cities listed below. HMO Blue Texas Members and
Participating Providers are required to use participating laboratory facilities. The providers and locations listed in this section are part of
Quest’s network of laboratory facilities and drawing stations. For more information on current listings of Quest facilities and drawing stations,
you may call Quest’s toll-free number at 1-888-277-8772 or access Quest’s website at www.QuestDiagnostics.com/patient.
ABILENE
Ques t
Quest Diagnostics
4150 Southwest Dr
Ste 125
(325) 690-0009
NPI: 1790721538
INDEPENDENT
October
17, 2016PROVIDER NETWO RK (IPN)
MINERAL WELLS
Ques t
Palo Pinto General Hospital
400 Southwest 25th St
(940) 325-7891
NPI: 1790721538
SAN ANGELO
West Texas Medical Associates
3555 Knickerbocker Rd
Second Flr
J (325) 224-5286
NPI: 1790721538
Ques t
STEPHENVILLE
Ques t
Harris Methodist Erath County
411 N Bellnap St
(254) 965-1518
NPI: 1790721538
INDEPENDENT PROVIDER NETWORK (IPN)
59
J - Wheelchair Access
AMBULATORY SURGICAL
CENTER (ASC)
Independent Provider Network (IPN)
bmk_pin_ancli
OCTOBER 17, 2016
Ancillary Providers
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
AMBULATORY SURGICAL
CENTER (ASC)
ABILENE
Abilene Cataract and Refractive Surgery
Cente
NPI: 1205808938
2120 Antilley Rd
J (325) 695-2020
AMBULATORY SURGICAL CENTER (ASC)
INDEPENDENT
O
ctober 17, 2016PROVIDER NETW ORK ( IPN)
Abilene Endoscopy Center
NPI: 1144200163
1249 Ambler Ste 100
J (325) 677-2626
Clinical Pathology Associates
NPI: 1942416615
1150 N 18th St
Ste 102
J (325) 670-2562
Travis Medical Sales Corporation
NPI: 1144516956
4397 Crawford Dr
(325) 793-3546
CLINICAL AND ANATOMICAL LABORATORIES
DURABLE MEDICAL EQUIPMENT
Uromed Inc
NPI: 1114905163
Mail Order Supplier
(800) 403-9189
Quest Diagnostics
NPI: 1790721538
4150 Southwest Dr
Ste 125
(325) 690-0009
DURABLE MEDICAL EQUIPMENT
CLINICAL AND ANATOMICAL LABORATORIES
BRADY
MINERAL WELLS
Palo Pinto General Hospital
NPI: 1790721538
400 Southwest 25th St
(940) 325-7891
Abilene Surgery Center LLC
NPI: 1033375399
5601 Health Center Dr
(325) 690-4466
Abilene White Rock Surgery Center
NPI: 1467878843
2401 N Treadaway Blvd
(325) 704-5400
AMBULATORY SURGICAL CENTER (ASC)
Elm Place Ambulatory Surgical Center
NPI: 1376650911
2217 S Danville Dr
J (325) 695-0600
AMBULATORY SURGICAL CENTER (ASC)
Texas Midwest Surgery Center
NPI: 1700887155
751 N 18th St
J (325) 677-6555
AMBULATORY SURGICAL CENTER (ASC)
EASTLAND
BROWNWOOD
SAN ANGELO
Byram Healthcare
NPI: 1912952375
Mail Order Supplier
(866) 321-0900
West Texas Medical Associates
NPI: 1790721538
3555 Knickerbocker Rd
Second Flr
J (325) 224-5286
DURABLE MEDICAL EQUIPMENT
CLINICAL AND ANATOMICAL LABORATORIES
Choice Medical Supply Inc
NPI: 1831183706
101 D S Park Dr
J (325) 641-9411
DURABLE MEDICAL EQUIPMENT
STEPHENVILLE
Edgepark Surgical Supply
NPI: 1609858729
Mail Order Supply
J (800) 321-0591
Harris Methodist Erath County
NPI: 1790721538
411 N Bellnap St
(254) 965-1518
CLINICAL AND ANATOMICAL LABORATORIES
DURABLE MEDICAL EQUIPMENT
DURABLE MEDICAL
EQUIPMENT
J and R Medical
NPI: 1972516144
Mail Order Supplier
(877) 505-4207
DURABLE MEDICAL EQUIPMENT
ABILENE
McKesson Patient Care Solutions
NPI: 1730187014
Mail Order Supplier
(888) 202-5700
DURABLE MEDICAL EQUIPMENT
Byram Healthcare
NPI: 1912952375
Mail Order Supplier
(866) 321-0900
DURABLE MEDICAL EQUIPMENT
Eastland Memorial Hospital
NPI: 1689650921
304 S Daugherty St
J (254) 629-2601
AMBULATORY SURGICAL CENTER (ASC)
JUNCTION
Kimble Hospital
NPI: 1972588390
2101 Main St
J (325) 446-3321
AMBULATORY SURGICAL CENTER (ASC)
OLNEY
Hamilton Hospital
NPI: 1134137466
903 W Hamilton St
J (940) 564-5521
AMBULATORY SURGICAL CENTER (ASC)
STEPHENVILLE
TX Hlth Harris Methodist Erath Co
NPI: 1922031541
411 N Belknap
J (254) 965-1500
* Leaving Network: 2017-01-
AMBULATORY SURGICAL CENTER (ASC)
WINTERS
North Runnels Hospital
NPI: 1205837770
Hwy 153 E
J (325) 754-4553
AMBULATORY SURGICAL CENTER (ASC)
CLINICAL AND ANATOMICAL
LABORATORIES
ABILENE
Abilene Diagnostic Clinic
NPI: 1760482665
1150 N 18th St Ste 200
J (325) 670-6483
CLINICAL AND ANATOMICAL LABORATORIES
MINERAL WELLS
Healthline Medical Equipment Inc
NPI: 1801895511
109 SE Ninth Ave
(940) 325-1444
DURABLE MEDICAL EQUIPMENT
CLINICAL AND ANATOMICAL LABORATORIES
AMBULATORY SURGICAL CENTER (ASC)
AMBULATORY SURGICAL CENTER (ASC)
Healthline Medical Equipment Inc
NPI: 1033170220
1345 Hwy 16 S
(940) 549-0001
DURABLE MEDICAL EQUIPMENT
DURABLE MEDICAL EQUIPMENT
Heart of Texas Memorial Hosphome Medical
Equi
NPI: 1316923667
1004 Southgate Dr
J (325) 792-0006
AMBULATORY SURGICAL CENTER (ASC)
Abilene Spine and Joint Center PA
NPI: 1245266790
1888 Antilley Rd
J (325) 795-1888
GRAHAM
Travis Medical Sales Corporation
NPI: 1982844569
118A S Park Dr
(325) 643-3290
DURABLE MEDICAL EQUIPMENT
Choice Medical Supply Inc
NPI: 1114925856
17 Windmill Circle
J (325) 677-2250
DURABLE MEDICAL EQUIPMENT
Uromed Inc
NPI: 1114905163
Mail Order Supplier
(800) 403-9189
DURABLE MEDICAL EQUIPMENT
Edgepark Surgical Supply
NPI: 1609858729
Mail Order Supplier
J (800) 321-0591
DURABLE MEDICAL EQUIPMENT
CISCO
Express Medical Supply Ltd
NPI: 1912944299
3122 N First St
J (325) 672-3030
Mineral Wells Medical Supply Inc
NPI: 1740205657
211 Southwest 25th Ave
J (940) 325-2706
* Joining Network: 2016-11-01
DURABLE MEDICAL EQUIPMENT
OLNEY
Texhoma Medical Services
NPI: 1184812729
101 E Main St
J (940) 564-2982
DURABLE MEDICAL EQUIPMENT
SAN ANGELO
American Homepatient Inc
NPI: 1710953146
3353 Knickerbocker Rd
J (325) 942-6432
DURABLE MEDICAL EQUIPMENT
Byram Healthcare
NPI: 1912952375
Mail Order Supplier
(866) 321-0900
DURABLE MEDICAL EQUIPMENT
Edgepark Surgical Supply
NPI: 1609858729
Mail Order Supplier
J (800) 321-0591
DURABLE MEDICAL EQUIPMENT
J and R Medical
NPI: 1972516144
Mail Order Supplier
(877) 505-4207
DURABLE MEDICAL EQUIPMENT
Lincare Inc
NPI: 1780765321
506 S Irving
J (866) 623-8100
DURABLE MEDICAL EQUIPMENT
McKesson Patient Care Solutions
NPI: 1730187014
Mail Order Supplier
(888) 202-5700
DURABLE MEDICAL EQUIPMENT
Oxypro Inc
NPI: 1326096926
1701 Conrad Hilton
J (254) 442-2275
DURABLE MEDICAL EQUIPMENT
DURABLE MEDICAL EQUIPMENT
J and R Medical
NPI: 1972516144
Mail Order Supplier
(877) 505-4207
DURABLE MEDICAL EQUIPMENT
DE LEON
Express Medical Supply Ltd
NPI: 1780622795
1000 S Texas St
Ste B
J (254) 893-4330
Lincare Inc
NPI: 1588698575
182 S Willis St
J (325) 672-7030
DURABLE MEDICAL EQUIPMENT
DURABLE MEDICAL EQUIPMENT
McKesson Patient Care Solutions
NPI: 1730187014
Mail Order Supplier
(888) 202-5700
Medway Medical Equipment LP
NPI: 1023021334
3302 W Loop 306
(325) 223-0231
DURABLE MEDICAL EQUIPMENT
Travis Medical Sales Corporation
NPI: 1457681298
1724 Sunset Dr
(325) 223-6400
DURABLE MEDICAL EQUIPMENT
Uromed Inc
NPI: 1114905163
Mail Order Supplier
(800) 403-9189
DURABLE MEDICAL EQUIPMENT
DEL RIO
DURABLE MEDICAL EQUIPMENT
Major Medical Supply Inc
NPI: 1700855376
612 Bedell Ste F
J (830) 775-0442
DURABLE MEDICAL EQUIPMENT
Owen Total Care Medical Supp
NPI: 1780788166
2133 S 20th St
J (325) 690-9200
DURABLE MEDICAL EQUIPMENT
South Texas Medical Supply
NPI: 1609910801
1009 Ave E
J (830) 775-2990
DURABLE MEDICAL EQUIPMENT
Professional Health Services Inc
NPI: 1245335983
3802 Buffalo Gap Rd
Ste B
(325) 695-4244
DURABLE MEDICAL EQUIPMENT
EASTLAND
Rhema Medical
NPI: 1275592289
3226 S Clack St
Ste K
J (325) 692-7059
Express Medical Supply Ltd
NPI: 1518905835
1471 E Main St
Ste B
J (254) 629-2225
DURABLE MEDICAL EQUIPMENT
DURABLE MEDICAL EQUIPMENT
STEPHENVILLE
Tanglewood Medical Supplies Inc
NPI: 1194771436
2445 B Northwest Loop
J (254) 968-6999
DURABLE MEDICAL EQUIPMENT
HEARING AID SUPPLIER
ABILENE
Livingston Hearing Aid Centers
NPI: 1710936836
3329 Turner Dr
Ste 100 S
(325) 692-2340
HEARING AID SUPPLIER
J - Wheelchair Access
60
OCTOBER 17, 2016
Independent Provider Network (IPN)
bmkpi_n_ancli
IMAGING CENTER
Ancillary Providers
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
HEARING AID SUPPLIER Cont
BRADY
Livingston Hearing Aid Center Inc
NPI: 1710936836
202 E 11th St
(325) 597-2561
HEARING AID SUPPLIER
BROWNWOOD
Livingston Hearing Aid Center Inc
NPI: 1710936836
517 W Commerce
(325) 203-4760
HEARING AID SUPPLIER
Lone Star Hearing Services
NPI: 1144466996
2410 Crockett Dr
Ste A
(325) 641-1825
HEARING AID SUPPLIER
Mid Tex Hearing Aid
NPI: 1144355892
107 B S Park Dr
J (325) 643-5824
HEARING AID SUPPLIER
DEL RIO
Newsound Hearing Aid Centers
NPI: 1710214960
2400 Veterans Blvd
Ste 13
(830) 775-9400
HEARING AID SUPPLIER
MINERAL WELLS
Livingston Hearing Aid Center Inc
NPI: 1710936836
904 W Hubbard
(940) 325-3213
Caprock Home Health Services
NPI: 1346224516
749 Gateway
Ste 101
J (325) 672-2264
MASON
HOME HEALTH
HOME HEALTH
Generations Home Health
NPI: 1750597431
1290 S Willis St
Ste 209
(325) 690-5913
HOME HEALTH
SAN ANGELO
Carter Healthcare
NPI: 1386601417
2725 Sherwood Way
Ste 700
(325) 944-8181
Interim Heathcare of West Texas
NPI: 1710927983
4400 Buffalo Gap Rd
Ste 2500
(325) 677-2047
HOME HEALTH
HOME HEALTH
San Angelo Home Health
NPI: 1518139237
423 S Irving
(325) 655-6600
Bryant Concho Valley Hearing Center
NPI: 1801042957
3404 Knickerbocker Rd
J (325) 949-8351
BALLINGER
Ballinger Home Health Inc
NPI: 1922097005
2001 Hutchins Ave
Ste B
J (325) 365-3889
Shannon Home Health Services
NPI: 1225031446
2030 Pulliam St Ste 6
J (325) 659-7480
HOME HEALTH
HOME HEALTH
STEPHENVILLE
BRADY
Lifespring Home Care
NPI: 1720010861
2301 B W S Loop
J (254) 968-8652
Carter Healthcare
NPI: 1740247865
1501 S Bridge
(325) 597-3107
HOME HEALTH
HOME HEALTH
Stephens Health Care Inc
NPI: 1891790135
711 N Graham
J (254) 965-6629
BROWNWOOD
HOME HEALTH
Guardian Healthcare
NPI: 1568570737
214 Main St
(936) 327-3696
HOME HEALTH
SWEETWATER
Livingston Hearing Aid Center Inc
NPI: 1710936836
4241 Southwest Blvd
Ste 100
(325) 617-7291
Newsound Hearing Aid Centers
NPI: 1265769426
3272 Sherwood Way
J (325) 949-9993
HEARING AID SUPPLIER
STEPHENVILLE
Jack Jones Hearing Centers Inc
NPI: 1144490350
1706 W S Loop
(254) 986-4174
HEARING AID SUPPLIER
Livingston Hearing Aid Center Inc
NPI: 1710936836
2127 W Washington St
(854) 434-2531
HEARING AID SUPPLIER
Mid Tex Hearing Aid
NPI: 1417151986
763 N Graham
J (254) 965-7870
HEARING AID SUPPLIER
HOME HEALTH
ABILENE
Abilene Home Health Professional Care Inc
NPI: 1780796169
265 S Leggett Dr Ste 1
J (325) 672-9454
HOME HEALTH
COMANCHE
Comanche Community Healthcare Hospice
NPI: 1619948759
10201 Hwy 16 N
J (254) 879-4900
HOSPICE
DEL RIO
Superior Hospice of Del Rio LLC
NPI: 1679851596
159 Braddie Dr
Ste 1A
(830) 775-7104
HOSPICE
Val Verde Hospital Corpoaration
NPI: 1992702732
801 Bedell Ave
J (830) 774-4580
HOSPICE
DUBLIN
CCS Hospice
NPI: 1679510093
118 E Live Oak Ste 104
J (254) 445-4675
HOSPICE
SAN ANGELO
Hospice of San Angelo
NPI: 1114001435
36 E Twohig Ste 1100
J (325) 658-6524
HOSPICE
Rolling Plains Memorial Hospital Home
Health
NPI: 1831287499
200 E Arizona Ave
J (325) 235-1701
CISCO
HOME HEALTH
Tri Star Home Care Inc
NPI: 1093894586
1106 W Sixth St
J (254) 442-4996
HOME HEALTH
WINTERS
HEARING AID SUPPLIER
HEARING AID SUPPLIER
Girling Health Care Inc
NPI: 1275543316
2400 Crockett Dr
(325) 643-5718
HOSPICE
HOME HEALTH
HEARING AID SUPPLIER
SAN ANGELO
BROWNWOOD
Country Home Health LLC
NPI: 1285653493
204 E College
(325) 347-9600
COMANCHE
North Runnels Hospital Home Health
NPI: 1619978004
106 N Main St
J (325) 754-4141
HOME HEALTH
Comanche Community Health Care
NPI: 1477523744
108 W Oak St
J (325) 356-1484
HOME HEALTH
Interim Hospice of West Texas
NPI: 1902004500
3280 Sherwood Way
(325) 223-1957
* Joining Network: 2016-11-01
HOSPICE
Odyssey Hospice
NPI: 1609822295
112 W Concho
J (325) 481-0123
HOSPICE
IMAGING CENTER
HOME INFUSION THERAPY
DEL RIO
ABILENE
ABILENE
Carter Healthcare
NPI: 1467410415
2409 Veterans Blvd
Ste 10
(830) 778-5566
Owen Pharmacy
NPI: 1134231905
2125 S 20th St
J (325) 690-9200
HOME HEALTH
HOME INFUSION THERAPY
SAN ANGELO
DUBLIN
Medway Infusion Services LLC
NPI: 1831181072
3123 Executive Dr
(325) 944-0300
Stephens Health Care Inc
NPI: 1891790135
18015 S US Hwy 377
J (325) 356-7501
HOME INFUSION THERAPY
HOME HEALTH
HOSPICE
EARLY
Abilene Diagnostic Clinic
NPI: 1356341184
1150 N 18th
Ste 200
J (325) 670-6438
IMAGING CENTER
Medical Diagnostic Img Abilene
NPI: 1730387911
4349 S Treadaway Blvd
(325) 695-4624
IMAGING CENTER
STEPHENVILLE
Cross Timbers Imaging LLC
NPI: 1043648215
561 N Graham St
(254) 968-8600
IMAGING CENTER
ABILENE
CMS Health Care Inc
NPI: 1336146323
1102 Early Blvd
J (325) 643-4900
HOME HEALTH
Hospice of The Big Country
NPI: 1770612608
4601 Hartford St
J (325) 793-5450
HOSPICE
GRAHAM
Interim Hospice of West Texas
NPI: 1902004500
4400 Buffalo Gap Rd
Ste 2500
(325) 677-2047
* Joining Network: 2016-11-01
Young County Home Health Care Inc
NPI: 1063575983
700 Elm St
J (940) 549-4039
HOSPICE
HOME HEALTH
WINTERS
North Runnels Hospital
NPI: 1205837770
Hwy 153 E
J (325) 754-4553
IMAGING CENTER
Big Country Hlthcare Serv
NPI: 1801912050
162 Caddo Dr
Ste 130
(325) 675-0559
HOME HEALTH
J - Wheelchair Access
61
PROSTHESES, ORTHOTICS
& PEDORTHISTS
Independent Provider Network (IPN)
bmk_pin_ancli
OCTOBER 17, 2016
Ancillary Providers
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
PROSTHESES, ORTHOTICS
& PEDORTHISTS
ABILENE
Abilene Artificial Limb Co Inc
NPI: 1134121304
1202 Hickory
J (325) 676-8527
PROSTHESES, ORTHOTICS & PEDORTHISTS
Leddy Brace and Shoe
NPI: 1578563193
932 N Treadaway Blvd
J (325) 673-5281
PROSTHESES, ORTHOTICS & PEDORTHISTS
West Texas Rehabilitation Center Inc
NPI: 1487787529
4601 Hartford
J (325) 793-3400
PROSTHESES, ORTHOTICS & PEDORTHISTS
BROWNWOOD
Aa Prosthetic Services Inc
NPI: 1306150800
2408 Coggin Ave
(325) 200-4467
PROSTHESES, ORTHOTICS & PEDORTHISTS
STEPHENVILLE
Stephenville Sports Rehab Phys
NPI: 1932291697
2269 Northwest LP
(254) 965-2040
PROSTHESES, ORTHOTICS & PEDORTHISTS
RADIATION THERAPY
CENTER
ABILENE
Abilene Regional Medical Center
NPI: 1851344162
6250 US Hwy 83
J (325) 695-9900
RADIATION THERAPY CENTER
REHABILITATION FACILITY
ABILENE
Healthsouth Rehabilitation Hospital
NPI: 1659539567
6401 Directors Pkwy
(325) 691-1600
REHABILITATION FACILITY
RENAL DIALYSIS FACILITY
ABILENE
FMC Dialysis Services of Abilene South
NPI: 1154433043
2009 Hospital Place
J (325) 793-2594
RENAL DIALYSIS FACILITY
Fresenius Medical Care Abilene
NPI: 1093827974
1802 Pine St
J (325) 672-3243
RENAL DIALYSIS FACILITY
J
NPI: 1912253949
349 S Danville Dr
(325) 691-0772
BROWNWOOD
Fresenius Medical Care Brownwood
NPI: 1912384082
110 S Park Dr
(325) 646-9510
RENAL DIALYSIS FACILITY
DEL RIO
Fresenius Medical Care Val Verde
NPI: 1881039246
608 N Bedell Ave
(830) 774-3031
RENAL DIALYSIS FACILITY
Fresenius Medical Care of Del Rio
NPI: 1174961718
2201 N Bedell Ste D
(830) 775-7540
BRECKENRIDGE
RENAL DIALYSIS FACILITY
Stephens Memorial Hospital SNF
NPI: 1093768210
200 S Geneva St
J (254) 559-2241
SKILLED NURSING FACILITY
GRAHAM
Villa Haven Health Rehab Ctr
NPI: 1770780223
300 S Jackson St
J (254) 559-3386
Fresenius Medical Care Graham
NPI: 1649561861
1531 Hwy 380 Bypass
(940) 549-1732
RENAL DIALYSIS FACILITY
SKILLED NURSING FACILITY
MINERAL WELLS
BROWNWOOD
Usrc Tarrant Dial Mineral Wells
NPI: 1205151529
2611 Hwy 180 W
(940) 468-2704
Brownwood Nursing and Rehab LP
NPI: 1891782397
101 Miller Rd
(325) 643-9555
RENAL DIALYSIS FACILITY
SKILLED NURSING FACILITY
Oak Ridge Manor
NPI: 1447571732
2501 Morris Sheppard Dr
(325) 643-2746
SAN ANGELO
SKILLED NURSING FACILITY
Shannon Medical Center
NPI: 1992707228
120 E Harris Ave
(325) 659-7360
RENAL DIALYSIS FACILITY
Palo Pinto Nursing Ctr
NPI: 1114326436
200 Southwest 25th Ave
(940) 325-7813
SKILLED NURSING FACILITY
SAN ANGELO
Regency House
NPI: 1821426669
3745 Summer Crest Dr
(325) 942-7700
SKILLED NURSING FACILITY
Senior Care of Meadow Creek
NPI: 1336577873
4343 Oak Grove Blvd
(325) 942-4000
SKILLED NURSING FACILITY
Senior Care of San Angelo
NPI: 1841519295
5455 Knickerbocker
(325) 944-1600
SKILLED NURSING FACILITY
Shannon Medical Center Skilled Nursing
Unit
NPI: 1114987963
120 E Harris Ave
J (325) 653-6741
SKILLED NURSING FACILITY
Senior Care of Brownwood
NPI: 1912268558
2700 Memorial Park Dr
J (325) 643-9801
SKILLED NURSING FACILITY
West Texas Renal Care Center Inc
NPI: 1609860485
3501 Executive Dr
J (325) 949-5081
RENAL DIALYSIS FACILITY
CLYDE
SAN SABA
Pecan Valley Healthcare Residence
NPI: 1750376273
1405 W Storey St
J (325) 372-5112
SKILLED NURSING FACILITY
SKILLED NURSING FACILITY
Clyde Nursing Center
NPI: 1205235520
806 Stephens St
(325) 893-4288
SKILLED NURSING FACILITY
ABILENE
Abilene Regional Medical Center
NPI: 1316968936
6250 US Hwy 83
J (325) 428-1010
COLORADO CITY
SKILLED NURSING FACILITY
STEPHENVILLE
Senior Care At Stephenville
NPI: 1871893792
2601 NW Loop
J (254) 968-4649
SKILLED NURSING FACILITY
Mitchell County Hospital District
NPI: 1184631673
997 W Interstate 20
J (325) 728-3431
SKILLED NURSING FACILITY
Coronado Nursing Center
NPI: 1649251026
1751 N 15th St
J (325) 673-3531
SKILLED NURSING FACILITY
COMANCHE
Hendrick Medical Center SNF
NPI: 1063418937
1900 Pine
J (325) 670-6151
SWEETWATER
Nolan Nursing and Rehab LP
NPI: 1477549244
705 NE Georgia Ave
PO Box 1369
J (325) 235-5417
SKILLED NURSING FACILITY
Western Hills Healthcare Residenc
NPI: 1487061875
400 Old Sidney Rd
(325) 356-2571
SKILLED NURSING FACILITY
SKILLED NURSING FACILITY
Northern Oaks Living & Rehab Ctr
NPI: 1235121245
2722 Old Anson Rd
J (325) 676-1677
DE LEON
SKILLED NURSING FACILITY
Deleon Nursing and Rehabilitation LP
NPI: 1932196706
Hwy 6 E
J (254) 893-2075
Willow Springs Health and Rehabil
NPI: 1699811794
4934 S Seventh St
(325) 692-2172
SKILLED NURSING FACILITY
SKILLED NURSING FACILITY
DEL RIO
Wisteria Place
NPI: 1528296662
3202 S Willis St
J (325) 692-6145
SKILLED NURSING FACILITY
Del Rio Nursing and Rehab Ctr
NPI: 1639250905
301 W Martin
(830) 775-2459
SKILLED NURSING FACILITY
BALLINGER
La Vida Serena Nurs and Rehab
NPI: 1255327029
711 Kings Way
J (830) 774-0698
Ballinger Healthcare Rehab Center
NPI: 1528057858
2001 Sixth St
J (325) 365-5766
SKILLED NURSING FACILITY
SKILLED NURSING FACILITY
SLEEP STUDIES CENTER
DEL RIO
Sleep Diagnostic Center of Southwest
Texas
NPI: 1346315918
106 Bauer Ave Ste A
J (830) 775-9376
SLEEP STUDIES CENTER
URGENT CARE CENTER
GRAHAM
Lumin Urgent Care PLLC
NPI: 1356706642
1005 State Hwy 16
(972) 573-7900
URGENT CAR E CENTER
DUBLIN
BANGS
Golden Age Healthcare Residence
NPI: 1235177858
704 E Dobkins St
J (254) 445-3379
Bangs Nursing Home
NPI: 1255452710
1105 E Fitzgerald St
(325) 752-6321
SKILLED NURSING FACILITY
SKILLED NURSING FACILITY
GOLDTHWAITE
BRADY
Hillview Manor
NPI: 1588785539
1110 Rice St
(915) 648-2247
Brady West Rehab and Nursing
NPI: 1710395892
2201 Menard Hwy
(325) 597-2906
SKILLED NURSING FACILITY
SKILLED NURSING FACILITY
MINERAL WELLS
Mineral Wells Nursing and Rehab
NPI: 1487645636
316 Southwest 25th Ave
J (940) 325-1358
SKILLED NURSING FACILITY
J - Wheelchair Access
62
OCTOBER 17, 2016
Aa Prosthetic Services Inc
Abilene Artificial Limb Co Inc
Abilene Cataract and Refractive
Surgery Cente
Abilene Diagnostic Clinic
Abilene Endoscopy Center
Abilene Home Health Professional
Care Inc
Abilene Regional Medical Center
Abilene Spine and Joint Center PA
Abilene Surgery Center LLC
Abilene White Rock Surgery Center
Abney, Jennifer C, APN
Abor, Calvin J, PA
Abramson, Stuart L, MD
Acevedo, Jason L, MD
Acosta, Luis J, MD
Acton, Hector F, MD
Adames, Michael, APN
Adams, Brook A, MD
Adams, Jami A, MD
Adams, Laura M, MD
Adegbesan, Susan, MD
Agoro, Adesubomi B, MD
Ahmed, Rehan, MD
Ajufo, Christopher A, MD
Akers, Laura, LPT
Akin, William O, MD
Akor, Charlotte M, MD
Alaniz, Idalia, MD
Albritton, G Chris, DPM
Alcocer Aguilar, Fernando, MD
Alexander, Janis K, PA
Alexander, Robert W, MD
Alexander, Ross A, MD
Alexander, Sherry A, PA
Alexander, Steven D, PA
Alford, Mark A, MD
Alford, Wilma D, APN
Ali, Zahra K, MD
Allen, Laura, APN
Alley, Daniel W, MD
Alred, Steven C, MD
Alsup, Stephanie, LPT
Amaechi, Nnewueze S, MD
Amaro Cora, Edgardo, OD
Ambrose, Betsy L, SLP
American Homepatient Inc
Anderson, Brian J, DC
Anderson Jr, Charles G, MD
Anderson, Luke R, MD
Anderson, Milo D, DPM
Anderson Jr, Rexford K, MD
Anderton, Carl D, MD
Anthony, Nicholas T, DC
Armour, Alexander W, DO
Arora, Harvinder S, MD
Arp, Christina M, APN
Artho, Wendy B, AUDIO
Artnak Jr, Edward J, MD
Asbill, Stacey L, LPT
Ash, Mindy N, SLP
Ashby, Jon K, AUDIO
Ashitey, Sarah O, MD
Ashlock, Leslie J, LPT
Ashpole, David, MD
Aslin, Kerry D, LPT
Astudillo, Gerardo, MD
Atudonyang, Nicholas O, MD
Atwood, Darron T, MD
Augustin, Anna M, APN
Avila, Gabriel, OD
Ayers, Lance P, LPT
Ayestaran Cassani, Alejandra, MD
Baddour, Violeta T, MD
Badylak, John, MD
Baig, Haris A, DO
Bailey, Ali C, AUDIO
Bailey, Kyla M, SLP
Bailey, Michael L, DO
Bailey, Ryan M, DC
Baker, Amanda L, AUDIO
Bakos, Sharon G, MD
Balch, Cayli N, DO
Balch III, Robert J, DO
Independent
October
17, 2016
Prov ider Network (IPN)
Independent Provider Network (IPN)
bmk_pinsi_lt
Balderas, Alicia I, PA
Baldree, Suzanne, OT
Ballinger Healthcare Rehab Center
Ballinger Home Health Inc
Bangs Nursing Home
Barbaro III, Salvatore A, MD
Barff Jr, Henry W, PA
Barker, Gregory M, MD
Barnett, Catherine A, APN
Barnett, Christian J, MD
Bartek, Melanie C, OD
Barton, Kathryn J, APN
Bartosh, Nicole S, DO
Bartz, Emily, RD
Basinger, Alice A, MD
Bass, James G, MD
Battilega Merrill, Patricia M, PA
Baxter, Tammy G, LPT
Bayles, Amy E, APN
Bayouth II, Lanoard M, MD
Bealka Jr, Neil M, MD
Beam, Donald T, MD
Bearden, Keila B, LPT
Beasley, Craig C, MD
Beaty, Stacy G, MD
Bedri, Badreldin, MD
Behr, Donald A, MD
Beisel, Monica J, APN
Belk, Jacqueline, APN
Bell, Darren J, MD
Bell, Jason C, DO
Bender, Thomas B, MD
Bennett, Laura L, MD
Bennett, Robert D, MD
Bennington, Michael J, MD
Berkley, Cortney R, APN
Bhandari, Anantha R, MD
Bierman, Jeffrey, LPT
Big Country Hlthcare Serv
Billings, Lynsey N, SLP
Bishop, Krystal N, APN
Blackburn, Robert M, LPT
Blackburn, Rondi M, OT
Blackington, Dustin, OT
Blanc, Michael S, MD
Blare, Hillary D, LPT
Blejan, Cristina, MD
Blount, Alice B, MD
Boenicke, Brandan C, PA
Boeshart, Linda, SLP
Bolton, Alesha E, APN
Book, Ashley L, LPT
Borger, Alyssa L, SLP
Borgfeld, Paul A, MD
Borgman, Kristie Y, MD
Boucher, David C, MD
Bouissey, Sherrie L, APN
Boyareddigari, Subrahmanyam R,
MD
Boyd, Delyn D, OT
Boyd, Lori J, LPT
Boynton, Josh, LPT
Braaten, Jeffrey M, DO
Bradley, Brian A, MD
Brady, Branon C, PA
Brady West Rehab and Nursing
Bragg, Larry M, MD
Brandecker, Edward J, MD
Brantly, Elisa K, MD
Brasher, J Warren, OD
Brautbar, Ariel, MD
Braziel, Jennifer M, APN
Brennan, Dennis M, PA
Brennen, David M, MD
Brewer, Michelle R, LPT
Brinkman, Anna C, SLP
Britten, Jeremy B, MD
Brock, Eric R, MD
Brock, Sommer M, AUDIO
Brooks, Steven, DC
Brown, Beil C, DPM
Brown, Benton L, MD
Brown, Michael W, OT
Brown, Phillip J, PA
Browne, Michael G, MD
Listing
Brownwood Nursing and Rehab LP
Brudnak, Daniel M, MD
Bruton, Patrick W, DPM
Bryant Concho Valley Hearing
Center
Buhle, Charlotte R, LPT
Bullock, Nicole C, DO
Burgess, Steven E, MD
Burns, Eldridge G, MD
Burns, Jason D, MD
Burrage, Brandon C, APN
Bursaw, Andrew W, DO
Burt, Selina A, DO
Bush, David M, MD
Byram Healthcare
Byrd, Richard W, MD
Cadena Jr, Antonio, MD
Cadena, Veronica G, MD
Cadenhead, Charles W, MD
Calingo, Zarina M, APN
Calvert, Gwendolyn C, OT
Calvo, Raul N, MD
Cambre, Penni D, MD
Cammack, James T, MD
Campanini, Emir R, MD
Campbell, Michelle D, SLP
Canario, Daniel G, MD
Canion, Nicholas J, APN
Capra, Jay D, MD
Caprock Home Health Services
Cargile III, John S, MD
Carlile, Maegin M, APN
Carlisle, Lee, APN
Carlson, David E, MD
Carmichael, Ross M, MD
Carpenter, Brett W, LPT
Carpenter, Scott S, DO
Carpenter, Tiffany M, OT
Carr, Tracey A, OT
Carrizales, Rosalinda, DO
Carroll, Timothy B, DC
Carter, Roberta, LPT
Carter, Troy L, MD
Carter Healthcare
Casas, Gustavo O, AUDIO
Case, Christopher L, MD
Cason, Jeanne K, APN
Cass, Allan W, MD
Castillo, Jessica, APN
Castro, Pedro, DO
Cates, Sharon K, APN
Cawley, James E, MD
CCS Hospice
Cedeno Sanchez, Gibel S, MD
Cerna, Norma C, MD
Chaka, Ted A, PA
Challagalla, Jagathi D, MD
Chancellor, Laura R, PA
Chang, Peter P, MD
Chapanos, Petros K, MD
Charlesworth, Ernest N, MD
Cheek, Megan B, LPT
Cheruku, Rajanarender R, MD
Chinn, Cornelius W, MD
Chitwood, Darcie A, DO
Choice Medical Supply Inc
Clark IV, Joseph L, APN
Clawson, Lacey D, DPM
Clayton, Leisa D, APN
Clinical Pathology Associates
Cloy, Michael J, PA
Clyde Nursing Center
CMS Health Care Inc
Coates Jr, Stephen W, MD
Cocuzzi, John M, MD
Cody, Jessie L, PA
Cohen, Jeffrey H, MD
Cole, John F, DO
Cole, Steven T, DO
Collier, Jimmy W, DC
Colunga, Kathy, OT
Comanche Community Health Care
Comanche Community Healthcare
Hospice
Compton, Cora J, APN
63
Conley, Clinton D, LPT
Conner, Byron F, MD
Conner, Kathe, APN
Conner, Robin A, APN
Cook, Donald W, MD
Cooksey, Robbie J, DO
Coon, Kimberly S, APN
Cooper Jr, Charles G, PA
Cordes, Megan L, LPT
Cornell, Jess M, MD
Coronado Nursing Center
Corta, Peter J, PA
Cotney, Thomas W, MD
Country Home Health LLC
Cox, Angela D, LPT
Cox Jr, Conald W, MD
Cox, Jessica A, LPT
Cox, Misti M, APN
Cox, Tamara M, MD
Craig, William S, MD
Crawford, Courtney, MD
Crenshaw, Rebecca S, MD
Creppy, Amy G, MD
Cretors, Christa, LPT
Crisp, Marcie D, APN
Crocker, Scott H, MD
Cross Timbers Imaging LLC
Crumbliss, Joseph H, MD
Cubine, Kathleen A, DO
Cummings, David A, MD
Cunningham, Jennifer L, LPT
Cunningham, Kevin R, DO
Daftarian, Soheil M, MD
Daggubati, Nageswari, MD
Daggubati, Subbarao, MD
Dahiya, Marta C, MD
Dallas, Heather M, APN
Dallas, John D, MD
Damron, Julie D, APN
Danbert, Robert J, DO
Daniell, Randy C, MD
Darling, Matthew J, DO
Dart, Kimi L, DO
Das, Gopimohan, MD
Davis, Christopher W, APN
Davis, Garry T, DO
Day, Walter G, MD
De Jesus, Maria A, MD
De La Torre, Alejandro J, MD
De Riese, Werner T, MD
Dean III, Thurston E, MD
Deaton, William J, MD
Defee, Jason M, MD
Defiore, Stephen F, DC
Del Rio Nursing and Rehab Ctr
Delacerda, Ashley B, MD
Delacruz, Shannon L, APN
Deleon Nursing and Rehabilitation
LP
Demory, Anthony C, MD
Deprang, Clifford L, MD
Deshmukh, Avi T, MD
Di Blasi, Michele D, MD
Di Blasi, Tina P, MD
Dickerson, Russell S, MD
Dickey Jr, Robert L, MD
Dickey, Stephen H, DO
Dickinson, David J, MD
Dickinson, Ericka, LPT
Dienert, Gloria X, APN
Dipprey, Tina N, SLP
Dodds, Ruth B, OT
Doggett, Kelly S, MD
Donham, Guyle P, DO
Donohue, Bobby E, MD
Dotson, Teena T, PA
Douglas, Khristina M, SP
Dozier, Norman J, MD
Dressen Jr, Edward R, OD
Drummond Borg, Lesley M, MD
Du, Antao, MD
Duarte, Luis E, MD
Dubey, Ajay K, MD
Dudensing, Abby L, LPT
Dunham, Gregory M, MD
Duryea, Keith, APN
Dutton, Belinda W, PA
Dvorak, Anna K, MD
Dzurik, Matthew V, MD
Eaker, Robert G, MD
Eapen, Reenu S, MD
Easley, David J, MD
East, Amanda B, OT
Eastland Memorial Hospital
Ebangit, Ruth, MD
Edens, Nancy A, PA
Edgepark Surgical Supply
Edwards, Jeffrey, MD
Edwards, Kristy D, MD
Edwards, Mark S, MD
Eger, Lynne, MD
Elliott, Loree, APN
Elm Place Ambulatory Surgical
Center
Emerick, Robert S, MD
Enard, April, DO
Endsley, Ferral L, DO
England-Sims, Dawn M, SLP
Erb, Julie D, OT
Erck, Charles S, MD
Erwin, Terry C, APN
Eschbach, Tyler O, PA
Estes, Rebecca S, OT
Evans Jr, Edmond C, DO
Evans, Richard M, MD
Evans, William R, MD
Express Medical Supply Ltd
Ezzell, Steven C, OD
Faglie, Melanie A, APN
Fakhoury, Ibrahim S, MD
Favor, Tanya L, PA
Faz, Cesar H, MD
Fehr, James W, OD
Felger, Jason E, MD
Fentress, Dustin R, PA
Ferguson, Chris Gerald, MD
Ferguson, Sarah B, MD
Fine, Misty L, OT
Fischer, Kellie D, SLP
Fish, Kenton, MD
Fisher, Steven J, MD
Flood, R G, MD
Floyd, Ira L, MD
Flynn, Emmette T, MD
FMC Dialysis Services of Abilene
South
Ford, Katherine M, DC
Ford Burleson, Stacie, SLP
Foreman, Jacqueline D, LPT
Forlano, Rico J, DC
Forlano, Viki A, MD
Forrister, Skylar S, MD
Fortin, Victoria, OT
Fosah, Henry M, MD
Fowler, James H, MD
Fowler, Lisa S, MD
Foxcroft, Paul J, MD
Frailing, John M, PA
Frazier, Charles R, MD
Frerking, Tyrus R, DO
Fresenius Medical Care Abilene
Fresenius Medical Care Brownwood
Fresenius Medical Care Graham
Fresenius Medical Care of Del Rio
Fresenius Medical Care Val Verde
Friess, Gregory G, DO
Fuchs, Robin, OT
Fullerton, Douglas B, MD
Funk, Dale A, MD
Gabrielli, Melissa R, APN
Gafken, James A, DC
Galindo III, Conrado G, MD
Gamble, Candace, MD
Ganesa, Prasanthi, MD
Ganesh, Allan, DPM
Ganesh, Brian R, MD
Gao, Min, MD
Gaona, Dona J, SLP
Garcia, Elvira, MD
Garcia, Laura, OD
Independent Provider Network (IPN)
bmki_pn_sil t
Garcia, Miranda M, SLP
Garcia Marrero, Hector M, MD
Garlapati, Vivek R, MD
Garner, Erin P, DO
Garner, Jamee D, DC
Geevarghese, Samia B, MD
Generations Home Health
Gibbs, Amy R, OT
Gibbs, Kayla J, APN
Gibson, Ray N, DO
Gilbertson, Jeffrey K, MD
Gillespie, Robert S, MD
Gilliam, Leslie S, MD
Girling Health Care Inc
Goetz, Millie K, APN
Gokul, Bhagwandas D, MD
Gold, Jamie L, OD
Golden Age Healthcare Residence
Goldman, Matthew A, MD
Goldman, Stanton C, MD
Goldstein, Brian S, MD
Gonzalez, Dawn E, DO
Gonzalez, Fernando, DO
Goodman, Samantha H, MD
Goodnight, Gary D, DO
Gore, Ty L, MD
Graham, Moira E, APN
Graham Williams, Olivia R, APN
Granaghan Jr, John T, MD
Grant, Brooks T, OD
Grant, Robert N, MD
Gray, Louise K, SLP
Gray, Molly B, DO
Green Jr, Edwin A, MD
Green, Julie A, PA
Greer, Leigh A, LPT
Greeson, Charles E, MD
Greig, Patricia M, SLP
Gremminger, Michael J, LPT
Grimes, Edward L, OD
Grisham, Shandy L, APN
Grobler, Neil S, LPT
Grothaus, Peter C, MD
Guanajuato III, Felix, APN
Guardian Healthcare
Guillaume, Andamo A, MD
Gunby Jr, Robert T, MD
Gutierrez, Jaime J, MD
Hackl, Theodore E, MD
Hackman, Anne M, MD
Haddad, Christopher A, MD
Haddad, Rudy M, MD
Hafner, Jonathan W, MD
Hagelstein, Deborah L, APN
Hagood, Nicholas R, PA
Hajovsky, Deborah R, MD
Halari, Amanda A, SLP
Hall, Ashley G, MD
Hall Sappington, Amanda L, OD
Hamilton, Debra J, AUDIO
Hamilton Hospital
Hammons, Matthew A, MD
Haney, Derek R, LPT
Hardwicke, Alan C, MD
Harford, Paul H, MD
Harris Methodist Erath County
Harvey, David B, MD
Harvey, John C, MD
Harzke, Charles D, MD
Haverlah, Gene V, MD
Hay, Michael T, MD
Hayashi, Bonnie H, MD
Hayden, Shailaja J, MD
Hayley, Joe C, OD
Hayley, John, OD
Haynes Jr, Allan L, MD
Haynes, Bill C, MD
Hayton, Stephanie L, PA
Hazelip, Sandra J, DO
Headstream, Teresa K, APN
Headstream, Thomas L, MD
Healthline Medical Equipment Inc
Healthsouth Rehabilitation Hospital
Heart of Texas Memorial Hosphome
Medical Equi
Heath, Gary L, MD
Heaven Jr, Ralph F, MD
Heflin, Jearald D, MD
Heflin, Linda L, MD
Hendrick Medical Center SNF
Hendrix Jr, Henry H, MD
Henke, Clyde A, MD
Henrikson, Jean L, APN
Hensley, Margaret A, APN
Herdman, Emily B, PA
Hernandez, Angel W, MD
Hernandez, Cynthia M, APN
Herndon, Kirsten S, SP
Herrington, Darrell T, DO
Hess, Lawrence R, APN
Hester, Roseann M, APN
Hewell, Walter R, MD
Heym, Kenneth M, MD
Hicks, Bradley S, LPT
Hicks, Erin L, LPT
Hierholzer, Jodi K, LPT
Hill, Christina C, MD
Hillview Manor
Hilmes, Kara L, APN
Hinshaw, Roberta, MD
Hinton, Kristi J, LPT
Hinze, John D, DO
Hirsch Jr, Victor J, MD
Hisel, Patrick W, MD
Hiser, Tracey S, OT
Hlis, Stephen G, OD
Hoak, Jessie L, APN
Hocker, Jamie, RD
Hoebelheinrich, Schel A, OT
Hoehn, Jerri, APN
Hoelscher, Robbi C, OT
Hogan, Steve A, DC
Hogg, Melissa L, APN
Hohensee, Melissa P, APN
Holik, Brian J, LPT
Holland, Gary M, MD
Holland, Sue A, AUDIO
Hollander, Bobby M, DC
Holle, Douglas T, OD
Holler, Susan B, SLP
Holt, Riley D, LPT
Hopkins, Timothy E, MD
Hopper, Lori S, APN
Horne, Monte H, MD
Horrace Voigt, Kathie M, DO
Hospers, Teresa A, MD
Hospice of San Angelo
Hospice of The Big Country
Howell, Bruce W, OD
Howser III, Donald M, MD
Hsieh, Susan Y, MD
Hubble, Levi L, MD
Huber Willis, Jobeth K, LPT
Huchton, David M, MD
Huckaby, Teresa L, LPT
Hudman II, Eugene V, MD
Hughston, Ty M, MD
Hume, Andrew T, MD
Hunt, John D, MD
Hunt, Melinda M, LPT
Huseman, Patricia G, APN
Hutchins, Jeffrey C, DO
Hutchins, Leslie M, MD
Hutton, Jonathan N, LPT
Hyde, Kelly V, MD
Ihde II, Glenn M, MD
Interim Heathcare of West Texas
Interim Hospice of West Texas
Ip, Kam W, MD
Ismaily, Rehna K, OD
Ivans, David L, MD
J and R Medical
Jack Jones Hearing Centers Inc
Jackson, Leslie F, LPT
Jameson, Dean G, SP
Jamison, Emily M, APN
Janzen, Grant P, MD
Jastrow III, Kenneth M, MD
Jeter, Tresea M, APN
Jimenez Arriola, John P, LPT
Listing
John, Berchmans, MD
Johnson, Charles F, MD
Johnson, Jennifer L, MD
Johnson, Jeremy W, DO
Johnson, Peggy A, DO
Johnson, Steven K, MD
Johnston, Freddie R, APN
Johnston, Kay A, MD
Jolley, Paula, SP
Jones, Charles M, MD
Jones, Kathryn D, LPT
Jones, Katrina D, LPT
Jones, Melissa D, DC
Jones, Timothy B, MD
Joplin, Leon D, DO
Jordan, C Daniel, DO
Jordan, Donna M, DO
Jordan, Sarah T, MD
Kalafut, Roberta M, DO
Kalla, Hari K, MD
Kalla, Yamini H, MD
Kapu, Gopichand, MD
Karr, Gina W, LPT
Kashyap, Pooja, MD
Kasner, Kimberley S, LPT
Kassis, Frederick J, MD
Keating, Priscilla M, LPT
Keenen, Lee T, DPM
Keesee, Courtnee L, APN
Kehoe Lee, Kathleen L, SLP
Keller, Victoria C, LPT
Kelley, Cheryl A, APN
Kempf, Melissa M, MD
Kendrick, Bradley T, MD
Keriwala, Raj, MD
Kerr, Christy L, MD
Kerr, Kevin A, MD
Kerr, Trevor, MD
Keylani, Abdul, MD
Khan, Kassim A, MD
Kim, Danny S, MD
Kimble Hospital
Kincheloe, Albert M, DO
King, Andrew P, DO
King, Austin I, MD
King, Kailey E, OT
King, Robert R, APN
King, Susan E, SLP
Kingman, Andrew T, MD
Kirby, Ted M, LPT
Kirkland, Terry L, OD
Klassen, Carol J, OT
Kleypas, Susan C, SLP
Klostermann, Dwain R, OT
Knight, Macy E, PA
Koduru, Swapna, MD
Koehn, Kathleen A, OT
Koenig, Joe D, DC
Kollars, Catharine A, MD
Korte, Stephen A, MD
Koslan, Jillian S, SLP
Koul, Ashok K, MD
Kramer, Bryan L, OD
Krenek, Caryn D, MD
Kruckner, Douglas L, MD
Kukolich, Mary K, MD
Kuo, James A, MD
La Vida Serena Nurs and Rehab
Labbe, Thomas E, OD
Lai, Stephen, MD
Laing III, Aurelio, MD
Lambaren, Christopher A, LPT
Lamm, Harold G, OD
Lampley, Joseph C, DO
Lander, Stuart R, MD
Landero, James L, DO
Lane, Kimberly S, OT
Lane, Richard I, OD
Lange, Bryan S, LPT
Lange, Wanda S, APN
Langford, Sarah A, OT
Larsen, Alan C, OD
Lasiter, John C, MD
Leddy Brace and Shoe
Lee, James R, MD
64
Lee, Seong Y, MD
Lejawa, Robert J, DO
Lengefeld, Robbye K, MD
Leon, Miltiadis N, MD
Lesley, Nathan E, MD
Lester, Carol R, SLP
Leverton II, Robert S, MD
Liedtke, Jennifer G, MD
Lifespring Home Care
Liming, John D, MD
Lin, Larry W, MD
Lincare Inc
Lind, Gregory C, MD
Lindley, David, DO
Lindley, Katarina, DO
Lindsey, George C, DO
Lindsey, Scott W, APN
Lindsey, Terry M, MD
Little, Karen, APN
Livingston, Ronald P, DO
Livingston Hearing Aid Center Inc
Livingston Hearing Aid Centers
Locker, Dan L, MD
Lockyer, John E, DPM
Lohman, Rhett K, DO
Londono Obregon, Camila L, MD
Lone Star Hearing Services
Long, Laura M, SP
Longley, David W, DO
Looka, Lori M, APN
Loy, Jeremy E, OD
Lucas, Cheryl, APN
Luecke, Christy A, PA
Lui, Shun H, MD
Lumin Urgent Care PLLC
Lummus, Jimmie D, DPM
Luttrell, Mary B, APN
Lynch, Siobhan P, MD
Magee, Kevin P, MD
Major Medical Supply Inc
Malhotra, Deepak, MD
Malla, Sunitha, MD
Mandel, Corey S, MD
Mangrem, Kelsi D, AUDIO
Mani, Palani S, MD
Mankins, Mark L, MD
Manning, Mark G, MD
Mansfield, Walter K, DC
Manuel, Jody R, PA
Maples, Larry L, DO
Marburger, Jennifer A, APN
Marcum, Benjamin A, MD
Marks, Warren A, MD
Maroney, Samuel S, DO
Marsh, Charles A, MD
Marsh Jr, Denver C, MD
Marti Rivera Sr, Felix M, MD
Martin, Kelly S, LPT
Martin, Luther C, DO
Martin, Timothy S, MD
Martinez, Alberto N, MD
Martinez, Angel, MD
Martinez, Rodolfo R, DO
Martinez Irizarry, Axel E, MD
Maruska, Matthew C, DO
Marvel, James E, MD
Mascorro, Whitney V, MD
Massie, Kathy J, SLP
Masters, Brian E, DC
Mathews, Robert J, MD
Mathur, Sandip V, MD
Matthews, John P, OD
Mays, Jeffry P, MD
Mazade, Marc A, MD
McAdams, Rocky L, MD
McAden, Kellie R, SLP
McAlister, Michele, RD
McAllum, Shelby V, SLP
McArthur, Melissa J, AUDIO
McCain, David B, MD
McCain, Stefanie B, MD
McClintock, Joseph M, MD
McClish, John C, MD
McCloy, Steven T, MD
McConnell, Charlotte M, OT
OCTOBER 17, 2016
McCormick, Joseph B, LPT
McCullough, Tammy P, APN
McDonald, Natalie M, PA
McDonough, Frederick C, DO
McDonough, Paul W, MD
McEachern, Larry E, MD
McGee, Michael V, DO
McGough, Carolyn P, OT
McIntire, Rebecca L, APN
McIver, Bradley D, MD
McKennon, Mary J, SP
McKesson Patient Care Solutions
McKinnon, Mark S, MD
McLean, Marcus L, OD
McMillan, Lindsey R, LPT
McMillion, Janie S, MD
McSmith Jr, William D, DO
McSpadden, Karen D, LPT
Medical Diagnostic Img Abilene
Medway Infusion Services LLC
Medway Medical Equipment LP
Mejia, Bryan A, MD
Mejia, Genevieve P, MD
Melnyk Jr, Anton M, MD
Melott, James E, MD
Melton, Tim S, DC
Meyer, John R, MD
Meza, Bertha A, APN
Mickish, Alan B, MD
Mid Tex Hearing Aid
Middlebrooks, Angela K, AUDIO
Miller, Adrianne L, AUDIO
Miller, Dwayne C, MD
Miller, Kelly S, DO
Miller Jr, Thomas H, MD
Millican, Kay C, APN
Mills, Valarie V, APN
Mineral Wells Medical Supply Inc
Mineral Wells Nursing and Rehab
Minney, Alexander J, MD
Mitchell, Kevin C, DC
Mitchell, Robert B, MD
Mitchell County Hospital District
Monaghan, Orloff, MD
Montgomery, Laura L, OT
Montoya Jr, Steve F, MD
Moore, David A, OD
Moore, Jeffrey D, MD
Moore, Kenneth P, MD
Moore Jones, Gwendolyn D, LPT
Moosa, Yunus, MD
Morgan, Jake A, DC
Morgan, Mark E, DO
Morgan, Mary Alice H, OT
Morgan, Tanja, APN
Morrison, Robert J, MD
Morse, Steven, MD
Moses, Lufkin R, DO
Moss, Jennifer M, MD
Muckatira, Bopanna, MD
Mull, James R, MD
Munton, Daniel L, MD
Murray, Jeffrey C, MD
Muyskens, Steve, MD
Myers, Sandra M, LPT
Nahar, Tamanna, MD
Nakashima, Sachiko, APN
Nance, Jerry C, DC
Narasimha Rao, Archana, MD
Nash, David G, APN
Nash, Miranda A, MD
Needham Jr, Jack N, MD
Needleman, Samuel W, MD
Neill, James E, MD
Nelius, Thomas, MD
Nelson, Brian S, MD
Newsound Hearing Aid Centers
Nguyen, Derrick D, MD
Nguyen, Tham D, APN
Nichols, Alan K, APN
Niebelski, Andrzej L, MD
Nielson, Karen, MD
Nigalye, Ranjana N, MD
Nile, Brett J, MD
Noack, Tamara B, MD
OCTOBER 17, 2016
Nodar, Jose A, MD
Nolan Nursing and Rehab LP
North Runnels Hospital
North Runnels Hospital Home Health
Northern Oaks Living & Rehab Ctr
Novak, Yvonne, MD
Oak Ridge Manor
Oconnor, Catherine B, APN
Odell Sr, David M, MD
Odyssey Hospice
Ogdee, Robert G, MD
Oines, Stephen P, MD
Ojeda Flores, Carolina, MD
Olabiyi, Olawale, MD
Olaya, Jorge E, MD
Olivas, Luis, DO
Ong, Helen C, MD
Ong, Lester C, MD
Onwuchuruba, Mojisola G, MD
Ornelas, Jacob D, MD
Owen Pharmacy
Owen Total Care Medical Supp
Owens, Beth R, OT
Owens, Brenda D, MD
Owens, Jean A, LPT
Owens, Shauna S, LPT
Oxypro Inc
Pacuraru, Anca D, DO
Padon, Derek T, MD
Padua, Marymay S, LPT
Page, Ray D, DO
Pajestka, Charles R, MD
Palo Pinto General Hospital
Palo Pinto Nursing Ctr
Palomin, Omar, LPT
Parhizgar, Amin, MD
Parkhill, Rachel P, APN
Pate, Preston L, MD
Patel, Ann, OD
Patel, Nikunjkumar I, MD
Patel, Sunil S, MD
Patel, Yogeshkum T, MD
Patterson, Sheila F, APN
Patyrak, Robert S, MD
Paulk, Jo Anne C, DO
Payne, Paul B, MD
Pecan Valley Healthcare Residence
Pendergrass, Mia R, AUDIO
Penmetsa, Santhi, MD
Penn, Tracy A, PA
Perez Povis, Lorena D, MD
Perret II, Kenneth A, MD
Perry, Cynthia A, MD
Peterson, Christopher C, MD
Pfaff, John K, MD
Phelan, Mark J, MD
Pickett, Jennifer J, APN
Pilgrim, Scott M, MD
Pittman, Timothy S, DC
Pizzola, Jason L, MD
Podaralla, Srikanth, MD
Polone, Regan W, PA
Polone, Shannon S, PA
Porisch, Mary E, MD
Posey, Klarisa R, APN
Postelwait, Darren L, OD
Power, Jeffrey G, DC
Prater Jr, William E, MD
Preedom, Maya E, OT
Preston, Kerry C, OD
Preston, Shona, APN
Price, Diana L, APN
Priddy, Leddy M, LPT
Priestner, Vincent J, MD
Prieto, Roberto, MD
Proctor, Elizabeth R, SLP
Professional Health Services Inc
Puppala, Jagadish, MD
Purdy, Aaron G, MD
Purpura, James J, DO
Quest Diagnostics
Radack, Jill A, MD
Rak, Bridget M, RD
Ramachandran, Poongodhai, MD
Ramamurthy, Hariharan, MD
Independent Provider Network (IPN)
bmk_pinsi_lt
Ramirez, Kristin F, APN
Ramirez, Mark A, MD
Ramolia, Paras B, MD
Ramon, Regina, SLP
Ramos, Amanda M, APN
Ramsey, Alice L, MD
Ramsey, David B, MD
Ramsey, Pamela M, MD
Randell, David J, DO
Randell II, David J, DC
Ravipudi, Sanjeev, MD
Ray, Anish, MD
Ray, Carri H, AUDIO
Readinger, Richard I, MD
Reddy, Guduru R, MD
Reddy, Janardhana P, MD
Redrow, Mark W, MD
Reed, Shayli, OT
Reeves, Shila R, OT
Reeves, Susan D, SLP
Regency House
Reid, Thomas R, MD
Reifle, Sheila R, MD
Reimer, Mark B, MD
Renfro, Sarah B, APN
Reynolds, J Paul, MD
Rhema Medical
Rice, Wendi V, CNM
Richeh, Chadi, MD
Richeh, Wael, MD
Richert, Harvey M, MD
Richie Gillespie, Mayme F, MD
Rider, Jane C, MD
Righi, Angela D, LPT
Riley, Collin C, LPT
Riley, Peggy L, APN
Riley, Whitney L, OT
Rinard, Katherine L, MD
Rios, Ana M, MD
Ritter, Steven E, MD
Roach, Dee A, MD
Roach, Kristy M, SLP
Roark, Gary D, MD
Robbins, Robert M, LPT
Robbins, Stewart D, OD
Roberson, Katie R, SLP
Roberts, Stephen J, MD
Robinson, Lynn M, MD
Robinson Jr, Noel K, MD
Robinson, Tammie L, APN
Rodriguez, Jorge D, OD
Rogers, Denice D, APN
Rolling Plains Memorial Hospital
Home Health
Romatowski, Robert, PA
Rosario Feliciano, Ralphie A, MD
Rose, Nadine T, MD
Rosen, Robert T, MD
Rosenthal Jr, Harry, MD
Ross, Scott K, MD
Roten, Lisa M, MD
Roy, Sani A, MD
Rubin, Mark A, MD
Rudolph, Timothy N, MD
Rudy, Delbert C, MD
Rustmann, Walter C, DO
Rutland, Marsha E, LPT
Rutledge, Cynthia A, DO
Ryali, Neelima D, MD
Ryan, Kellie M, APN
Salama, Mostafa M, MD
Saldivar, Oralia, APN
Salvi, Sambhitab S, MD
Salyer, Eddie L, DC
San Angelo Home Health
Sanchez, Rafael G, MD
Santos, Alfred A, MD
Sargent, Karen S, MD
Sarraff, Michelle A, MD
Sawyer, Becky L, PA
Sawyer, Stephen P, MD
Schaeffer, Elizabeth H, LPT
Schnitzer, Delilah M, APN
Schowengerdt, Rebecca, PA
Schultz, Douglas, MD
Listing
Schultz, Susan L, APN
Schulze, Jerry, MD
Schuster, Tina K, DO
Schutte, Deborah A, MD
Scott, Joseph D, MD
Seger, Mary T, MD
Seifert, Saundra E, MD
Senior Care At Stephenville
Senior Care of Brownwood
Senior Care of Meadow Creek
Senior Care of San Angelo
Serna, Fermin A, APN
Seth, John A, APN
Shaffer, Shelda M, OD
Shafiu, Mohamed, MD
Shah, Koonj A, MD
Shanks, Michael T, OD
Shannon Home Health Services
Shannon Medical Center
Shannon Medical Center Skilled
Nursing Unit
Shapiro, Michael, MD
Shelton, Mark M, MD
Shelton, Mary D, SLP
Shepherd, Brent H, MD
Sherrod, Christina R, MD
Sherrod, Gene A, MD
Sherwood, Brent W, MD
Shinn, Linda K, PA
Shringeri, A P, MD
Shults, Sandra D, MD
Simpson, Patricia A, APN
Simpson Jr, William F, DO
Sims, Marcus L, DO
Sinclair, Jerry W, MD
Singer, Michael A, MD
Sirianni, Valerie R, PA
Sitzes, Patricia J, SLP
Slaven, Jennifer D, APN
Sleep Diagnostic Center of
Southwest Texas
Sloan, Martin V, DPM
Sloan, Randall L, DO
Smith, Dustin W, DPM
Smith, James W, DO
Smith, Kathryn S, APN
Smith, Kevin A, DC
Smith, Loretta L, PA
Smith, Opal, APN
Smith, Rachel D, SLP
Smith, Trudy L, PA
Smithwick, Jerrie D, APN
Smola, Jeremy R, DO
Snook, Ashley P, APN
Snowden, Sara A, LPT
Sorgen, Stephen, MD
Sorrels, William F, DO
Sosolik, Debra L, APN
South Texas Medical Supply
Southall, Belinda J, DC
Spencer, Victoria O, MD
Spillers, Bridgett D, APN
Stallard, Christopher A, APN
Stanley, Richard D, MD
Stava, Victor L, PA
Steadman, Brent M, MD
Steele Perkins, Shanna L, APN
Steelman, Joel W, MD
Stegemoller, Kristen L, MD
Stepczynski, Jacek M, LPT
Stephens Health Care Inc
Stephens Memorial Hospital SNF
Stephenson, Donald J, PA
Stephenson, Sara L, PA
Stephenville Sports Rehab Phys
Stepp, Raymond W, OD
Stevens, Bradley N, PA
Stevenson, John A, MD
Stewart, Julie B, APN
Stogryn, Ronald S, MD
Stojanovic, Tamara, MD
Stokes, Cindy L, APN
Stokes, Eugene W, MD
Stone, Joshua S, PA
Storey, Benjamin S, DC
65
Stotts, Darci J, DC
Streich, Jodi H, OD
Stribling, Katherine M, SLP
Striegler, Robert L, MD
Stuart Jr, Derrill A, MD
Studt, Mary E, PA
Summers, Lee W, DC
Sun, Kai M, DO
Sunkavalli, Krishna, MD
Superior Hospice of Del Rio LLC
Surber, Ashley D, APN
Sutliff, Lourell E, MD
Swarna, Udaya S, MD
Szabo, Karen A, PA
Taff, Amber M, APN
Taff, Richard, PA
Tanglewood Medical Supplies Inc
Tankersley, Boyce, APN
Tarkenton, Tim R, MD
Tarkenton, Tom A, DO
Taylor, Dayna L, LPT
Taylor, Jason G, MD
Taylor, Rebecca C, APN
Taylor, Susan J, MD
Taylor Chinn, Michelle L, APN
Teague, Brettly J, MD
Terrell, Frank V, MD
Texas Midwest Surgery Center
Texhoma Medical Services
Thambidorai, Senthil, MD
Thames, Paul B, MD
Thane, Trussell L, OD
Thelen, Andrea K, PA
Thiberville, Sunnie J, APN
Thigpen, Brad D, DO
Thom, William H, MD
Thomas, Steven M, DC
Thomas, Teena C, MD
Thomas Aguilar, Velma E, PA
Thompson, Christopher R, MD
Thomson, Deborah A, PA
Thornton, Paul S, MD
Thorp, Gorman M, MD
Tice, Brett A, LPT
Tidmore, Taylor R, MD
Tindol, Amy B, MD
Tomberlin, Janice K, MD
Toombs, Wade B, OD
Toro, Maria T, MD
Torres, Sherron L, APN
Totoe, Robert A, MD
Tran, Thuy D, MD
Travis Medical Sales Corporation
Tri Star Home Care Inc
Trifilo, Richard D, MD
Tumlinson, Kaci L, SLP
Turk, David, DC
Turner, Taryn J, DO
Twelves Caballero, Celeste X, MD
TX Hlth Harris Methodist Erath Co
Tyler, Erica R, LPT
Ulrich, Brian K, MD
Untalan, Raymund M, MD
Uribe, Cristina R, SLP
Uricchio, Francis J, MD
Uromed Inc
Usrc Tarrant Dial Mineral Wells
Vadlamani, Lalit, MD
Val Verde Hospital Corpoaration
Van Acht, Vincent L, MD
Vanden Berge, Kevin M, MD
Vanderzant, Christopher W, DO
Vann, Elliott R, MD
Varghese, Joji J, MD
Vaughan, Christopher A, APN
Vaughan, Daniel J, MD
Vaughn, Karen R, MD
Vega Dulanto, Ivanoe J, MD
Vickers, Lonnie L, MD
Vidacic, Aleksandra, MD
Viertel, Lacy A, LPT
Villa Haven Health Rehab Ctr
Villarreal, Clarisa A, SLP
Villers, James F, LPT
Vosburg, Caleb, MD
Vulcan, Marius, MD
Wadley, James W, OD
Wagnon, Michael A, DO
Waldrip, Greg W, DC
Walia, Ishmeet, MD
Walker, Andrew S, MD
Walker, Curtis L, DC
Walker, Kelsey A, LPT
Wall, Krista L, SLP
Wallace, Drew G, DC
Wallendorff, Lacey J, OD
Walsh, Heather G, MD
Walthall, Ellen D, MD
Walts, Kayleigh N, LPT
Walvoord, Keith, MD
Ward, Charisse J, MD
Warman, Leroy, OT
Warren, William J, DPM
Weaver, Jacqueline C, DC
Wehner, Karl, MD
Werner, Kara M, SLP
West Texas Medical Associates
West Texas Rehabilitation Center Inc
West Texas Renal Care Center Inc
Western Hills Healthcare Residenc
Westmoreland, Leslie D, DO
Westmoreland, Scott E, DPM
Wheat, Danny E, DPM
White, Chad L, MD
White, James R, MD
White, Jennifer L, LPT
Whitehead, Brandi L, PA
Whitehead III, William F, MD
Whiting, Craig D, DO
Whitten Jr, Buren A, PA
Whitworth, Mary S, MD
Wiggins Smith, Jenny M, DO
Wilburn, Travis R, APN
Wilke, Angela D, APN
Wilkinson, Cody J, OD
Wilkinson, Joe B, MD
Wilkinson, Susan C, APN
Williams, Brandie D, MD
Williams Jr, George T, MD
Williams, Kory D, DPM
Williams, Randy L, LPT
Williams, Ryan C, PA
Williamson, Leslie K, MD
Willis, Jennifer M, MD
Willow Springs Health and Rehabil
Wilson, Donnie, MD
Wilson, Jennifer V, APN
Wilson, Jerrye Lyn H, SLP
Wilson, Kelly W, MD
Wilson, Laura N, LPT
Wilson, Mary E, APN
Wilson, Misty D, SLP
Wilson, Suzan, SLP
Wimpee, Marc W, MD
Winton, Kenneth R, DO
Wisteria Place
Witkowski, Kimberly K, SLP
Witt, Ginny P, LPT
Wofford, Scott D, DC
Wohl, Eric L, MD
Womack, Brandi R, LPT
Wong, Nancy, MD
Wray, John A, DO
Wray, Thomas J, DO
Wright, Marion J, PA
Wright, Monty C, DC
Wuenschel, Diedra D, DO
Wymore, Jessie L, SLP
Wymore, Matthew A, OT
Yarborough, Sarah A, SLP
Yeh, Amelia, MD
Yost, James G, MD
Yost, Nicole P, MD
Young, Blake M, DC
Young, Elizabeth L, MD
Young, Sara E, LPT
Young County Home Health Care Inc
Zamora Salinas, Rolando, MD
Zarate Caceres, Hernan A, MD
Zhang, Ren, MD
Independent Provider Network (IPN)
bmki_pn_sil t
Listing
Zhao, Guangquan, MD
Zimmerman, Renee, APN
Zondag, Daniel, DC
Zubak, Joseph J, MD
66
OCTOBER 17, 2016
Behavioral Health Providers
OCTOBER 17, 2016
ABILENE
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
October 17, 2016
Abilene
ABILENE
LICENSED CLINICAL SOCIAL
WORKER
Abilene
Abilene
Abilene
Jamison, Jeffrey David, LCSW
3233 S Willis St
(325) 829-9446
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Schizophrenia and other
Psychotic Disorders
Marentes, Gwendolyn M, LCSW
100 Chestnut St Ste 101
(325) 676-8963
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
6-12 Affective Mood Disorders,
BH 6-12 Anxiety Disorders, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders
Tuley, Derek Alan, LCSW
318 Cedar St
(325) 672-7055
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Chemical
Dependency, BH 13-17 Eating
Disorders, BH 13-17 Gay/Lesbian
Issues, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Eating Disorders, BH 18-64
Gay/Lesbian Issues, BH 18-64
Pain Management, BH 18-64
Pastoral Counseling, BH 18-64
Schizophrenia & other Psych
Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Chemical Dependency, BH 6-12
Eating Disorders, BH 6-12 Gay/
Lesbian Issues, BH 6-12 Pain
Management, BH 6-12 Pastoral
Counseling, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Eating Disorders, BH 65+ Gay/
Lesbian Issues, BH 65+ Pain
Management, BH 65+ Pastoral
Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
Abilene
Abilene
Abilene
LICENSED MARRIAGE/FAMILY
THERAPY
Abilene
Stuckey, David E, LCSW
100 Chestnut St Ste 101
(325) 676-8963
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Eating Disorders, BH 13-17
Pastoral Counseling, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Eating Disorders, BH 18-64
Pastoral Counseling, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Eating Disorders, BH 6-12
Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+ Eating
Disorders, BH 65+ Pastoral
Counseling
Abilene
Cadoo, Valorie Walters, LMFT
1049 N Third St Ste 603
(325) 733-6065
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Eating Disorders, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Eating
Disorders, BH 6-12 Pain
Management, BH 6-12 Pastoral
Counseling, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Eating Disorders, BH 65+
Pain Management, BH 65+
Pastoral Counseling
Cogburn, Jonathan N, LMFT
500 Chestnut St Unit 1001
(325) 437-1001
Abilene
Etheredge, Gretchen E, LMFT
1401 Griffith Rd
(325) 428-7360
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Gay/Lesbian
Issues, BH 13-17 Pastoral
Counseling, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pastoral Counseling, BH
65+ Abuse (Physical and/or
Sexual), BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Gay/Lesbian
Issues, BH 65+ Pastoral
Counseling
Finley, Michael A, LMFT
100 Chestnut St Ste 101
(325) 676-8963
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH
13-17 Affective Mood Disorders,
BH 13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders, BH 65+
Attention Deficit Disorders
Greer, James Crawford, LMFT
1502 N First St
(325) 672-9999
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Chemical Dependency, BH 0-5
Pastoral Counseling, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Chemical Dependency, BH
13-17 Pastoral Counseling, BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Pastoral Counseling, BH
6-12 Affective Mood Disorders,
BH 6-12 Anxiety Disorders, BH
6-12 Chemical Dependency, BH
6-12 Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Pastoral Counseling
McMurray, Rebecca Howle, LMFT
100 Chestnut St Ste 101
(325) 676-8963
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
67
Abilene
Abilene
Merchant, Lisa Vallie, LMFT
318 Cedar St
(325) 665-7480
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Gay/Lesbian
Issues, BH 13-17 Pastoral
Counseling, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pastoral Counseling, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Gay/Lesbian
Issues, BH 6-12 Pastoral
Counseling, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+ Gay/
Lesbian Issues, BH 65+ Pastoral
Counseling
Spell, Michael C, LMFT
500 Chestnut St Ste 1001
(325) 437-1001
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Pastoral Counseling, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Pastoral Counseling
LICENSED PROFESSIONAL
COUNSELOR
Abilene
Abilene
Bowen, Deborah K, LPC
2666 Industrial Blvd
(325) 669-9770
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders
Abilene
Abilene
Boyd, Thomas Louis, LPC
1290 S Willis St Ste 206
(325) 695-2673
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5 Pain
Management, BH 0-5 Pastoral
Counseling, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+ Pain
Management, BH 65+
Schizophrenia and other
Psychotic Disorders
Duwe, Madge C, LPC
1002 US Hwy 80 E
(806) 543-3492
Practice Information: BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 13-17
Attention Deficit Disorders, BH
13-17 Chemical Dependency, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 6-12 Attention Deficit
Disorders, BH 6-12 Chemical
Dependency, BH 65+ Attention
Deficit Disorders, BH 65+
Chemical Dependency
Eller, Steven B, LPC
229 Palomino Rd
(325) 660-0685
Behavioral Health Providers
ABILENE
OCTOBER 17, 2016
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
Abilene
ABILENE Cont
LICENSED PROFESSIONAL
COUNSELOR Cont
Abilene
Abilene
Abilene
Fleet, Tracy Lee, LPC
318 Cedar St
(325) 672-7055
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Pastoral Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Pastoral Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
Abilene
Abilene
Fogle, Samuel Patrick, LPC
1219 E S 11th St Ste A
(325) 676-2039
Gindratt, Carol Lynn, LPC
1219 E S 11th St Ste A
(325) 676-2039
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Pastoral Counseling, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Pastoral Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Pastoral Counseling,
BH 18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Pastoral Counseling, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Abilene
Green, Susan Blake, LPC
401 Cypress St Ste 416
(325) 668-5000
Practice Information: BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Eating
Disorders, BH 18-64 Pastoral
Counseling, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+ Eating
Disorders, BH 65+ Pastoral
Counseling
Heard, Patrick Carroll, LPC
500 Chestnut St Ste 1001
(325) 437-1001
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Pastoral Counseling, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Pastoral Counseling,
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Pastoral Counseling, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Pastoral Counseling
Abilene
Abilene
Irby, Paul Buckner, LPC
1502 N First St
(325) 672-9999
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Anxiety Disorders, BH
18-64 Abuse (Physical and/or
Sexual), BH 18-64 Anxiety
Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Anxiety Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Anxiety Disorders
Jergins, Janet Leavell, LPC
500 Chestnut St Ste 1001
(325) 437-1001
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Chemical
Dependency, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Chemical
Dependency, BH 18-64 Gay/
Lesbian Issues, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Chemical
Dependency, BH 6-12 Gay/
Lesbian Issues, BH 6-12 Pastoral
Counseling, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Gay/Lesbian Issues, BH 65+
Pastoral Counseling
Abilene
Kesler, Michael Glenn, LPC
1502 N First St
(325) 672-9999
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Pastoral
Counseling, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Pastoral Counseling,
BH 65+ Abuse (Physical and/or
Sexual), BH 65+ Affective Mood
Disorders, BH 65+ Pastoral
Counseling
Manry Williams, Rhonda R, LPC
1502 N First St
(325) 672-9999
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5 Pastoral
Counseling, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 13-17 Gay/Lesbian
Issues, BH 13-17 Pastoral
Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pastoral Counseling, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Pastoral Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
McQueen, Carl V, LPC
1219 E S 11th St Ste A
(325) 676-3039
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Chemical Dependency,
BH 13-17 Eating Disorders, BH
13-17 Pastoral Counseling, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Pastoral Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
68
Abilene
Abilene
Morrison, Roy Benjamin, LPC
3444 N First St Ste 401
(325) 690-1313
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 6-12
Eating Disorders, BH 6-12 Gay/
Lesbian Issues, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues
Murray, Rhonna Gayle, LPC
3300 S 14th St Ste 308
(325) 672-6055
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Pain Management, BH 0-5
Psychological Testing, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Pain
Management, BH 13-17
Psychological Testing, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Pain Management, BH
18-64 Psychological Testing, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Pain Management, BH 6-12
Psychological Testing, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+ Pain
Management, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
Abilene
Abilene
Nethery, Susan A, LPC
490 Vinson Rd S
(325) 692-4734
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5 Pain
Management, BH 0-5 Pastoral
Counseling, BH 13-17 Affective
Mood Disorders, BH 13-17
Anxiety Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 18-64 Affective
Mood Disorders, BH 18-64
Anxiety Disorders, BH 18-64
Chemical Dependency, BH 18-64
Eating Disorders, BH 18-64 Gay/
Lesbian Issues, BH 18-64 Pain
Management, BH 18-64 Pastoral
Counseling, BH 6-12 Affective
Mood Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Chemical
Dependency, BH 6-12 Eating
Disorders, BH 6-12 Gay/Lesbian
Issues, BH 6-12 Pain
Management, BH 6-12 Pastoral
Counseling, BH 65+ Affective
Mood Disorders, BH 65+ Anxiety
Disorders, BH 65+ Chemical
Dependency, BH 65+ Eating
Disorders, BH 65+ Gay/Lesbian
Issues, BH 65+ Pain
Management, BH 65+ Pastoral
Counseling
Orner, Marc M, LPC
3444 N First St Ste 401
(325) 690-1313
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Schizophrenia and other
Psychotic Disorders
Behavioral Health Providers
OCTOBER 17, 2016
ABILENE
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
Abilene
ABILENE Cont
LICENSED PROFESSIONAL
COUNSELOR Cont
Abilene
Abilene
Abilene
Parker, Melody Lyn, LPC
100 Chestnut St Ste 101
(325) 676-8963
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5 Eating
Disorders, BH 0-5 Pastoral
Counseling, BH 13-17 Affective
Mood Disorders, BH 13-17
Anxiety Disorders, BH 13-17
Eating Disorders, BH 13-17
Pastoral Counseling, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Eating Disorders, BH 18-64
Pastoral Counseling, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Eating Disorders, BH 6-12
Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+ Eating
Disorders, BH 65+ Pastoral
Counseling
Potter, Jesse M, LPC
1219 E S 11th St Ste A
(325) 676-2039
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Chemical Dependency,
BH 0-5 Pastoral Counseling, BH
13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Chemical
Dependency, BH 13-17 Pastoral
Counseling, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Pastoral Counseling,
BH 6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Chemical
Dependency, BH 6-12 Pastoral
Counseling, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Chemical Dependency, BH 65+
Pastoral Counseling
Rhodes, Christine N, LPC
318 Cedar St
(325) 672-7055
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Gay/Lesbian Issues, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Gay/Lesbian Issues, BH 18-64
Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
Abilene
Abilene
Richardson, Amy Lynne, LPC
100 Chestnut St Ste 101
(325) 676-8963
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Eating Disorders, BH 0-5 Pain
Management, BH 0-5 Pastoral
Counseling, BH 0-5 Psychological
Testing, BH 0-5 Schizophrenia
and other Psychotic Disorders,
BH 13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 13-17
Psychological Testing, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Eating Disorders, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
18-64 Psychological Testing, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Eating Disorders, BH 6-12
Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Psychological Testing, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+ Pain
Management, BH 65+
Schizophrenia and other
Psychotic Disorders
Sanders, Rick Allen, LPC
4601 Buffalo Gap Rd Ste A1
(325) 692-1530
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Gay/Lesbian Issues, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Chemical Dependency,
BH 13-17 Gay/Lesbian Issues, BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Gay/Lesbian Issues, BH
6-12 Affective Mood Disorders,
BH 6-12 Anxiety Disorders, BH
6-12 Attention Deficit Disorders,
BH 6-12 Chemical Dependency,
BH 6-12 Gay/Lesbian Issues, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Gay/Lesbian Issues
Shugart, Margaret Pace, LPC
1502 N First St
(325) 672-9999
Practice Information: BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Pastoral Counseling, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Pastoral Counseling
Abilene
Abilene
Abilene
Sizemore, April C, LPC
500 Chestnut St Ste 1511
(325) 766-7578
Practice Information: BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Eating Disorders, BH 18-64 Gay/
Lesbian Issues, BH 18-64 Pain
Management, BH 18-64 Pastoral
Counseling, BH 18-64
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+ Pain
Management, BH 65+ Pastoral
Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
Smothermon, Jennifer Ruth, LPC
1502 N First St
(325) 672-9999
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Pain
Management, BH 0-5 Pastoral
Counseling, BH 13-17 Abuse
(Physical and/or Sexual), BH
13-17 Affective Mood Disorders,
BH 13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Chemical Dependency,
BH 13-17 Eating Disorders, BH
13-17 Pain Management, BH
13-17 Pastoral Counseling, BH
18-64 Abuse (Physical and/or
Sexual), BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Eating Disorders, BH 18-64 Pain
Management, BH 18-64 Pastoral
Counseling, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Pain Management, BH 6-12
Pastoral Counseling, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Chemical Dependency,
BH 65+ Eating Disorders, BH 65+
Pain Management, BH 65+
Pastoral Counseling
St Cyr, Adam V, LPC
1219 E S 11th St Ste A
(325) 676-2039
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Chemical Dependency, BH
13-17 Pastoral Counseling, BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Pastoral Counseling, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Pastoral Counseling
69
Abilene
Abilene
St Cyr, Sarah Elizabeth, LPC
1219 E S 11th St Ste A
(325) 676-2039
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Chemical Dependency, BH 0-5
Pastoral Counseling, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Chemical Dependency, BH
13-17 Pastoral Counseling, BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Pastoral Counseling, BH
6-12 Affective Mood Disorders,
BH 6-12 Anxiety Disorders, BH
6-12 Chemical Dependency, BH
6-12 Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Pastoral Counseling
Strain, Melissa L, LPC
3444 N First St Ste 401
(325) 690-1313
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Eating Disorders, BH 18-64 Gay/
Lesbian Issues, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 6-12
Eating Disorders, BH 6-12 Gay/
Lesbian Issues, BH 6-12 Pastoral
Counseling, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Pastoral Counseling
Abilene
Abilene
Taff, Laura Christina, LPC
1502 N First St
(325) 672-9999
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Pastoral Counseling, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 6-12
Pastoral Counseling, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Chemical Dependency,
BH 65+ Pastoral Counseling
Watson, Edwyna Ann, LPC
1500 Industrial Blvd Ste 220
(325) 672-9106
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Chemical Dependency, BH
13-17 Eating Disorders, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Eating Disorders, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Chemical Dependency, BH 6-12
Eating Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Eating Disorders
Behavioral Health Providers
ABILENE
OCTOBER 17, 2016
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
Abilene
ABILENE Cont
LICENSED PROFESSIONAL
COUNSELOR Cont
Abilene
Abilene
Whitten, Elya Hope, LPC
1502 N First St
(325) 672-9999
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5 Pastoral
Counseling, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Pastoral Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pastoral Counseling, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Pastoral Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
Willis, Charles Stephen, LPC
500 Chestnut St Unit 1001
(325) 437-1001
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Pastoral Counseling,
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Pastoral Counseling, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Pastoral Counseling
Young, Cynthia Pearce, LPC
1219 E S 11th St Ste A
(325) 676-2039
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Pastoral
Counseling, BH 13-17 Abuse
(Physical and/or Sexual), BH
13-17 Affective Mood Disorders,
BH 13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Chemical Dependency,
BH 13-17 Eating Disorders, BH
13-17 Pastoral Counseling, BH
18-64 Abuse (Physical and/or
Sexual), BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Eating Disorders, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 6-12
Eating Disorders, BH 6-12
Pastoral Counseling, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Chemical Dependency,
BH 65+ Eating Disorders, BH 65+
Pastoral Counseling
PSYCHIATRY
Abilene
Casada, John Houston, MD
318 Cedar St
(325) 672-7055
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Pastoral Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Pastoral Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
Abilene
Crowley, John D, MD
318 Cedar St
(325) 672-7055
PSYCHOLOGY
Abilene
4225 Woods Pl
(325) 698-6600
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Attention Deficit Disorders,
BH 0-5 Chemical Dependency,
BH 0-5 Eating Disorders, BH 0-5
Gay/Lesbian Issues, BH 0-5
Neuropsychological Testing, BH
0-5 Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Neuropsychological Testing, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Attention Deficit
Disorders, BH 18-64 Chemical
Dependency, BH 18-64 Eating
Disorders, BH 18-64 Gay/Lesbian
Issues, BH 18-64
Neuropsychological Testing, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Attention Deficit Disorders,
BH 6-12 Chemical Dependency,
BH 6-12 Eating Disorders, BH
6-12 Gay/Lesbian Issues, BH
6-12 Neuropsychological Testing,
BH 6-12 Schizophrenia & other
Psych Disorders, BH 65+
Affective Mood Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Schizophrenia and other
Psychotic Disorders
Abilene
Abilene
70
Allison, Stephen Harold, PHD
318 Cedar St
(325) 672-7055
(325) 674-6838
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Gay/Lesbian Issues, BH 13-17
Pain Management, BH 13-17
Pastoral Counseling, BH 13-17
Psychological Testing, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
18-64 Psychological Testing, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Gay/Lesbian Issues, BH
6-12 Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Psychological Testing, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Gay/Lesbian Issues, BH 65+
Pain Management, BH 65+
Pastoral Counseling, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
Abilene
Abilene
Brinkman, Samuel D, PHD
4755 Hartford St
(325) 677-3172
Brown, Robert Scott, PHD
1500 Industrial Blvd Ste 220
(325) 672-9106
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 13-17
Psychological Testing, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64 Pain
Management, BH 18-64 Pastoral
Counseling, BH 18-64
Psychological Testing, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Pain
Management, BH 6-12 Pastoral
Counseling, BH 6-12
Psychological Testing, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Pain Management, BH
65+ Pastoral Counseling, BH 65+
Psychological Testing
Abilene
Fleming, Sherry Diane, PHD
4601 Buffalo Gap Rd Ste A1
(325) 692-1530
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Attention Deficit Disorders, BH
13-17 Affective Mood Disorders,
BH 13-17 Attention Deficit
Disorders, BH 18-64 Affective
Mood Disorders, BH 18-64
Attention Deficit Disorders, BH
6-12 Affective Mood Disorders,
BH 6-12 Attention Deficit
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Attention
Deficit Disorders
Osborn, Stephen M, PHD
4601 Buffalo Gap Rd Ste C6
(325) 695-2232
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Eating Disorders, BH 0-5
Neuropsychological Testing, BH
0-5 Psychological Testing, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 13-17
Neuropsychological Testing, BH
13-17 Psychological Testing, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Eating Disorders, BH
18-64 Neuropsychological
Testing, BH 18-64 Psychological
Testing, BH 18-64 Schizophrenia
& other Psych Disorders, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Eating
Disorders, BH 6-12
Neuropsychological Testing, BH
6-12 Psychological Testing, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Russell, Roger Allen, PHD
500 Chestnut St Ste 1001
(325) 437-1001
Practice Information: BH 0-5
Attention Deficit Disorders, BH 0-5
Psychological Testing, BH 13-17
Attention Deficit Disorders, BH
13-17 Psychological Testing, BH
18-64 Attention Deficit Disorders,
BH 18-64 Psychological Testing,
BH 6-12 Attention Deficit
Disorders, BH 6-12 Psychological
Testing, BH 65+ Attention Deficit
Disorders, BH 65+ Psychological
Testing
Behavioral Health Providers
OCTOBER 17, 2016
BROWNWOOD
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
Williams, Pamela, LPC
2802 W Walker St
(254) 559-7215
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 13-17 Gay/Lesbian
Issues, BH 13-17 Schizophrenia &
other Psych Disorders, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64 Eating
Disorders, BH 18-64 Gay/Lesbian
Issues, BH 18-64 Schizophrenia &
other Psych Disorders, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Eating
Disorders, BH 6-12 Gay/Lesbian
Issues, BH 6-12 Schizophrenia &
other Psych Disorders, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Schizophrenia and other
Psychotic Disorders
Breckenridge
ALBANY
LICENSED PROFESSIONAL
COUNSELOR
Albany
Albany
Bass, Shawnah Danell, LPC
725 Pate St
(325) 762-2447
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Gay/Lesbian Issues, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Gay/Lesbian Issues, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Gay/Lesbian Issues, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Williams, Pamela, LPC
725 Pate St
(325) 762-2447
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 13-17 Gay/Lesbian
Issues, BH 13-17 Schizophrenia &
other Psych Disorders, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64 Eating
Disorders, BH 18-64 Gay/Lesbian
Issues, BH 18-64 Schizophrenia &
other Psych Disorders, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Eating
Disorders, BH 6-12 Gay/Lesbian
Issues, BH 6-12 Schizophrenia &
other Psych Disorders, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Schizophrenia and other
Psychotic Disorders
BLUFF DALE
LICENSED PROFESSIONAL
COUNSELOR
Hoffman, Renee T, LPC
255 Anglers Rdg
(817) 945-6922
Practice Information: BH 0-5
Psychological Testing
Bluff Dale
BRADY
LICENSED CLINICAL SOCIAL
WORKER
Brady
Swanson, Mary Ruth, LCSW
1606 S Bridge St
(325) 642-7882
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Eating Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Eating
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Eating Disorders, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Eating
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+ Eating
Disorders
BRECKENRIDGE
LICENSED PROFESSIONAL
COUNSELOR
Keith, Nannette M, LPC
2802 W Walker St
(254) 559-7215
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5 Pain
Management, BH 0-5 Pastoral
Counseling, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+ Pain
Management, BH 65+ Pastoral
Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
Breckenridge
BROWNWOOD
LICENSED CLINICAL SOCIAL
WORKER
Fleming, Jerry Wayne, LCSW
205 Center Ave
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5 Pain
Management, BH 0-5 Pastoral
Counseling, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+ Pain
Management, BH 65+ Pastoral
Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
Brownwood
Oliver, Sharon Kay, LCSW
2700 Hwy 377 S Ste 114
(325) 643-3906
Practice Information: BH 0-5
Chemical Dependency, BH 13-17
Chemical Dependency, BH 18-64
Chemical Dependency, BH 6-12
Chemical Dependency, BH 65+
Chemical Dependency
Brownwood
71
Behavioral Health Providers
BROWNWOOD
OCTOBER 17, 2016
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
Cruz Jr, Tony Murillo, LPC
408 Mulberry St
(325) 646-9574
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Chemical
Dependency, BH 13-17
Psychological Testing, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Chemical
Dependency, BH 18-64
Psychological Testing, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Chemical
Dependency, BH 6-12
Psychological Testing, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Chemical Dependency, BH
65+ Psychological Testing
Brownwood
BROWNWOOD Cont
LICENSED CLINICAL SOCIAL
WORKER Cont
Swanson, Mary Ruth, LCSW
114 Center Ave Ste 307
(325) 642-7882
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Eating Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Eating
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Eating Disorders, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Eating
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+ Eating
Disorders
Brownwood
LICENSED PROFESSIONAL
COUNSELOR
Bean, Athena H, LPC
2700 Hwy 377 S Ste 118
(325) 646-7594
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
65+ Abuse (Physical and/or
Sexual), BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+
Chemical Dependency, BH 65+
Eating Disorders, BH 65+ Gay/
Lesbian Issues, BH 65+ Pain
Management, BH 65+ Pastoral
Counseling
Brownwood
Bennett, Kimber Carney, LPC
205 Center Ave
(325) 649-4357
Practice Information: BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64 Eating
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders
Brownwood
Dendy, Amber Alynn, LPC
2421 Austin Ave
(325) 646-2155
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 13-17 Abuse (Physical and/or
Sexual), BH 18-64 Abuse
(Physical and/or Sexual), BH 6-12
Abuse (Physical and/or Sexual),
BH 65+ Abuse (Physical and/or
Sexual)
Brownwood
Harriss, Linda Sue, LPC
2421 Austin Ave
(325) 646-2155
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 13-17 Abuse (Physical and/or
Sexual), BH 18-64 Abuse
(Physical and/or Sexual), BH 6-12
Abuse (Physical and/or Sexual),
BH 65+ Abuse (Physical and/or
Sexual)
Brownwood
Huggins, Melodee Sue, LPC
205 Center Ave
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH
13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders
Brownwood
Leverett, Kristi Alain, LPC
205 Center Ave
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH
13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
Brownwood
McKelvy, Tammie Sue, LPC
408 Mulberry St
(325) 646-9574
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Chemical Dependency, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Schizophrenia and other
Psychotic Disorders
Brownwood
Saint, Alexis Milam, LPC
205 Center Ave
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Gay/Lesbian Issues, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Gay/Lesbian Issues, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Gay/Lesbian Issues, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 6-12
Gay/Lesbian Issues, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Chemical Dependency,
BH 65+ Gay/Lesbian Issues
Brownwood
Smith, Joseph B, LPC
408 Mulberry St
(325) 646-9574
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Brownwood
Thomas, Mylinda, LPC
205 Center Ave
(325) 649-4357
Brownwood
PSYCHIATRY
Tipton, George B, MD
408 Mulberry St
(325) 646-9574
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Brownwood
72
PSYCHOLOGY
Taylor, Pennissi P, PHD
205 Center Ave
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5
Neuropsychological Testing, BH
0-5 Pain Management, BH 0-5
Pastoral Counseling, BH 0-5
Psychological Testing, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Neuropsychological Testing, BH
13-17 Pain Management, BH
13-17 Pastoral Counseling, BH
13-17 Psychological Testing, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Neuropsychological
Testing, BH 18-64 Pain
Management, BH 18-64 Pastoral
Counseling, BH 18-64
Psychological Testing, BH 18-64
Schizophrenia & other Psych
Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Neuropsychological Testing, BH
6-12 Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Psychological Testing, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Neuropsychological Testing, BH
65+ Pain Management, BH 65+
Pastoral Counseling, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
CISCO
Brownwood
LICENSED CLINICAL SOCIAL
WORKER
Cisco
Fleming, Jerry Wayne, LCSW
1498 Interstate 20 W
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5 Pain
Management, BH 0-5 Pastoral
Counseling, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+ Pain
Management, BH 65+ Pastoral
Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
Behavioral Health Providers
OCTOBER 17, 2016
COLEMAN
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
CISCO Cont
CLYDE
PSYCHIATRY
Clyde
PSYCHOLOGY
Cisco
Taylor, Pennissi P, PHD
1498 Interstate 20 W
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5
Neuropsychological Testing, BH
0-5 Pain Management, BH 0-5
Pastoral Counseling, BH 0-5
Psychological Testing, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Neuropsychological Testing, BH
13-17 Pain Management, BH
13-17 Pastoral Counseling, BH
13-17 Psychological Testing, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Neuropsychological
Testing, BH 18-64 Pain
Management, BH 18-64 Pastoral
Counseling, BH 18-64
Psychological Testing, BH 18-64
Schizophrenia & other Psych
Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Neuropsychological Testing, BH
6-12 Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Psychological Testing, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Neuropsychological Testing, BH
65+ Pain Management, BH 65+
Pastoral Counseling, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
LICENSED PROFESSIONAL
COUNSELOR
Clyde
Williams, Pamela, LPC
PO Box 679
(325) 893-4010
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 13-17 Gay/Lesbian
Issues, BH 13-17 Schizophrenia &
other Psych Disorders, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64 Eating
Disorders, BH 18-64 Gay/Lesbian
Issues, BH 18-64 Schizophrenia &
other Psych Disorders, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Eating
Disorders, BH 6-12 Gay/Lesbian
Issues, BH 6-12 Schizophrenia &
other Psych Disorders, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Schizophrenia and other
Psychotic Disorders
Crowley, John D, MD
PO Box 679
(325) 893-4010
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Attention Deficit Disorders,
BH 0-5 Chemical Dependency,
BH 0-5 Eating Disorders, BH 0-5
Gay/Lesbian Issues, BH 0-5
Neuropsychological Testing, BH
0-5 Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Neuropsychological Testing, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Attention Deficit
Disorders, BH 18-64 Chemical
Dependency, BH 18-64 Eating
Disorders, BH 18-64 Gay/Lesbian
Issues, BH 18-64
Neuropsychological Testing, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Attention Deficit Disorders,
BH 6-12 Chemical Dependency,
BH 6-12 Eating Disorders, BH
6-12 Gay/Lesbian Issues, BH
6-12 Neuropsychological Testing,
BH 6-12 Schizophrenia & other
Psych Disorders, BH 65+
Affective Mood Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Schizophrenia and other
Psychotic Disorders
COLEMAN
Coleman
LICENSED CLINICAL SOCIAL
WORKER
Coleman
Fleming, Jerry Wayne, LCSW
118 W Pecan St
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5 Pain
Management, BH 0-5 Pastoral
Counseling, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+ Pain
Management, BH 65+ Pastoral
Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
LICENSED PROFESSIONAL
COUNSELOR
Coleman
73
PSYCHOLOGY
Huggins, Melodee Sue, LPC
118 W Pecan St Ste 413
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH
13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders
Taylor, Pennissi P, PHD
118 W Pecan St Ste 413
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5
Neuropsychological Testing, BH
0-5 Pain Management, BH 0-5
Pastoral Counseling, BH 0-5
Psychological Testing, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Neuropsychological Testing, BH
13-17 Pain Management, BH
13-17 Pastoral Counseling, BH
13-17 Psychological Testing, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Neuropsychological
Testing, BH 18-64 Pain
Management, BH 18-64 Pastoral
Counseling, BH 18-64
Psychological Testing, BH 18-64
Schizophrenia & other Psych
Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Neuropsychological Testing, BH
6-12 Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Psychological Testing, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Neuropsychological Testing, BH
65+ Pain Management, BH 65+
Pastoral Counseling, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
Behavioral Health Providers
CROSS PLAINS
OCTOBER 17, 2016
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
Del Rio
CROSS PLAINS
LICENSED PROFESSIONAL
COUNSELOR
Bass, Shawnah Danell, LPC
301 S Main St
(254) 725-4311
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Gay/Lesbian Issues, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Gay/Lesbian Issues, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Gay/Lesbian Issues, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Cross Plains
DEL RIO
LICENSED PROFESSIONAL
COUNSELOR
Del Rio
Slayton, Kent Sherman, LPC
501 W Cantu Rd Ste 400
(830) 774-4447
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Pastoral Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Pastoral Counseling,
BH 18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Pastoral Counseling, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Pastoral Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
Slayton, Rebecca Powell, LPC
501 W Cantu Rd Ste 400
(830) 774-4447
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Pastoral Counseling, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Pastoral Counseling, BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Pastoral Counseling, BH
6-12 Affective Mood Disorders,
BH 6-12 Anxiety Disorders, BH
6-12 Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Pastoral Counseling
GOLDTHWAITE
Graham
LICENSED PROFESSIONAL
COUNSELOR
Leverett, Kristi Alain, LPC
1249 W Parker
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH
13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
Goldthwaite
PSYCHIATRY
Del Rio
Dubois, Holly Colleen, MD
801 N Bedell Ave
(830) 774-2505
DUBLIN
LICENSED CLINICAL SOCIAL
WORKER
Dublin
Newton, Cynthia Nanette, LCSW
103 W Live Oak St
(325) 667-0037
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5 Pain
Management, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pain Management, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+ Pain
Management, BH 65+
Schizophrenia and other
Psychotic Disorders
PSYCHOLOGY
GRAHAM
LICENSED PROFESSIONAL
COUNSELOR
Graham
Graham
Ray, Andra Leigh, LPC
617 Third St
(940) 549-2259
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Pastoral
Counseling, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Pastoral Counseling, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Pastoral
Counseling, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Pastoral Counseling
Ray, Bryan Edward, LPC
617 Third St
(940) 549-2259
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Pastoral Counseling,
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Pastoral Counseling, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Pastoral Counseling
74
Bates, Brandon Pat, PHD
617 Third St
(940) 549-2259
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5
Neuropsychological Testing, BH
0-5 Pain Management, BH 0-5
Pastoral Counseling, BH 0-5
Psychological Testing, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Neuropsychological Testing, BH
13-17 Pain Management, BH
13-17 Pastoral Counseling, BH
13-17 Psychological Testing, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Neuropsychological
Testing, BH 18-64 Pain
Management, BH 18-64 Pastoral
Counseling, BH 18-64
Psychological Testing, BH 18-64
Schizophrenia & other Psych
Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Neuropsychological Testing, BH
6-12 Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Psychological Testing, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Neuropsychological Testing, BH
65+ Pain Management, BH 65+
Pastoral Counseling, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
Graham
Bates, Kerri Michelle, PHD
617 Third St
(940) 549-2259
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5
Neuropsychological Testing, BH
0-5 Pain Management, BH 0-5
Pastoral Counseling, BH 0-5
Psychological Testing, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Neuropsychological Testing, BH
13-17 Pain Management, BH
13-17 Pastoral Counseling, BH
13-17 Psychological Testing, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Neuropsychological
Testing, BH 18-64 Pain
Management, BH 18-64 Pastoral
Counseling, BH 18-64
Psychological Testing, BH 18-64
Schizophrenia & other Psych
Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Neuropsychological Testing, BH
6-12 Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Psychological Testing, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Neuropsychological Testing, BH
65+ Pain Management, BH 65+
Pastoral Counseling, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
Behavioral Health Providers
OCTOBER 17, 2016
SAN ANGELO
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
GUSTINE
LICENSED CLINICAL SOCIAL
WORKER
Gustine
Newton, Cynthia Nanette, LCSW
206 E Main St
(325) 667-0037
PO Box 1
(325) 667-0037
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5 Pain
Management, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pain Management, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+ Pain
Management, BH 65+
Schizophrenia and other
Psychotic Disorders
LICENSED PROFESSIONAL
COUNSELOR
Gustine
Harrison, Margaret V, LPC
206 E Main St
(325) 667-0037
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
MINERAL WELLS
LICENSED PROFESSIONAL
COUNSELOR
Lee, Lexie Suzanne, LPC
911 E Hubbard St
(682) 514-9225
Mineral Wells
SAN ANGELO
LICENSED CLINICAL SOCIAL
WORKER
Collins, Roger C, LCSW
1 N Milton St Ste 10
(325) 650-1415
Practice Information: BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Chemical
Dependency, BH 18-64
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Schizophrenia and other
Psychotic Disorders
Russo, Ingrid Angela, LCSW
242 N Magdalen St
(325) 944-2561
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 13-17 Gay/Lesbian
Issues, BH 18-64 Abuse (Physical
and/or Sexual), BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Eating
Disorders, BH 6-12 Gay/Lesbian
Issues, BH 65+ Abuse (Physical
and/or Sexual), BH 65+ Affective
Mood Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+ Eating
Disorders, BH 65+ Gay/Lesbian
Issues
San Angelo
Snipes, Ernest Neil, LCSW
16 E Beauregard Ave Ste 500
(325) 655-9390
Practice Information: BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Chemical
Dependency, BH 18-64 Gay/
Lesbian Issues, BH 18-64 Pain
Management, BH 18-64
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Gay/Lesbian Issues, BH 65+ Pain
Management, BH 65+
Schizophrenia and other
Psychotic Disorders
San Angelo
Starkey, Tonya Nichole, LCSW
242 N Magdalen St
(325) 944-2561
Practice Information: BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Chemical
Dependency, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency
San Angelo
San Angelo
75
LICENSED PROFESSIONAL
COUNSELOR
Cowan, Cayce D, LPC
3109 Southwest Blvd Ste B
(325) 340-6434
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Pastoral Counseling, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Pastoral Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Pastoral Counseling,
BH 18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Pastoral Counseling, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Pastoral Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
San Angelo
Crocker, Evelyn Sue, LPC
2141 Office Park Dr Ste 7
(325) 947-4946
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Chemical Dependency,
BH 0-5 Gay/Lesbian Issues, BH
13-17 Abuse (Physical and/or
Sexual), BH 13-17 Chemical
Dependency, BH 13-17 Gay/
Lesbian Issues, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Chemical Dependency, BH
18-64 Gay/Lesbian Issues, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Chemical
Dependency, BH 6-12 Gay/
Lesbian Issues, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Chemical Dependency, BH 65+
Gay/Lesbian Issues
San Angelo
Curtis, Linda Kay, LPC
1 N Milton St Ste 6
(325) 617-2997
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Gay/Lesbian Issues, BH 0-5
Pastoral Counseling, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64 Gay/
Lesbian Issues, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Gay/
Lesbian Issues, BH 6-12 Pastoral
Counseling, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Gay/Lesbian Issues, BH 65+
Pastoral Counseling
San Angelo
Dooley, Brent James, LPC
242 N Magdalen St
(325) 944-2561
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Chemical Dependency, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Chemical
Dependency, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Chemical
Dependency, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency
San Angelo
Elkins, Carrie Ann, LPC
242 N Magdalen St
(325) 944-2561
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Chemical
Dependency, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Chemical
Dependency, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency
San Angelo
Behavioral Health Providers
SAN ANGELO
OCTOBER 17, 2016
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
Hayes, Ronda Jean, LPC
1 N Milton St Ste 6
(325) 617-2997
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Gay/Lesbian Issues, BH
13-17 Pastoral Counseling, BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Gay/Lesbian Issues, BH
18-64 Pastoral Counseling, BH
6-12 Affective Mood Disorders,
BH 6-12 Anxiety Disorders, BH
6-12 Attention Deficit Disorders,
BH 6-12 Gay/Lesbian Issues, BH
6-12 Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Gay/Lesbian Issues, BH 65+
Pastoral Counseling
San Angelo
SAN ANGELO Cont
LICENSED PROFESSIONAL
COUNSELOR Cont
Elliott, Bryan Mitchell, LPC
2200 Johnson Ave
(325) 949-3701
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64 Gay/
Lesbian Issues, BH 18-64
Pastoral Counseling, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Gay/Lesbian Issues, BH
65+ Pastoral Counseling
San Angelo
Flores, Angel G, LPC
128 S Magdalen St
(325) 212-3202
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Eating Disorders, BH 0-5 Pastoral
Counseling, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Eating Disorders, BH
13-17 Pastoral Counseling, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Eating Disorders, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Eating Disorders, BH 6-12
Pastoral Counseling, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+ Eating
Disorders, BH 65+ Pastoral
Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
San Angelo
Garcia, Yvonne Denise, LPC
219 S Abe St
(325) 655-7549
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH
13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders
San Angelo
Hollingsworth, Lori K, LPC
2002 Colorado Ave
(325) 656-5260
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Pain Management, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Pain Management, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Pain Management, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Pain Management, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+ Pain
Management, BH 65+
Schizophrenia and other
Psychotic Disorders
San Angelo
Hunnicutt, Julianne C, LPC
242 N Magdalen St
(325) 944-2561
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Chemical
Dependency, BH 13-17 Pastoral
Counseling, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Pastoral Counseling, BH
65+ Abuse (Physical and/or
Sexual), BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Chemical
Dependency, BH 65+ Pastoral
Counseling
San Angelo
Johnson, Kavin W, LPC
242 N Magdalen St
(325) 944-2561
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Gay/Lesbian
Issues, BH 13-17 Pastoral
Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+ Gay/
Lesbian Issues, BH 65+ Pastoral
Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
San Angelo
Joiner, Tara Leigh, LPC
242 N Magdalen St
(325) 944-2561
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Chemical Dependency, BH
13-17 Eating Disorders, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Eating Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Eating Disorders
San Angelo
Lee Patterson, Tristi D, LPC
242 N Magdalen St
(325) 944-2561
Practice Information: BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders
San Angelo
Masterson, Donna Josephine,
LPC
2307 W Harris Ave
(325) 947-7729
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5 Pain
Management, BH 13-17 Abuse
(Physical and/or Sexual), BH
13-17 Affective Mood Disorders,
BH 13-17 Anxiety Disorders, BH
13-17 Chemical Dependency, BH
13-17 Eating Disorders, BH 13-17
Gay/Lesbian Issues, BH 13-17
Pain Management, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Chemical
Dependency, BH 18-64 Eating
Disorders, BH 18-64 Gay/Lesbian
Issues, BH 18-64 Pain
Management, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Chemical Dependency, BH 6-12
Eating Disorders, BH 6-12 Gay/
Lesbian Issues, BH 6-12 Pain
Management, BH 65+ Affective
Mood Disorders, BH 65+ Anxiety
Disorders, BH 65+ Pain
Management
San Angelo
Gonzalez, Serina Denise, LPC
133 W Concho Ave Ste 101
(325) 227-4729
San Angelo
76
Masterson, Robert M, LPC
15866 Fitzgerald Dr
(325) 835-7020
San Angelo
2307 W Harris Ave
(325) 947-7729
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Chemical Dependency
McCoy, Dustin Scott, LPC
242 N Magdalen St
(325) 944-2561
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Eating
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Eating Disorders, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Eating Disorders
San Angelo
Mills, Anne Elisabeth, LPC
17 S Chadbourne St Ste 201
(325) 655-0620
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH
13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
San Angelo
Morales, Heather R, LPC
1 N Milton St Ste 10
(325) 659-5020
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
San Angelo
Ortiz, Adrianne M, LPC
242 N Magdalen St
(325) 944-2561
San Angelo
Purdy, Vickie Lynn, LPC
242 N Magdalen St
(325) 944-2561
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Gay/Lesbian Issues, BH 0-5
Pastoral Counseling, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64 Gay/
Lesbian Issues, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Gay/
Lesbian Issues, BH 6-12 Pastoral
Counseling, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Gay/Lesbian Issues, BH 65+
Pastoral Counseling
San Angelo
Ramirez, Ezequiel R, LPC
2002 Colorado Ave
(325) 227-7683
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Pastoral Counseling,
BH 18-64 Abuse (Physical and/or
Sexual), BH 18-64 Pastoral
Counseling, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Pastoral Counseling, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Pastoral Counseling
San Angelo
Shaw, Evelyn G, LPC
2141 Office Park Dr
(325) 949-9650
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Pain Management, BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Pain Management, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+ Pain
Management
San Angelo
Smith, John Paul, LPC
2141 Office Park Dr Ste 1
(325) 942-1381
Practice Information: BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Chemical
Dependency, BH 18-64 Eating
Disorders, BH 18-64 Gay/Lesbian
Issues, BH 18-64
Neuropsychological Testing, BH
18-64 Pain Management, BH
18-64 Psychological Testing, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Eating Disorders, BH 65+ Gay/
Lesbian Issues, BH 65+
Neuropsychological Testing, BH
65+ Pain Management, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
San Angelo
Behavioral Health Providers
OCTOBER 17, 2016
SAN SABA
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
Valverde, Alex, LPC
2307 W Harris Ave
(325) 224-4494
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Gay/Lesbian Issues, BH 13-17
Pain Management, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Gay/Lesbian Issues, BH 18-64
Pain Management, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pain Management, BH 6-12
Pastoral Counseling, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Chemical Dependency,
BH 65+ Gay/Lesbian Issues, BH
65+ Pain Management, BH 65+
Pastoral Counseling
San Angelo
SAN ANGELO Cont
LICENSED PROFESSIONAL
COUNSELOR Cont
Sobrero, Lisa J, LPC
242 N Magdalen St
(325) 944-2561
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH
13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders
San Angelo
Stewart, Sheila King, LPC
1 N Milton St Ste 10
(325) 659-5020
San Angelo
Thomas, Stephanie Lynn, LPC
133 W Concho Ave Ste 101
(325) 227-6897
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Pastoral Counseling, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 6-12
Pastoral Counseling, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Chemical Dependency,
BH 65+ Pastoral Counseling
San Angelo
Vann, Julie Beth, LPC
17 S Chadbourne St Ste 206
(325) 655-4790
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders
San Angelo
Willberg, Belinda Turn, LPC
1610 S Chadbourne St
(325) 658-5339
San Angelo
Winkelspecht, Susan Marie, LPC
133 W Concho Ave Ste 112
(325) 657-0058
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Gay/Lesbian Issues, BH
18-64 Abuse (Physical and/or
Sexual), BH 18-64 Gay/Lesbian
Issues, BH 65+ Abuse (Physical
and/or Sexual), BH 65+ Gay/
Lesbian Issues
San Angelo
PSYCHIATRY
Hanby, Michelle S R, PHD
3401 Loop 306 Ste A
(325) 949-3860
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Eating Disorders, BH 0-5 Pain
Management, BH 0-5
Psychological Testing, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 13-17 Pain
Management, BH 13-17
Psychological Testing, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64 Eating
Disorders, BH 18-64 Pain
Management, BH 18-64
Psychological Testing, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Eating
Disorders, BH 6-12 Pain
Management, BH 6-12
Psychological Testing, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Pain Management
San Angelo
Bankes, Lindy Kathleen, MD
120 E Beauregard Ave
(325) 481-2197
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Chemical Dependency,
BH 13-17 Psychological Testing,
BH 13-17 Schizophrenia & other
Psych Disorders, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Psychological Testing,
BH 18-64 Schizophrenia & other
Psych Disorders, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Psychological Testing, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+
Chemical Dependency, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
San Angelo
McFerren, Glen Michael, MD
2018 Pulliam St
(325) 659-7320
Practice Information: BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
San Angelo
PSYCHOLOGY
Drummond, Freddie Eugene, PHD
242 N Magdalen St
(325) 944-2561
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Psychological Testing,
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Psychological Testing, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Psychological Testing, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Psychological Testing
San Angelo
77
Jeffers, Joe Mac, PHD
3471 Knickerbocker Rd Ste 508
(325) 942-7531
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Psychological Testing,
BH 18-64 Abuse (Physical and/or
Sexual), BH 18-64 Psychological
Testing, BH 6-12 Abuse (Physical
and/or Sexual), BH 6-12
Psychological Testing, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Psychological Testing
San Angelo
McGraw, Richard M, PHD
3115 Loop 306 Ste 110
(325) 942-1952
Practice Information: BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
San Angelo
Soto, Sylvia Ana, PHD
411 W Concho Ave
(325) 486-9468
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders
San Angelo
SAN SABA
LICENSED PROFESSIONAL
COUNSELOR
Leverett, Kristi Alain, LPC
2005 W Wallace St
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH
13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
San Saba
Behavioral Health Providers
SAN SABA
OCTOBER 17, 2016
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
SAN SABA Cont
PSYCHOLOGY
Taylor, Pennissi P, PHD
2005 W Wallace St
(325) 649-4357
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5
Neuropsychological Testing, BH
0-5 Pain Management, BH 0-5
Pastoral Counseling, BH 0-5
Psychological Testing, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Neuropsychological Testing, BH
13-17 Pain Management, BH
13-17 Pastoral Counseling, BH
13-17 Psychological Testing, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Neuropsychological
Testing, BH 18-64 Pain
Management, BH 18-64 Pastoral
Counseling, BH 18-64
Psychological Testing, BH 18-64
Schizophrenia & other Psych
Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Neuropsychological Testing, BH
6-12 Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Psychological Testing, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Neuropsychological Testing, BH
65+ Pain Management, BH 65+
Pastoral Counseling, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
San Saba
SANTA ANNA
LICENSED PROFESSIONAL
COUNSELOR
Marlin, Deborah Sue, LPC
1081 County Rd 102
(325) 642-8589
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Schizophrenia and other
Psychotic Disorders
Santa Anna
STEPHENVILLE
LICENSED CLINICAL SOCIAL
WORKER
Gregory, Cathy Jean, LCSW
1523 W Lingleville Rd Ste A
(254) 592-4365
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Chemical
Dependency, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Chemical
Dependency, BH 65+ Affective
Mood Disorders, BH 65+ Anxiety
Disorders
Stephenville
LICENSED MARRIAGE/FAMILY
THERAPY
Lane, Donald H, LMFT
2675 W Overhill Dr
(817) 579-5988
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 6-12
Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
Stephenville
LICENSED PROFESSIONAL
COUNSELOR
Castillo, Kylee Rae, LPC
216 W College St
(254) 968-8460
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Gay/Lesbian Issues, BH 0-5
Pastoral Counseling, BH 0-5
Psychological Testing, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Gay/Lesbian Issues, BH
13-17 Pastoral Counseling, BH
13-17 Psychological Testing, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Gay/Lesbian Issues, BH
18-64 Pastoral Counseling, BH
18-64 Psychological Testing, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Gay/Lesbian Issues, BH
6-12 Pastoral Counseling, BH
6-12 Psychological Testing, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+ Gay/
Lesbian Issues, BH 65+ Pastoral
Counseling, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
Stephenville
78
Harris, Becky Joanne, LPC
1917 W Washington St Ste 7
(817) 233-7545
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH
13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders
Stephenville
Huckabee, Jerry Lynn, LPC
126 Byron St
(254) 592-3362
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Gay/Lesbian Issues, BH 13-17
Pain Management, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Gay/Lesbian Issues, BH
6-12 Pain Management, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Gay/Lesbian Issues, BH 65+
Pain Management, BH 65+
Schizophrenia and other
Psychotic Disorders
Stephenville
Lovell, Pat M, LPC
409 S Graham St
(254) 968-4020
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5 Pain
Management, BH 0-5 Pastoral
Counseling, BH 0-5 Psychological
Testing, BH 0-5 Schizophrenia
and other Psychotic Disorders,
BH 13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 13-17
Psychological Testing, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
18-64 Psychological Testing, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Psychological Testing, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+ Pain
Management, BH 65+ Pastoral
Counseling, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
Stephenv ille
Martin, Gina Renee, LPC
178 W Long St
(254) 644-6975
Stephenv ille
688 Private Rd 1335
(254) 644-6975
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5 Eating
Disorders, BH 0-5 Pastoral
Counseling, BH 13-17 Affective
Mood Disorders, BH 13-17
Anxiety Disorders, BH 13-17
Eating Disorders, BH 13-17
Pastoral Counseling, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Eating Disorders, BH 18-64
Pastoral Counseling, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Eating Disorders, BH 6-12
Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+ Eating
Disorders, BH 65+ Pastoral
Counseling
Behavioral Health Providers
OCTOBER 17, 2016
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
Weeks IV, Andrew Jackson, LPC
409 S Graham St
(254) 968-4020
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Schizophrenia and other
Psychotic Disorders
Stephenville
STEPHENVILLE Cont
LICENSED PROFESSIONAL
COUNSELOR Cont
Schniers, Melissa Lynn, LPC
845 S Lillian St Ste A
(254) 979-2233
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 13-17 Abuse
(Physical and/or Sexual), BH
13-17 Affective Mood Disorders,
BH 13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Eating Disorders, BH
13-17 Gay/Lesbian Issues, BH
18-64 Abuse (Physical and/or
Sexual), BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64 Eating
Disorders, BH 18-64 Gay/Lesbian
Issues, BH 6-12 Abuse (Physical
and/or Sexual), BH 6-12 Affective
Mood Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Eating
Disorders, BH 6-12 Gay/Lesbian
Issues, BH 65+ Abuse (Physical
and/or Sexual), BH 65+ Affective
Mood Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+ Eating
Disorders, BH 65+ Gay/Lesbian
Issues
Stephenv ille
Tatsch, Kelly Valeria, LPC
409 S Graham St
(254) 968-4020
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Chemical Dependency, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Chemical Dependency, BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
6-12 Affective Mood Disorders,
BH 6-12 Anxiety Disorders, BH
6-12 Chemical Dependency, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders, BH 65+
Chemical Dependency
Stephenv ille
LICENSED PROFESSIONAL
COUNSELOR
Warren Hicks, Vickie Leann, LPC
412 E Third St
(325) 236-8049
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Pastoral Counseling, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
Sweetwater
SWEETWATER
LICENSED MARRIAGE/FAMILY
THERAPY
Frye, Donna Carol, LMFT
411 E Third St
(325) 235-9896
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH
13-17 Affective Mood Disorders,
BH 13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders, BH 65+
Attention Deficit Disorders
Sweetwater
79
SWEETWATER
ABILENE
Behavioral Health Hospitals
bmk_hmo_bhhosp
OCTOBER 17, 2016
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
O ctober 17, 2016
ABILENE
Abilene
Abilene
Acadia Abilene LLC
4225 Woods Pl
(325) 698-6600
Betty Hardwick Ctr
2626 S Clack St
(325) 690-5100
COLORADO CITY
West TX Ctrs For MHMR Colorado Cnty
505 Chestnut St
(325) 728-3611
Colorado City
GRAHAM
Graham
Helen Farabee Regl MHMR Mainsite
1720 Fourth St
(940) 549-4896
HASKELL
Haskell
Helen Farabee MHMR Headstream MEML
1201 N First St
Ste A
(940) 864-3472
MINERAL WELLS
Pecan Vly MHMR Mineral Wells
214 Southwest 26th Ave
Ste A
(940) 325-9543
Mineral Wells
SAN ANGELO
Riv Crest Hosp Inc
1636 Hunters Glen Rd
(800) 777-5722
San Angelo
Shannon Medcl Ctr
2018 Pulliam St
(325) 653-6741
San Angelo
STEPHENVILLE
Pecan Vly MHMR Reg Stephenville
906 W Lingleville Rd
(254) 968-4181
Stephenville
Summer Sky Inc
1100 N McCart St
(254) 968-2907
Stephenville
SWEETWATER
West TX Ctrs For MHMR Sweetwater
304 W New Mexico Ave
(325) 236-6619
Sweetwater
WINTERS
Winters
West TX Ctrs For MHMR Winters
126 State St
(325) 754-5591
J - Wheelchair Access
80
Primary Care Physician Index
bmk_hmo_pcp_nidex
A
Acton, Hector F, MD (IPN) ........................................................... 11
Adams, Jami A, MD (IPN) .............................................................. 3
Adegbesan, Susan, MD (IPN) ....................................................... 4
Alaniz, Idalia, MD (IPN) ................................................................ 10
Alcocer Aguilar, Fernando, MD (IPN) ......................................... 10
Alley, Daniel W, MD (IPN) .............................................................. 9
Alred, Steven C, MD (IPN) ............................................................. 9
Anderson, Luke R, MD (IPN) ......................................................... 8
Anderton, Carl D, MD (IPN) ......................................................... 10
Ashitey, Sarah O, MD (IPN) ........................................................... 8
Astudillo, Gerardo, MD (IPN) ........................................................ 6
Atudonyang, Nicholas O, MD (IPN) .............................................. 5
Atwood, Darron T, MD (IPN) .......................................................... 5
Ayestaran Cassani, Alejandra, MD (IPN) .................................... 11
Edwards, Jeffrey, MD (IPN) ........................................................... 2
Edwards, Kristy D, MD (IPN) ........................................................ 12
Edwards, Mark S, MD (IPN) ......................................................... 12
Enard, April, DO (IPN) .................................................................. 13
Evans, Jr, Edmond C, DO (IPN) ........................................... 7, 8, 12
F
Faz, Cesar H, MD (IPN) .................................................................. 6
Ferguson, Chris Gerald, MD (IPN) ................................................. 9
Ferguson, Sarah B, MD (IPN) ........................................................ 3
Forlano, Viki A, MD (IPN) ............................................................... 9
Forrister, Skylar S, MD (IPN) ....................................................... 12
Fosah, Henry M, MD (IPN) ............................................................. 2
Fullerton, Douglas B, MD (IPN) ..................................................... 2
B
G
Bailey, Michael L, DO (IPN) ........................................................... 8
Barnett, Christian J, MD (IPN) ..................................................... 10
Beasley, Craig C, MD (IPN) ......................................................... 13
Bender, Thomas B, MD (IPN) ........................................................ 9
Bennington, Michael J, MD (IPN) .................................................. 9
Bhandari, Anantha R, MD (IPN) .................................................... 8
Blejan, Cristina, MD (IPN) .............................................................. 9
Blount, Alice B, MD (IPN) .............................................................. 9
Boucher, David C, MD (IPN) ........................................................ 12
Brudnak, Daniel M, MD (IPN) .................................................... 6, 7
Burgess, Steven E, MD (IPN) ........................................................ 9
Burns, Eldridge G, MD (IPN) .......................................................... 4
Burt, Selina A, DO (IPN) ................................................................ 6
Byrd, Richard W, MD (IPN) ............................................................ 5
Galindo, III, Conrado G, MD (IPN) ................................................. 6
Ganesh, Brian R, MD (IPN) ............................................................ 3
Gao, Min, MD (IPN) ........................................................................ 3
Garcia Marrero, Hector M, MD (IPN) ............................................. 3
Garcia, Elvira, MD (IPN) ................................................................. 3
Gibson, Ray N, DO (IPN) ........................................................... 3, 4
Gilbertson, Jeffrey K, MD (IPN) ..................................................... 7
Gilliam, Leslie S, MD (IPN) .......................................................... 12
Gokul, Bhagwandas D, MD (IPN) ................................................. 12
Gonzalez, Dawn E, DO (IPN) ....................................................... 10
Gonzalez, Fernando, DO (IPN) .................................................... 11
Goodman, Samantha H, MD (IPN) ................................................ 3
Gore, Ty L, MD (IPN) ...................................................................... 8
Granaghan, Jr, John T, MD (IPN) ................................................ 10
Gray, Molly B, DO (IPN) ................................................................. 8
Gutierrez, Jaime J, MD (IPN) ......................................................... 6
C
Cadena, Jr, Antonio, MD (IPN) ....................................................... 6
Cadena, Veronica G, MD (IPN) ...................................................... 6
Cadenhead, Charles W, MD (IPN) ................................................. 7
Calvo, Raul N, MD (IPN) ................................................................ 2
Cambre, Penni D, MD (IPN) ......................................................... 11
Campanini, Emir R, MD (IPN) ...................................................... 11
Capra, Jay D, MD (IPN) .................................................................. 3
Carmichael, Ross M, MD (IPN) ................................................... 10
Carrizales, Rosalinda, DO (IPN) .................................................. 11
Castro, Pedro, DO (IPN) ............................................................ 4, 6
Cawley, James E, MD (IPN) ....................................................... 7, 8
Cedeno Sanchez, Gibel S, MD (IPN) ............................................ 2
Cerna, Norma C, MD (IPN) ............................................................ 9
Chang, Peter P, MD (IPN) .............................................................. 9
Chapanos, Petros K, MD (IPN) .................................................... 13
Chinn, Cornelius W, MD (IPN) ....................................................... 9
Cocuzzi, John M, MD (IPN) ............................................................ 9
Conner, Byron F, MD (IPN) ............................................................ 8
Cooksey, Robbie J, DO (IPN) ........................................................ 2
Cox, Tamara M, MD (IPN) .............................................................. 4
Craig, William S, MD (IPN) ............................................................. 6
Creppy, Amy G, MD (IPN) .............................................................. 2
Crumbliss, Joseph H, MD (IPN) .................................................... 2
Cubine, Kathleen A, DO (IPN) ....................................................... 9
Cunningham, Kevin R, DO (IPN) ................................................... 6
D
H
Hardwicke, Alan C, MD (IPN) ...................................................... 10
Harvey, John C, MD (IPN) ............................................................ 10
Haverlah, Gene V, MD (IPN) .......................................................... 6
Hazelip, Sandra J, DO (IPN) .......................................................... 2
Headstream, Thomas L, MD (IPN) ................................................. 3
Heflin, Jearald D, MD (IPN) .......................................................... 12
Heflin, Linda L, MD (IPN) ............................................................. 12
Herrington, Darrell T, DO (IPN) ..................................................... 9
Hewell, Walter R, MD (IPN) .......................................................... 10
Hinshaw, Roberta, MD (IPN) ........................................................ 10
Hisel, Patrick W, MD (IPN) ............................................................. 8
Holland, Gary M, MD (IPN) ............................................................ 2
Horne, Monte H, MD (IPN) ............................................................. 7
Horrace Voigt, Kathie M, DO (IPN) ................................................ 9
Hudman, II, Eugene V, MD (IPN) ................................................... 3
Hughston, Ty M, MD (IPN) .......................................................... 10
Hunt, John D, MD (IPN) ................................................................ 10
Hutchins, Jeffrey C, DO (IPN) ........................................................ 6
I
Ip, Kam W, MD (IPN) .................................................................... 12
J
Daggubati, Subbarao, MD (IPN) .................................................... 2
Davis, Garry T, DO (IPN) ............................................................... 5
Day, Walter G, MD (IPN) ...................................................... 6, 9, 13
Dickey, Stephen H, DO (IPN) ............................................... 4, 5, 12
Dickinson, David J, MD (IPN) ...................................................... 11
Doggett, Kelly S, MD (IPN) .......................................................... 12
Donham, Guyle P, DO (IPN) .......................................................... 5
Donohue, Bobby E, MD (IPN) ...................................................... 12
Johnson, Charles F, MD (IPN) ....................................................... 7
Johnson, Jeremy W, DO (IPN) ...................................................... 8
Johnson, Peggy A, DO (IPN) ......................................................... 9
Jones, Charles M, MD (IPN) ........................................................ 10
Jones, Timothy B, MD (IPN) ......................................................... 13
Joplin, Leon D, DO (IPN) ............................................................... 7
Jordan, Donna M, DO (IPN) ........................................................... 2
E
K
Eaker, Robert G, MD (IPN) ........................................................... 13
Ebangit, Ruth, MD (IPN) ................................................................ 7
Kapu, Gopichand, MD (IPN) ........................................................... 4
Kassis, Frederick J, MD (IPN) ...................................................... 13
81
Kempf, Melissa M, MD (IPN) ..........................................................6
Kerr, Christy L, MD (IPN) ................................................................8
Kincheloe, Albert M, DO (IPN) ...........................................3, 4, 5, 7
King, Andrew P, DO (IPN) ..............................................................9
Krenek, Caryn D, MD (IPN) ..........................................................11
Kruckner, Douglas L, MD (IPN) ...................................................12
L
Laing, III, Aurelio, MD (IPN) ............................................................6
Lampley, Joseph C, DO (IPN) ........................................................8
Lee, James R, MD (IPN) ................................................................. 7
Lejawa, Robert J, DO (IPN) ............................................................9
Lengefeld, Robbye K, MD (IPN) .....................................................7
Leon, Miltiadis N, MD (IPN) ..........................................................10
Liedtke, Jennifer G, MD (IPN) ......................................................13
Lind, Gregory C, MD (IPN) .............................................................9
Lindley, Katarina, DO (IPN) ............................................................8
Lindsey, George C, DO (IPN) ......................................................13
Livingston, Ronald P, DO (IPN) ...........................................4, 5, 12
Longley, David W, DO (IPN) ..........................................................2
M
Malla, Sunitha, MD (IPN) ......................................................4, 5, 12
Mani, Palani S, MD (IPN) ................................................................6
Mankins, Mark L, MD (IPN) ............................................................8
Maples, Larry L, DO (IPN) ..............................................................4
Marcum, Benjamin A, MD (IPN) ...................................................12
Marsh, Jr, Denver C, MD (IPN) .....................................................10
Marti Rivera, Sr, Felix M, MD (IPN) ................................................9
Martin, Luther C, DO (IPN) ...........................................................13
Martin, Timothy S, MD (IPN) ..........................................................2
Martinez, Alberto N, MD (IPN) ........................................................7
Martinez, Angel, MD (IPN) ..............................................................6
Mays, Jeffry P, MD (IPN) ..........................................................4, 10
McCloy, Steven T, MD (IPN) ........................................................10
McDonough, Frederick C, DO (IPN) ..............................................4
McEachern, Larry E, MD (IPN) .....................................................13
McGee, Michael V, DO (IPN) ..................................................4, 5, 7
McKinnon, Mark S, MD (IPN) .......................................................13
McSmith, Jr, William D, DO (IPN) ..................................................7
Mejia, Bryan A, MD (IPN) ..............................................................10
Melott, James E, MD (IPN) .............................................................9
Mickish, Alan B, MD (IPN) ..............................................................6
Miller, Dwayne C, MD (IPN) ...........................................................5
Miller, Kelly S, DO (IPN) ............................................................... 13
Minney, Alexander J, MD (IPN) ......................................................9
Mitchell, Robert B, MD (IPN) ........................................................12
Monaghan, Orloff, MD (IPN) .........................................................11
Moore, Jeffrey D, MD (IPN) ..........................................................13
Morgan, Mark E, DO (IPN) .............................................................4
Muckatira, Bopanna, MD (IPN) ......................................................3
N
Nash, Miranda A, MD (IPN) ..........................................................13
Nelson, Brian S, MD (IPN) ..............................................................2
Niebelski, Andrzej L, MD (IPN) ......................................................3
Nile, Brett J, MD (IPN) ....................................................................9
Noack, Tamara B, MD (IPN) .........................................................10
Nodar, Jose A, MD (IPN) ................................................................6
O
Odell, Sr, David M, MD (IPN) ....................................................5, 12
Ojeda Flores, Carolina, MD (IPN) ................................................11
Olaya, Jorge E, MD (IPN) ...............................................................6
Olivas, Luis, DO (IPN) ....................................................................2
Ong, Helen C, MD (IPN) ............................................................... 13
Ong, Lester C, MD (IPN) ............................................................... 13
Onwuchuruba, Mojisola G, MD (IPN) ..........................................13
Ornelas, Jacob D, MD (IPN) .........................................................11
Owens, Brenda D, MD (IPN) ..........................................................9
Primary Care Physician Index
bmk_hmo_pc_index
P
Vickers, Lonnie L, MD (IPN) .......................................................... 4
Pajestka, Charles R, MD (IPN) .....................................................12
Patyrak, Robert S, MD (IPN) ........................................................11
Paulk, Jo Anne C, DO (IPN) ...................................................4, 5, 8
Perez Povis, Lorena D, MD (IPN) .................................................11
Perry, Cynthia A, MD (IPN) .....................................................4, 5, 8
Peterson, Christopher C, MD (IPN) ................................................9
Pizzola, Jason L, MD (IPN) .............................................................9
Podaralla, Srikanth, MD (IPN) ......................................................11
Prater, Jr, William E, MD (IPN) .......................................................4
Purdy, Aaron G, MD (IPN) ..............................................................8
Purpura, James J, DO (IPN) ...........................................................2
W
R
Ramamurthy, Hariharan, MD (IPN) ................................................6
Ramsey, Alice L, MD (IPN) .............................................................8
Ramsey, David B, MD (IPN) ...........................................................8
Ramsey, Pamela M, MD (IPN) ......................................................11
Randell, David J, DO (IPN) .............................................................2
Reifle, Sheila R, MD (IPN) ..............................................................6
Reynolds, J Paul, MD (IPN) ...........................................................5
Roach, Dee A, MD (IPN) .................................................................5
Robinson, Jr, Noel K, MD (IPN) .....................................................3
Robinson, Lynn M, MD (IPN) .........................................................3
Rosario Feliciano, Ralphie A, MD (IPN) ........................................3
Rose, Nadine T, MD (IPN) ............................................................13
Ross, Scott K, MD (IPN) .................................................................9
Rudolph, Timothy N, MD (IPN) .......................................................7
Rutledge, Cynthia A, DO (IPN) .....................................................10
Ryali, Neelima D, MD (IPN) ............................................................3
Wagnon, Michael A, DO (IPN) ..................................................... 11
Wehner, Karl, MD (IPN) ............................................................... 12
Westmoreland, Leslie D, DO (IPN) ............................................. 10
White, Chad L, MD (IPN) ............................................................... 7
White, James R, MD (IPN) ........................................................... 10
Whiting, Craig D, DO (IPN) .......................................................... 12
Wiggins Smith, Jenny M, DO (IPN) ............................................ 11
Williams, Jr, George T, MD (IPN) .................................................. 3
Wimpee, Marc W, MD (IPN) ......................................................... 10
Winton, Kenneth R, DO (IPN) ...................................................... 13
Wohl, Eric L, MD (IPN) ................................................................. 11
Wray, John A, DO (IPN) ................................................................. 2
Wray, Thomas J, DO (IPN) ............................................................ 2
Wuenschel, Diedra D, DO (IPN) .................................................... 7
Y
Young, Elizabeth L, MD (IPN) ...................................................... 12
S
Salvi, Sambhitab S, MD (IPN) .........................................................2
Sarraff, Michelle A, MD (IPN) .......................................................11
Sawyer, Stephen P, MD (IPN) ......................................................11
Schultz, Douglas, MD (IPN) ..........................................................11
Schulze, Jerry, MD (IPN) ..............................................................10
Scott, Joseph D, MD (IPN) .............................................................5
Seger, Mary T, MD (IPN) ..............................................................10
Seifert, Saundra E, MD (IPN) .......................................................11
Shepherd, Brent H, MD (IPN) .........................................................7
Sherrod, Christina R, MD (IPN) ....................................................11
Sherwood, Brent W, MD (IPN) .......................................................5
Sims, Marcus L, DO (IPN) ..............................................................8
Sinclair, Jerry W, MD (IPN) ............................................................3
Sloan, Randall L, DO (IPN) .............................................................6
Smola, Jeremy R, DO (IPN) ..........................................................13
Spencer, Victoria O, MD (IPN) ......................................................10
Steadman, Brent M, MD (IPN) ........................................................3
Stegemoller, Kristen L, MD (IPN) ...................................................7
Stogryn, Ronald S, MD (IPN) .........................................................6
Striegler, Robert L, MD (IPN) .........................................................3
Stuart, Jr, Derrill A, MD (IPN) .......................................................10
Sunkavalli, Krishna, MD (IPN) ........................................................7
Sutliff, Lourell E, MD (IPN) ...........................................................11
T
Tarkenton, Tom A, DO (IPN) ..........................................................8
Toro, Maria T, MD (IPN) .................................................................2
Totoe, Robert A, MD (IPN) ..............................................................3
Tran, Thuy D, MD (IPN) ..................................................................8
Twelves Caballero, Celeste X, MD (IPN) .....................................11
U
Untalan, Raymund M, MD (IPN) ...................................................11
V
Van Acht, Vincent L, MD (IPN) .......................................................2
Vaughn, Karen R, MD (IPN) .........................................................11
82
Specialists Index
bmk_hmo_specn_idex
A
Abney, Jennifer C, APN (IPN)................................................. 14, 54
Abor, Calvin J, PA (IPN)................................................................ 54
Abramson, Stuart L, MD (IPN)...................................................... 37
Acevedo, Jason L, MD (IPN) .................................................. 20, 53
Acosta, Luis J, MD (IPN)............................................................... 40
Adames, Michael, APN (IPN)............................................ 14, 29, 54
Adams, Brook A, MD (IPN) ........................................................... 51
Adams, Laura M, MD (IPN)........................................................... 42
Agoro, Adesubomi B, MD (IPN) .................................................... 33
Ahmed, Rehan, MD (IPN) ............................................................. 30
Ajufo, Christopher A, MD (IPN)..................................................... 41
Akers, Laura, LPT (IPN)................................................................ 22
Akin, William O, MD (IPN)............................................................. 20
Akor, Charlotte M, MD (IPN) ......................................................... 19
Albritton, G Chris, DPM (IPN) ...................................................... 23
Alexander, Janis K, PA (IPN)........................................................ 56
Alexander, Robert W, MD (IPN) ................................................... 43
Alexander, Ross A, MD (IPN) ....................................................... 40
Alexander, Sherry A, PA (IPN) ..................................................... 55
Alexander, Steven D, PA (IPN)..................................................... 56
Alford, Mark A, MD (IPN) .............................................................. 19
Alford, Wilma D, APN (IPN) .................................................... 37, 55
Ali, Zahra K, MD (IPN)................................................................... 35
Allen, Laura, APN (IPN) .......................................................... 37, 55
Allison, Stephen Harold, PHD ...................................................... 70
Alsup, Stephanie, LPT (IPN)......................................................... 31
Amaechi, Nnewueze S, MD (IPN)................................................. 17
Amaro Cora, Edgardo, OD (IPN) .................................................. 32
Ambrose, Betsy L, SLP (IPN) ....................................................... 24
Anderson, Brian J, DC (IPN) ........................................................ 39
Anderson, Jr, Charles G, MD (IPN) .............................................. 18
Anderson, Jr, Rexford K, MD (IPN) .............................................. 18
Anderson, Milo D, DPM (IPN)....................................................... 47
Anderton, Carl D, MD (IPN).......................................................... 41
Anthony, Nicholas T, DC (IPN)............................................... 15, 37
Armour, Alexander W, DO (IPN)................................................... 17
Arora, Harvinder S, MD (IPN) ....................................................... 17
Arp, Christina M, APN (IPN).................................................... 37, 55
Artho, Wendy B, AUDIO (IPN) ................................................ 14, 38
Artnak, Jr, Edward J, MD (IPN)..................................................... 40
Asbill, Stacey L, LPT (IPN) ............................................... 22, 36, 46
Ash, Mindy N, SLP (IPN)............................................................... 33
Ashby, Jon K, AUDIO (IPN) .......................................................... 14
Ashlock, Leslie J, LPT (IPN)............................................. 22, 36, 46
Ashpole, David, MD (IPN)............................................................. 27
Aslin, Kerry D, LPT (IPN) .............................................................. 22
Astudillo, Gerardo, MD (IPN) ....................................................... 30
Augustin, Anna M, APN (IPN) ................................................ 37, 55
Avila, Gabriel, OD (IPN).......................................................... 25, 32
Ayers, Lance P, LPT (IPN)............................................................ 46
Ayestaran Cassani, Alejandra, MD (IPN)..................................... 46
B
Baddour, Violeta T, MD (IPN) ....................................................... 24
Badylak, John, MD (IPN) .............................................................. 20
Baig, Haris A, DO (IPN)................................................................. 19
Bailey, Ali C, AUDIO (IPN) ............................................................ 14
Bailey, Kyla M, SLP (IPN) ............................................................. 48
Bailey, Ryan M, DC (IPN) ............................................................. 15
Baker, Amanda L, AUDIO (IPN).................................................... 14
Bakos, Sharon G, MD (IPN).......................................................... 18
Balch, Cayli N, DO (IPN)............................................................... 52
Balch, III, Robert J, DO (IPN)........................................................ 52
Balderas, Alicia I, PA (IPN) ........................................................... 56
Baldree, Suzanne, OT (IPN) ......................................................... 51
Bankes, Lindy Kathleen, MD......................................................... 77
Barbaro, III, Salvatore A, MD (IPN)............................................... 30
Barff, Jr, Henry W, PA (IPN) ......................................................... 54
Barker, Gregory M, MD (IPN).................................................. 15, 39
Barnett, Catherine A, APN (IPN)............................................. 37, 55
Bartek, Melanie C, OD (IPN)......................................................... 33
Barton, Kathryn J, APN (IPN) ................................................. 14, 54
Bartosh, Nicole S, DO (IPN) ............................................. 34, 50, 51
Bartz, Emily, RD (IPN)................................................................... 42
Basinger, Alice A, MD (IPN) ................................................... 40, 46
Bass, James G, MD (IPN) ............................................................. 18
Bass, Shawnah Danell, LPC ................................................... 71, 74
Bates, Brandon Pat, PHD.............................................................. 74
Bates, Kerri Michelle, PHD............................................................ 74
Battilega Merrill, Patricia M, PA (IPN).......................................... 56
Baxter, Tammy G, LPT (IPN) .................................................. 22, 46
Bayles, Amy E, APN (IPN) ............................................................ 46
Bayouth, II, Lanoard M, MD (IPN)................................................. 15
Bealka, Jr, Neil M, MD (IPN) ................................................... 35, 51
Beam, Donald T, MD (IPN)............................................................ 45
Bean, Athena H, LPC .................................................................... 72
Bearden, Keila B, LPT (IPN) ............................................. 22, 36, 46
Beaty, Stacy G, MD (IPN).............................................................. 43
Bedri, Badreldin, MD (IPN)...................................................... 21, 46
Behr, Donald A, MD (IPN) ............................................................. 33
Beisel, Monica J, APN (IPN) ................................................... 37, 55
Belk, Jacqueline, APN (IPN).................................................... 29, 54
Bell, Darren J, MD (IPN)................................................................ 30
Bell, Jason C, DO (IPN)................................................................. 16
Bennett, Kimber Carney, LPC....................................................... 72
Bennett, Laura L, MD (IPN)........................................................... 23
Bennett, Robert D, MD (IPN) ........................................................ 49
Berkley, Cortney R, APN (IPN) ............................................... 26, 54
Bierman, Jeffrey, LPT (IPN) .......................................................... 52
Billings, Lynsey N, SLP (IPN) ....................................................... 48
Bishop, Krystal N, APN (IPN).................................................. 14, 54
Blackburn, Robert M, LPT (IPN)................................................... 52
Blackburn, Rondi M, OT (IPN)...................................................... 43
Blackington, Dustin, OT (IPN) ...................................................... 43
Blanc, Michael S, MD (IPN)..................................................... 39, 49
Blare, Hillary D, LPT (IPN)............................................................. 22
Boenicke, Brandan C, PA (IPN).................................................... 55
Boeshart, Linda, SLP (IPN)..................................................... 24, 48
Bolton, Alesha E, APN (IPN)................................................... 52, 57
Book, Ashley L, LPT (IPN) ...................................................... 22, 36
Borger, Alyssa L, SLP (IPN).......................................................... 24
Borgfeld, Paul A, MD (IPN)........................................................... 41
Borgman, Kristie Y, MD (IPN) ................................................. 31, 44
Boucher, David C, MD (IPN)......................................................... 50
Bouissey, Sherrie L, APN (IPN).............................................. 37, 55
Bowen, Deborah K, LPC ............................................................... 67
Boyareddigari, Subrahmanyam R, MD (IPN) ............................... 34
Boyd, Delyn D, OT (IPN) ................................................... 18, 36, 43
Boyd, Lori J, LPT (IPN) ..................................................... 22, 36, 46
Boyd, Thomas Louis, LPC............................................................. 67
Boynton, Josh, LPT (IPN) ............................................................. 22
Braaten, Jeffrey M, DO (IPN) .................................................. 14, 20
Bradley, Brian A, MD (IPN) ..................................................... 26, 49
Brady, Branon C, PA (IPN)............................................................ 54
Bragg, Larry M, MD (IPN)........................................................ 32, 50
Brandecker, Edward J, MD (IPN) ............................... 21, 22, 28, 53
Brantly, Elisa K, MD (IPN)............................................................. 49
Brasher, J Warren, OD (IPN) ........................................................ 48
Brautbar, Ariel, MD (IPN) .............................................................. 22
Braziel, Jennifer M, APN (IPN)................................................ 37, 55
Brennan, Dennis M, PA (IPN) ....................................................... 55
Brennen, David M, MD (IPN) .................................................. 31, 44
Brewer, Michelle R, LPT (IPN) ...................................................... 22
Brinkman, Anna C, SLP (IPN) ...................................................... 48
Brinkman, Samuel D, PHD ........................................................... 70
Britten, Jeremy B, MD (IPN) ......................................................... 20
Brock, Eric R, MD (IPN) ................................................................ 35
Brock, Sommer M, AUDIO (IPN)................................................... 14
Brooks, Steven, DC (IPN) ............................................................. 39
Brown, Beil C, DPM (IPN) ............................................................. 23
Brown, Benton L, MD (IPN)........................................................... 40
Brown, Michael W, OT (IPN)............................................. 18, 36, 43
Brown, Phillip J, PA (IPN) ............................................................. 54
Brown, Robert Scott, PHD ............................................................ 70
Browne, Michael G, MD (IPN)....................................................... 35
Bruton, Patrick W, DPM (IPN)....................................................... 23
Buhle, Charlotte R, LPT (IPN) ....................................................... 46
Bullock, Nicole C, DO (IPN).......................................................... 18
Burns, Jason D, MD (IPN)............................................................. 30
Burrage, Brandon C, APN (IPN) ............................................. 37, 55
Bursaw, Andrew W, DO (IPN) ....................................................... 42
Bush, David M, MD (IPN) ........................................................ 31, 44
Cargile, III, John S, MD (IPN) ........................................................40
Carlile, Maegin M, APN (IPN)..................................................37, 55
Carlisle, Lee, APN (IPN)..........................................................37, 55
Carlson, David E, MD (IPN) ..........................................................25
Carpenter, Brett W, LPT (IPN) ......................................................46
Carpenter, Scott S, DO (IPN) ........................................................16
Carpenter, Tiffany M, OT (IPN) .....................................................43
Carr, Tracey A, OT (IPN) ............................................................... 51
Carrizales, Rosalinda, DO (IPN) ...................................................42
Carroll, Timothy B, DC (IPN) .........................................................32
Carter, Roberta, LPT (IPN) ............................................................52
Carter, Troy L, MD (IPN)................................................................19
Casada, John Houston, MD...........................................................70
Casas, Gustavo O, AUDIO (IPN)...................................................27
Case, Christopher L, MD (IPN) ..........................................21, 28, 44
Cason, Jeanne K, APN (IPN) ..................................................33, 55
Cass, Allan W, MD (IPN) ............................................................... 28
Castillo, Jessica, APN (IPN)....................................................14, 54
Castillo, Kylee Rae, LPC............................................................... 78
Cates, Sharon K, APN (IPN) ....................................................14, 54
Cawley, James E, MD (IPN) ....................................................33, 34
Chaka, Ted A, PA (IPN).................................................................54
Challagalla, Jagathi D, MD (IPN) ..................................................33
Chancellor, Laura R, PA (IPN)......................................................56
Charlesworth, Ernest N, MD (IPN) ...............................................40
Cheek, Megan B, LPT (IPN) ..............................................22, 36, 46
Cheruku, Rajanarender R, MD (IPN) ............................................41
Chitwood, Darcie A, DO (IPN) ......................................................40
Clark, IV, Joseph L, APN (IPN)................................................33, 55
Clawson, Lacey D, DPM (IPN) ......................................................23
Clayton, Leisa D, APN (IPN) ...................................................37, 55
Cloy, Michael J, PA (IPN) ..............................................................54
Coates, Jr, Stephen W, MD (IPN)..................................................40
Cody, Jessie L, PA (IPN) ............................................................... 56
Cogburn, Jonathan N, LMFT.........................................................67
Cohen, Jeffrey H, MD (IPN).....................................................30, 31
Cole, John F, DO (IPN) ..................................................................16
Cole, Steven T, DO (IPN) ..............................................................41
Collier, Jimmy W, DC (IPN)...........................................................39
Collins, Roger C, LCSW................................................................75
Colunga, Kathy, OT (IPN) .............................................................43
Compton, Cora J, APN (IPN) ..................................................37, 55
Conley, Clinton D, LPT (IPN).........................................................22
Conner, Kathe, APN (IPN).......................................................37, 55
Conner, Robin A, APN (IPN) ...................................................49, 56
Cook, Donald W, MD (IPN)............................................................49
Coon, Kimberly S, APN (IPN) ..................................................37, 55
Cooper, Jr, Charles G, PA (IPN) ...................................................55
Cordes, Megan L, LPT (IPN) .............................................22, 36, 46
Cornell, Jess M, MD (IPN).............................................................40
Corta, Peter J, PA (IPN) ....................................................54, 55, 56
Cotney, Thomas W, MD (IPN) .......................................................20
Cowan, Cayce D, LPC...................................................................75
Cox, Angela D, LPT (IPN)..............................................................52
Cox, Jessica A, LPT (IPN) .............................................................22
Cox, Jr, Conald W, MD (IPN).........................................................18
Cox, Misti M, APN (IPN) ..........................................................14, 54
Crawford, Courtney, MD (IPN) ......................................................19
Crenshaw, Rebecca S, MD (IPN)..................................................42
Creppy, Amy G, MD (IPN) .............................................................17
Cretors, Christa, LPT (IPN) ...........................................................33
Crisp, Marcie D, APN (IPN) .....................................................52, 57
Crocker, Evelyn Sue, LPC.............................................................75
Crocker, Scott H, MD (IPN) ...........................................................25
Crowley, John D, MD ..............................................................70, 73
Cruz Jr, Tony Murillo, LPC ............................................................72
Cummings, David A, MD (IPN) .....................................................41
Cunningham, Jennifer L, LPT (IPN)..............................................52
Curtis, Linda Kay, LPC ..................................................................75
C
Daftarian, Soheil M, MD (IPN) .......................................................43
Daggubati, Nageswari, MD (IPN) ..................................................15
Dahiya, Marta C, MD (IPN)......................................................35, 52
Dallas, Heather M, APN (IPN) .................................................37, 55
Dallas, John D, MD (IPN) ..............................................................47
Damron, Julie D, APN (IPN) ....................................................29, 55
Danbert, Robert J, DO (IPN) ...................................................40, 41
Daniell, Randy C, MD (IPN)...........................................................18
Darling, Matthew J, DO (IPN)..................................................31, 44
Dart, Kimi L, DO (IPN) ...................................................................28
Das, Gopimohan, MD (IPN) ...........................................................41
Cadoo, Valorie Walters, LMFT ...................................................... 67
Calingo, Zarina M, APN (IPN) ........................................... 26, 29, 54
Calvert, Gwendolyn C, OT (IPN) ................................................... 43
Cammack, James T, MD (IPN) ..................................................... 25
Campanini, Emir R, MD (IPN)....................................................... 46
Campbell, Michelle D, SLP (IPN) .................................................. 26
Canario, Daniel G, MD (IPN)......................................................... 17
Canion, Nicholas J, APN (IPN)................................................ 37, 55
83
D
Specialists Index
bmk_hmo_spec_ni dex
Davis, Christopher W, APN (IPN) ............................................37, 55
De Jesus, Maria A, MD (IPN) ........................................................42
De La Torre, Alejandro J, MD (IPN)...............................................45
De Riese, Werner T, MD (IPN) ......................................................25
Dean, III, Thurston E, MD (IPN) .....................................................26
Deaton, William J, MD (IPN) ..........................................................47
Defee, Jason M, MD (IPN) .............................................................43
Defiore, Stephen F, DC (IPN) ........................................................26
Delacerda, Ashley B, MD (IPN) .....................................................40
Delacruz, Shannon L, APN (IPN) ..............27, 32, 37, 49, 54, 55, 56
Demory, Anthony C, MD (IPN) ......................................................42
Dendy, Amber Alynn, LPC.............................................................72
Deprang, Clifford L, MD (IPN)........................................................20
Deshmukh, Avi T, MD (IPN) ....................................................35, 52
Di Blasi, Michele D, MD (IPN) .......................................................30
Di Blasi, Tina P, MD (IPN) .............................................................30
Dickerson, Russell S, MD (IPN) ....................................................18
Dickey, Jr, Robert L, MD (IPN) ......................................................20
Dickinson, Ericka, LPT (IPN) ........................................................22
Dienert, Gloria X, APN (IPN) ...................................................37, 55
Dipprey, Tina N, SLP (IPN) ...........................................................52
Dodds, Ruth B, OT (IPN) .........................................................19, 43
Dooley, Brent James, LPC ............................................................75
Dotson, Teena T, PA (IPN)............................................................56
Douglas, Khristina M, SP (IPN) .........................................24, 36, 48
Dozier, Norman J, MD (IPN) ..........................................................21
Dressen, Jr, Edward R, OD (IPN)..................................................25
Drummond Borg, Lesley M, MD (IPN)....................................16, 22
Drummond, Freddie Eugene, PHD ...............................................77
Du, Antao, MD (IPN) ......................................................................18
Duarte, Luis E, MD (IPN) ...............................................................42
Dubey, Ajay K, MD (IPN) ...............................................................24
Dubois, Holly Colleen, MD.............................................................74
Dudensing, Abby L, LPT (IPN)......................................................22
Dunham, Gregory M, MD (IPN) .....................................................42
Duryea, Keith, APN (IPN) ........................................................37, 55
Dutton, Belinda W, PA (IPN) .........................................................54
Duwe, Madge C, LPC ....................................................................67
Dvorak, Anna K, MD (IPN).............................................................47
Dzurik, Matthew V, MD (IPN)...................................................21, 44
E
Eapen, Reenu S, MD (IPN)............................................................21
Easley, David J, MD (IPN) .............................................................45
East, Amanda B, OT (IPN).................................................19, 36, 43
Edens, Nancy A, PA (IPN) .............................................................54
Eger, Lynne, MD (IPN)...................................................................45
Elkins, Carrie Ann, LPC.................................................................75
Eller, Steven B, LPC ......................................................................67
Elliott, Bryan Mitchell, LPC ............................................................76
Elliott, Loree, APN (IPN)..........................................................37, 55
Emerick, Robert S, MD (IPN) ........................................................27
Endsley, Ferral L, DO (IPN)...........................................................22
England-Sims, Dawn M, SLP (IPN) ..............................................52
Erb, Julie D, OT (IPN) ....................................................................33
Erck, Charles S, MD (IPN) .............................................................50
Erwin, Terry C, APN (IPN) .......................................................34, 55
Eschbach, Tyler O, PA (IPN).........................................................56
Estes, Rebecca S, OT (IPN) ..............................................19, 36, 43
Etheredge, Gretchen E, LMFT ......................................................67
Evans, Richard M, MD (IPN)..........................................................30
Evans, William R, MD (IPN)...........................................................51
Ezzell, Steven C, OD (IPN) ............................................................25
F
Faglie, Melanie A, APN (IPN) ..................................................14, 54
Fakhoury, Ibrahim S, MD (IPN) .....................................................18
Favor, Tanya L, PA (IPN)...............................................................56
Fehr, James W, OD (IPN) ..............................................................25
Felger, Jason E, MD (IPN).............................................................49
Fentress, Dustin R, PA (IPN).........................................................56
Fine, Misty L, OT (IPN) ..................................................................43
Finley, Michael A, LMFT ................................................................67
Fischer, Kellie D, SLP (IPN) ..............................................24, 36, 48
Fish, Kenton, MD (IPN)..................................................................43
Fisher, Steven J, MD (IPN)............................................................30
Fleet, Tracy Lee, LPC ....................................................................68
Fleming, Jerry Wayne, LCSW ...........................................71, 72, 73
Fleming, Sherry Diane, PHD .........................................................70
Flood, R G, MD (IPN).................................................................... 49
Flores, Angel G, LPC .................................................................... 76
Floyd, Ira L, MD (IPN) ............................................................. 30, 31
Flynn, Emmette T, MD (IPN)......................................................... 40
Fogle, Samuel Patrick, LPC .......................................................... 68
Ford Burleson, Stacie, SLP (IPN) ................................................ 52
Ford, Katherine M, DC (IPN)......................................................... 30
Foreman, Jacqueline D, LPT (IPN) ............................................... 22
Forlano, Rico J, DC (IPN) ............................................................. 32
Fortin, Victoria, OT (IPN) .............................................................. 19
Fowler, James H, MD (IPN) .......................................................... 30
Fowler, Lisa S, MD (IPN) .............................................................. 27
Foxcroft, Paul J, MD (IPN) ........................................................... 44
Frailing, John M, PA (IPN)............................................................ 54
Frazier, Charles R, MD (IPN) ........................................................ 50
Frerking, Tyrus R, DO (IPN) ......................................................... 50
Friess, Gregory G, DO (IPN)................................................... 34, 51
Frye, Donna Carol, LMFT.............................................................. 79
Fuchs, Robin, OT (IPN) ................................................................ 43
Funk, Dale A, MD (IPN) ................................................................ 20
G
Gabrielli, Melissa R, APN (IPN).............................................. 37, 55
Gafken, James A, DC (IPN) .......................................................... 27
Gamble, Candace, MD (IPN) ........................................................ 18
Ganesa, Prasanthi, MD (IPN).................................................. 34, 51
Ganesh, Allan, DPM (IPN) ............................................................ 24
Gaona, Dona J, SLP (IPN) ............................................................ 52
Garcia, Laura, OD (IPN)................................................................ 48
Garcia, Miranda M, SLP (IPN) ...................................................... 24
Garcia, Yvonne Denise, LPC ........................................................ 76
Garlapati, Vivek R, MD (IPN)........................................................ 16
Garner, Erin P, DO (IPN) .............................................................. 18
Garner, Jamee D, DC (IPN) .......................................................... 15
Geevarghese, Samia B, MD (IPN)................................................ 39
Gibbs, Amy R, OT (IPN) ................................................... 19, 36, 43
Gibbs, Kayla J, APN (IPN) ...................................................... 37, 55
Gillespie, Robert S, MD (IPN)....................................................... 46
Gindratt, Carol Lynn, LPC ............................................................ 68
Goetz, Millie K, APN (IPN) ...................................................... 14, 54
Gokul, Bhagwandas D, MD (IPN) ................................................. 50
Gold, Jamie L, OD (IPN) ............................................................... 48
Goldman, Matthew A, MD (IPN) ................................................... 43
Goldman, Stanton C, MD (IPN) .................................................... 21
Goldstein, Brian S, MD (IPN) ................................................. 31, 44
Gonzalez, Serina Denise, LPC ..................................................... 76
Goodnight, Gary D, DO (IPN) ................................................ 14, 20
Graham Williams, Olivia R, APN (IPN) .................................. 14, 54
Graham, Moira E, APN (IPN) .................................................. 29, 55
Grant, Brooks T, OD (IPN) ............................................................ 25
Grant, Robert N, MD (IPN)............................................................ 40
Gray, Louise K, SLP (IPN) ...................................................... 24, 36
Green, Jr, Edwin A, MD (IPN) ....................................................... 28
Green, Julie A, PA (IPN) ............................................................... 56
Green, Susan Blake, LPC ............................................................. 68
Greer, James Crawford, LMFT...................................................... 67
Greer, Leigh A, LPT (IPN) ................................................. 22, 36, 46
Greeson, Charles E, MD (IPN) ..................................................... 40
Gregory, Cathy Jean, LCSW ........................................................ 78
Greig, Patricia M, SLP (IPN) ......................................................... 48
Gremminger, Michael J, LPT (IPN) .............................................. 35
Grimes, Edward L, OD (IPN) ........................................................ 48
Grisham, Shandy L, APN (IPN) .................................. 34, 49, 55, 56
Grobler, Neil S, LPT (IPN) ............................................................ 46
Grothaus, Peter C, MD (IPN)........................................................ 23
Guanajuato, III, Felix, APN (IPN)............................................ 37, 55
Guillaume, Andamo A, MD (IPN).................................................. 31
Gunby, Jr, Robert T, MD (IPN) ..................................................... 18
H
Hackl, Theodore E, MD (IPN) ....................................................... 43
Hackman, Anne M, MD (IPN) ........................................... 21, 28, 44
Haddad, Christopher A, MD (IPN)................................................. 39
Haddad, Rudy M, MD (IPN) .......................................................... 39
Hafner, Jonathan W, MD (IPN) ..................................................... 44
Hagelstein, Deborah L, APN (IPN) ......................................... 37, 55
Hagood, Nicholas R, PA (IPN)...................................................... 54
Hajovsky, Deborah R, MD (IPN)................................................... 42
Halari, Amanda A, SLP (IPN)........................................................ 24
84
Hall Sappington, Amanda L, OD (IPN)................................... 25, 32
Hall, Ashley G, MD (IPN) ......................................................... 14, 21
Hamilton, Debra J, AUDIO (IPN) .................................................. 38
Hammons, Matthew A, MD (IPN).................................................. 19
Hanby, Michelle S R, PHD ............................................................ 77
Haney, Derek R, LPT (IPN) ........................................................... 52
Hardwicke, Alan C, MD (IPN) ....................................................... 41
Harford, Paul H, MD (IPN) ............................................................ 47
Harris, Becky Joanne, LPC ........................................................... 78
Harrison, Margaret V, LPC ........................................................... 75
Harriss, Linda Sue, LPC ............................................................... 72
Harvey, David B, MD (IPN)............................................................ 39
Harzke, Charles D, MD (IPN) ........................................................ 42
Hay, Michael T, MD (IPN).............................................................. 33
Hayashi, Bonnie H, MD (IPN)........................................................ 18
Hayden, Shailaja J, MD (IPN)........................................................ 47
Hayes, Ronda Jean, LPC .............................................................. 76
Hayley, Joe C, OD (IPN) ............................................................... 33
Hayley, John, OD (IPN)................................................................. 33
Haynes, Bill C, MD (IPN) ............................................................... 16
Haynes, Jr, Allan L, MD (IPN) ....................................................... 25
Hayton, Stephanie L, PA (IPN) ..................................................... 56
Headstream, Teresa K, APN (IPN) ......................................... 14, 54
Headstream, Thomas L, MD (IPN)................................................ 17
Heard, Patrick Carroll, LPC ........................................................... 68
Heath, Gary L, MD (IPN) ............................................................... 21
Heaven, Jr, Ralph F, MD (IPN)................................................ 16, 19
Hendrix, Jr, Henry H, MD (IPN)..................................................... 20
Henke, Clyde A, MD (IPN)....................................................... 42, 49
Henrikson, Jean L, APN (IPN)................................................ 37, 55
Hensley, Margaret A, APN (IPN)............................................. 49, 56
Herdman, Emily B, PA (IPN) ......................................................... 56
Hernandez, Angel W, MD (IPN) .................................................... 46
Hernandez, Cynthia M, APN (IPN).......................................... 29, 55
Herndon, Kirsten S, SP (IPN).................................................. 24, 36
Hess, Lawrence R, APN (IPN)................................................. 49, 56
Hester, Roseann M, APN (IPN)............................................... 37, 55
Heym, Kenneth M, MD (IPN)................................................... 21, 45
Hicks, Bradley S, LPT (IPN) .............................................. 22, 36, 46
Hicks, Erin L, LPT (IPN) .................................................... 22, 36, 46
Hierholzer, Jodi K, LPT (IPN)........................................................ 23
Hill, Christina C, MD (IPN)....................................................... 41, 42
Hilmes, Kara L, APN (IPN) ...................................................... 37, 56
Hinshaw, Roberta, MD (IPN)......................................................... 41
Hinton, Kristi J, LPT (IPN) ............................................................. 31
Hinze, John D, DO (IPN) ............................................................... 47
Hirsch, Jr, Victor J, MD (IPN) ........................................................ 28
Hiser, Tracey S, OT (IPN) ............................................................. 51
Hlis, Stephen G, OD (IPN) ............................................................ 29
Hoak, Jessie L, APN (IPN) ...................................................... 37, 56
Hocker, Jamie, RD (IPN)............................................................... 40
Hoebelheinrich, Schel A, OT (IPN) .............................................. 19
Hoehn, Jerri, APN (IPN) .......................................................... 29, 55
Hoelscher, Robbi C, OT (IPN) .......................................... 19, 36, 43
Hoffman, Renee T, LPC................................................................ 71
Hogan, Steve A, DC (IPN)............................................................. 27
Hogg, Melissa L, APN (IPN) .................................................... 37, 56
Hohensee, Melissa P, APN (IPN)............................................ 38, 56
Holik, Brian J, LPT (IPN) ............................................................... 46
Holland, Sue A, AUDIO (IPN) ....................................................... 15
Hollander, Bobby M, DC (IPN)...................................................... 15
Holle, Douglas T, OD (IPN) ........................................................... 48
Holler, Susan B, SLP (IPN) ............................................... 24, 36, 48
Hollingsworth, Lori K, LPC........................................................... 76
Holt, Riley D, LPT (IPN)................................................................. 23
Hopkins, Timothy E, MD (IPN).......................................... 30, 42, 49
Hopper, Lori S, APN (IPN) ...................................................... 34, 55
Hospers, Teresa A, MD (IPN) ..................................... 31, 39, 44, 46
Howell, Bruce W, OD (IPN)........................................................... 33
Howser, III, Donald M, MD (IPN)................................................... 50
Hsieh, Susan Y, MD (IPN)....................................................... 16, 22
Hubble, Levi L, MD (IPN) .............................................................. 40
Huber Willis, Jobeth K, LPT (IPN) ................................................ 23
Huchton, David M, MD (IPN) ........................................................ 44
Huckabee, Jerry Lynn, LPC .......................................................... 78
Huckaby, Teresa L, LPT (IPN).......................................... 23, 36, 46
Huggins, Melodee Sue, LPC .................................................. 72, 73
Hughston, Ty M, MD (IPN) ........................................................... 41
Hume, Andrew T, MD (IPN)........................................................... 49
Hunnicutt, Julianne C, LPC .......................................................... 76
Hunt, John D, MD (IPN)................................................................. 41
Hunt, Melinda M, LPT (IPN) .......................................................... 23
Huseman, Patricia G, APN (IPN) ............................................ 38, 56
Hutchins, Leslie M, MD (IPN) ....................................................... 42
Hutton, Jonathan N, LPT (IPN) ..................................................... 23
Specialists Index
bmk_hmo_specn_idex
Hyde, Kelly V, MD (IPN)................................................................ 16
L
I
Labbe, Thomas E, OD (IPN) ......................................................... 33
Lai, Stephen, MD (IPN).................................... 15, 21, 27, 28, 39, 45
Lambaren, Christopher A, LPT (IPN) ................................ 23, 36, 47
Lamm, Harold G, OD (IPN) ........................................................... 48
Lander, Stuart R, MD (IPN) ..................................................... 49, 50
Landero, James L, DO (IPN)......................................................... 16
Lane, Donald H, LMFT .................................................................. 78
Lane, Kimberly S, OT (IPN) ............................................... 19, 36, 43
Lane, Richard I, OD (IPN).............................................................. 26
Lange, Bryan S, LPT (IPN)............................................................ 23
Lange, Wanda S, APN (IPN) ................................................... 38, 56
Langford, Sarah A, OT (IPN) ............................................ 19, 36, 43
Larsen, Alan C, OD (IPN).............................................................. 48
Lasiter, John C, MD (IPN) ............................................................. 44
Lee Patterson, Tristi D, LPC......................................................... 76
Lee, Lexie Suzanne, LPC .............................................................. 75
Lee, Seong Y, MD (IPN) .............................................. 20, 28, 35, 43
Leon, Miltiadis N, MD (IPN) ........................................................... 41
Lesley, Nathan E, MD (IPN) .......................................................... 29
Lester, Carol R, SLP (IPN) ................................................ 24, 36, 48
Leverett, Kristi Alain, LPC ................................................. 72, 74, 77
Leverton, II, Robert S, MD (IPN)............................................. 15, 17
Liming, John D, MD (IPN) ............................................................. 47
Lin, Larry W, MD (IPN) ............................................................ 15, 17
Lindley, David, DO (IPN)............................................................... 35
Lindsey, Scott W, APN (IPN) .................................................. 38, 56
Lindsey, Terry M, MD (IPN) .......................................................... 30
Little, Karen, APN (IPN) .......................................................... 49, 56
Locker, Dan L, MD (IPN)............................................................... 27
Lockyer, John E, DPM (IPN)......................................................... 35
Lohman, Rhett K, DO (IPN) .......................................................... 16
Londono Obregon, Camila L, MD (IPN)................................. 31, 45
Long, Laura M, SP (IPN) ............................................................... 52
Looka, Lori M, APN (IPN)........................................................ 38, 56
Lovell, Pat M, LPC ........................................................................ 78
Loy, Jeremy E, OD (IPN)............................................................... 35
Lucas, Cheryl, APN (IPN)................................ 27, 29, 49, 54, 55, 56
Luecke, Christy A, PA (IPN) .......................................................... 54
Lui, Shun H, MD (IPN)................................................................... 43
Lummus, Jimmie D, DPM (IPN).................................................... 47
Luttrell, Mary B, APN (IPN)..................................................... 38, 56
Lynch, Siobhan P, MD (IPN) ................................................... 35, 51
Ihde, II, Glenn M, MD (IPN) ........................................................... 40
Ip, Kam W, MD (IPN) ..................................................................... 50
Irby, Paul Buckner, LPC................................................................ 68
Ismaily, Rehna K, OD (IPN) .......................................................... 32
Ivans, David L, MD (IPN)............................................................... 39
J
Jackson, Leslie F, LPT (IPN)........................................................ 46
Jameson, Dean G, SP (IPN)............................................. 24, 36, 48
Jamison, Emily M, APN (IPN)................................................. 26, 54
Jamison, Jeffrey David, LCSW..................................................... 67
Janzen, Grant P, MD (IPN) ......................................... 19, 28, 35, 43
Jastrow, III, Kenneth M, MD (IPN) ................................................ 40
Jeffers, Joe Mac, PHD.................................................................. 77
Jergins, Janet Leavell, LPC.......................................................... 68
Jeter, Tresea M, APN (IPN) .................................................... 38, 56
Jimenez Arriola, John P, LPT (IPN)............................................. 31
John, Berchmans, MD (IPN) ......................................................... 24
Johnson, Jennifer L, MD (IPN) ..................................................... 25
Johnson, Kavin W, LPC................................................................ 76
Johnson, Steven K, MD (IPN) ................................................ 16, 17
Johnston, Freddie R, APN (IPN) ............................................ 14, 54
Johnston, Kay A, MD (IPN) .......................................................... 40
Joiner, Tara Leigh, LPC................................................................ 76
Jolley, Paula, SP (IPN) ................................................................. 48
Jones, Kathryn D, LPT (IPN)......................................................... 23
Jones, Katrina D, LPT (IPN).......................................................... 23
Jones, Melissa D, DC (IPN) .......................................................... 39
Jordan, C Daniel, DO (IPN) .......................................................... 34
Jordan, Sarah T, MD (IPN) ........................................................... 50
K
Kalafut, Roberta M, DO (IPN) ........................................... 21, 22, 32
Kalla, Hari K, MD (IPN) ........................................................... 16, 19
Kalla, Yamini H, MD (IPN)............................................................. 17
Karr, Gina W, LPT (IPN).................................................... 23, 36, 46
Kashyap, Pooja, MD (IPN)...................................................... 31, 44
Kasner, Kimberley S, LPT (IPN) ....................................... 23, 36, 46
Keating, Priscilla M, LPT (IPN) ......................................... 23, 36, 46
Keenen, Lee T, DPM (IPN) ........................................................... 31
Keesee, Courtnee L, APN (IPN).............................................. 14, 54
Kehoe Lee, Kathleen L, SLP (IPN) ............................................... 52
Keith, Nannette M, LPC ................................................................ 71
Keller, Victoria C, LPT (IPN) ......................................................... 33
Kelley, Cheryl A, APN (IPN).................................................... 53, 57
Kendrick, Bradley T, MD (IPN) ..................................................... 16
Keriwala, Raj, MD (IPN)................................................................ 47
Kerr, Kevin A, MD (IPN) ................................................................ 51
Kerr, Trevor, MD (IPN) .................................................................. 51
Kesler, Michael Glenn, LPC.......................................................... 68
Keylani, Abdul, MD (IPN) .............................................................. 27
Khan, Kassim A, MD (IPN)............................................................ 35
Kim, Danny S, MD (IPN) ............................................................... 40
King, Austin I, MD (IPN)................................................................ 20
King, Kailey E, OT (IPN) ............................................................... 51
King, Robert R, APN (IPN)...................................................... 53, 57
King, Susan E, SLP (IPN) ............................................................. 29
Kingman, Andrew T, MD (IPN) ..................................................... 49
Kirby, Ted M, LPT (IPN)................................................................ 52
Kirkland, Terry L, OD (IPN) .......................................................... 33
Klassen, Carol J, OT (IPN) ........................................................... 19
Kleypas, Susan C, SLP (IPN) ........................................... 24, 36, 48
Klostermann, Dwain R, OT (IPN) ................................................. 19
Knight, Macy E, PA (IPN) ....................................................... 55, 56
Koduru, Swapna, MD (IPN) .......................................................... 24
Koehn, Kathleen A, OT (IPN).................................................. 19, 43
Koenig, Joe D, DC (IPN)............................................................... 29
Kollars, Catharine A, MD (IPN)............................................... 31, 45
Korte, Stephen A, MD (IPN).......................................................... 30
Koslan, Jillian S, SLP (IPN) .......................................................... 24
Koul, Ashok K, MD (IPN)............................................................... 39
Kramer, Bryan L, OD (IPN) ........................................................... 29
Kukolich, Mary K, MD (IPN) ......................................................... 40
Kuo, James A, MD (IPN) ................................................... 21, 28, 45
M
Magee, Kevin P, MD (IPN)............................................................. 17
Malhotra, Deepak, MD (IPN)......................................................... 25
Mandel, Corey S, MD (IPN) ............................................... 21, 28, 45
Mangrem, Kelsi D, AUDIO (IPN) ................................................... 38
Manning, Mark G, MD (IPN).......................................................... 30
Manry Williams, Rhonda R, LPC.................................................. 68
Mansfield, Walter K, DC (IPN) ...................................................... 15
Manuel, Jody R, PA (IPN) ............................................................. 54
Marburger, Jennifer A, APN (IPN) .......................................... 38, 56
Marentes, Gwendolyn M, LCSW ................................................... 67
Marks, Warren A, MD (IPN)........................................................... 22
Marlin, Deborah Sue, LPC ............................................................ 78
Maroney, Samuel S, DO (IPN) ...................................................... 20
Marsh, Charles A, MD (IPN).............................................. 39, 41, 42
Marsh, Jr, Denver C, MD (IPN) ............................................... 39, 41
Martin, Gina Renee, LPC .............................................................. 78
Martin, Kelly S, LPT (IPN) ................................................. 23, 36, 47
Martinez Irizarry, Axel E, MD (IPN) .............................................. 26
Martinez, Alberto N, MD (IPN)....................................................... 34
Martinez, Rodolfo R, DO (IPN)................................................ 44, 48
Maruska, Matthew C, DO (IPN)..................................................... 52
Marvel, James E, MD (IPN)........................................................... 53
Mascorro, Whitney V, MD (IPN).................................................... 18
Massie, Kathy J, SLP (IPN) ........................................................... 52
Masters, Brian E, DC (IPN) ........................................................... 26
Masterson, Donna Josephine, LPC .............................................. 76
Masterson, Robert M, LPC ........................................................... 76
Mathews, Robert J, MD (IPN) ....................................................... 18
Mathur, Sandip V, MD (IPN).......................................................... 16
Matthews, John P, OD (IPN)......................................................... 48
Mazade, Marc A, MD (IPN) ...................................................... 21, 45
McAdams, Rocky L, MD (IPN) ...................................................... 20
McAden, Kellie R, SLP (IPN)......................................................... 25
McAlister, Michele, RD (IPN) ........................................................ 18
McAllum, Shelby V, SLP (IPN)...................................................... 52
McArthur, Melissa J, AUDIO (IPN) ............................................... 38
85
McCain, David B, MD (IPN) ...........................................................15
McCain, Stefanie B, MD (IPN) .................................................18, 32
McClintock, Joseph M, MD (IPN)..................................................25
McClish, John C, MD (IPN) .........................................17, 27, 39, 41
McCloy, Steven T, MD (IPN) .........................................................41
McConnell, Charlotte M, OT (IPN) ................................................51
McCormick, Joseph B, LPT (IPN) .................................................23
McCoy, Dustin Scott, LPC .............................................................76
McCullough, Tammy P, APN (IPN).........................................27, 54
McDonald, Natalie M, PA (IPN).....................................................56
McDonough, Paul W, MD (IPN) ....................................................20
McFerren, Glen Michael, MD.........................................................77
McGough, Carolyn P, OT (IPN).....................................................51
McGraw, Richard M, PHD .............................................................77
McIntire, Rebecca L, APN (IPN)..............................................26, 54
McIver, Bradley D, MD (IPN) .........................................................49
McKelvy, Tammie Sue, LPC .........................................................72
McKennon, Mary J, SP (IPN) ........................................................52
McLean, Marcus L, OD (IPN) ..................................................25, 32
McMillan, Lindsey R, LPT (IPN) ..............................................23, 47
McMillion, Janie S, MD (IPN) ........................................................50
McMurray, Rebecca Howle, LMFT................................................67
McQueen, Carl V, LPC ..................................................................68
McSpadden, Karen D, LPT (IPN) ......................................23, 36, 47
Mejia, Bryan A, MD (IPN)............................................................... 41
Mejia, Genevieve P, MD (IPN) ...........................................26, 34, 42
Melnyk, Jr, Anton M, MD (IPN)......17, 19, 26, 27, 28, 32, 33, 34, 53
Melton, Tim S, DC (IPN)................................................................15
Merchant, Lisa Vallie, LMFT..........................................................67
Meyer, John R, MD (IPN)............................................................... 42
Meza, Bertha A, APN (IPN)......................................................30, 55
Middlebrooks, Angela K, AUDIO (IPN).........................................38
Miller Jr, Thomas H, MD (IPN) ......................................................25
Miller, Adrianne L, AUDIO (IPN) ....................................................39
Millican, Kay C, APN (IPN)......................................................38, 56
Mills, Anne Elisabeth, LPC ............................................................76
Mills, Valarie V, APN (IPN) ......................................................38, 56
Mitchell, Kevin C, DC (IPN)...........................................................15
Monaghan, Orloff, MD (IPN)..........................................................42
Montgomery, Laura L, OT (IPN) ...................................................51
Montoya, Jr, Steve F, MD (IPN) ..............................................41, 42
Moore Jones, Gwendolyn D, LPT (IPN)........................................52
Moore, David A, OD (IPN) .............................................................52
Moore, Jeffrey D, MD (IPN) ...........................................................50
Moore, Kenneth P, MD (IPN).........................................................32
Moosa, Yunus, MD (IPN)............................................................... 27
Morales, Heather R, LPC ..............................................................76
Morgan, Jake A, DC (IPN) .............................................................15
Morgan, Mary Alice H, OT (IPN)....................................................28
Morgan, Tanja, APN (IPN).......................................................27, 54
Morrison, Robert J, MD (IPN) .......................................................47
Morrison, Roy Benjamin, LPC.......................................................68
Morse, Steven, MD (IPN)............................................................... 50
Moses, Lufkin R, DO (IPN) ......................................................29, 53
Moss, Jennifer M, MD (IPN) ..........................................................42
Mull, James R, MD (IPN) ............................................................... 44
Munton, Daniel L, MD (IPN) ..........................................................22
Murray, Jeffrey C, MD (IPN) ..........................................................45
Murray, Rhonna Gayle, LPC .........................................................68
Muyskens, Steve, MD (IPN) ..........................................................45
Myers, Sandra M, LPT (IPN) .........................................................47
N
Nahar, Tamanna, MD (IPN) ...........................................................27
Nakashima, Sachiko, APN (IPN).............................................34, 55
Nance, Jerry C, DC (IPN) ..............................................................50
Narasimha Rao, Archana, MD (IPN).......................................42, 48
Nash, David G, APN (IPN).......................................................14, 54
Needham, Jr, Jack N, MD (IPN) ....................................................16
Needleman, Samuel W, MD (IPN).................................................40
Neill, James E, MD (IPN)............................................................... 39
Nelius, Thomas, MD (IPN).............................................................25
Nethery, Susan A, LPC .................................................................68
Newton, Cynthia Nanette, LCSW ............................................74, 75
Nguyen, Derrick D, MD (IPN) ..................................................35, 51
Nguyen, Tham D, APN (IPN)...................................................38, 56
Nichols, Alan K, APN (IPN) .....................................................14, 54
Nielson, Karen, MD (IPN)..............................................................24
Nigalye, Ranjana N, MD (IPN).......................................................27
Noack, Tamara B, MD (IPN) ..........................................................41
Novak, Yvonne, MD (IPN) .............................................................42
Specialists Index
bmk_hmo_spec_ni dex
O
Oconnor, Catherine B, APN (IPN)...........................................34, 55
Ogdee, Robert G, MD (IPN)...........................................................18
Oines, Stephen P, MD (IPN)..........................................................27
Olabiyi, Olawale, MD (IPN)......................................................31, 45
Oliver, Sharon Kay, LCSW ............................................................71
Ong, Lester C, MD (IPN)................................................................50
Ornelas, Jacob D, MD (IPN) ..........................................................42
Orner, Marc M, LPC.......................................................................68
Ortiz, Adrianne M, LPC..................................................................76
Osborn, Stephen M, PHD..............................................................70
Owens, Beth R, OT (IPN) ..............................................................19
Owens, Jean A, LPT (IPN).................................................23, 36, 47
Owens, Shauna S, LPT (IPN) ........................................................47
P
Pacuraru, Anca D, DO (IPN) .........................................................20
Padon, Derek T, MD (IPN).............................................................20
Padua, Marymay S, LPT (IPN).......................................................31
Page, Ray D, DO (IPN) ............................................................35, 51
Palomin, Omar, LPT (IPN).............................................................31
Parhizgar, Amin, MD (IPN) ............................................................42
Parker, Melody Lyn, LPC ...............................................................69
Parkhill, Rachel P, APN (IPN) .................................................14, 54
Pate, Preston L, MD (IPN)..............................................................24
Patel, Ann, OD (IPN)......................................................................32
Patel, Nikunjkumar I, MD (IPN) ................................................15, 17
Patel, Sunil S, MD (IPN)...............................................20, 28, 35, 43
Patel, Yogeshkum T, MD (IPN)................................................16, 21
Patterson, Sheila F, APN (IPN) ...............................................38, 56
Payne, Paul B, MD (IPN) ...............................................................18
Pendergrass, Mia R, AUDIO (IPN)................................................39
Penmetsa, Santhi, MD (IPN) .........................................................24
Penn, Tracy A, PA (IPN) ................................................................54
Perez Povis, Lorena D, MD (IPN)..................................................41
Perret, II, Kenneth A, MD (IPN) .....................................................47
Pfaff, John K, MD (IPN) .................................................................22
Phelan, Mark J, MD (IPN) ..............................................................20
Pickett, Jennifer J, APN (IPN) .................................................49, 56
Pilgrim, Scott M, MD (IPN) ......................................................15, 39
Pittman, Timothy S, DC (IPN)........................................................39
Podaralla, Srikanth, MD (IPN) .......................................................46
Polone, Regan W, PA (IPN) ..........................................................54
Polone, Shannon S, PA (IPN)........................................................54
Porisch, Mary E, MD (IPN) ......................................................31, 45
Posey, Klarisa R, APN (IPN)....................................................27, 54
Postelwait, Darren L, OD (IPN) .....................................................25
Potter, Jesse M, LPC.....................................................................69
Power, Jeffrey G, DC (IPN)............................................................39
Preedom, Maya E, OT (IPN)....................................................30, 43
Preston, Kerry C, OD (IPN) ...........................................................25
Preston, Shona, APN (IPN) .....................................................14, 54
Price, Diana L, APN (IPN)........................................................26, 54
Priddy, Leddy M, LPT (IPN)...........................................................47
Priestner, Vincent J, MD (IPN) ......................................................16
Prieto, Roberto, MD (IPN)..............................................................41
Proctor, Elizabeth R, SLP (IPN) ....................................................52
Puppala, Jagadish, MD (IPN) ........................................................34
Purdy, Vickie Lynn, LPC................................................................76
R
Radack, Jill A, MD (IPN) ................................................................45
Rak, Bridget M, RD (IPN) ...............................................................18
Ramachandran, Poongodhai, MD (IPN) ...........................29, 49, 50
Ramamurthy, Hariharan, MD (IPN)...............................................30
Ramirez, Ezequiel R, LPC .............................................................76
Ramirez, Kristin F, APN (IPN)..................................................38, 56
Ramirez, Mark A, MD (IPN) ...........................................................40
Ramolia, Paras B, MD (IPN)....................................................16, 27
Ramon, Regina, SLP (IPN)............................................................48
Ramos, Amanda M, APN (IPN) ...............................................38, 56
Randell, II, David J, DC (IPN) ........................................................15
Ravipudi, Sanjeev, MD (IPN) ........................................................27
Ray, Andra Leigh, LPC...................................................................74
Ray, Anish, MD (IPN) ...................................................16, 19, 41, 43
Ray, Bryan Edward, LPC ...............................................................74
Ray, Carri H, AUDIO (IPN).......................................................15, 39
Readinger, Richard I, MD (IPN).........................................21, 28, 45
Reddy, Guduru R, MD (IPN) ................................................... 34, 35
Reddy, Janardhana P, MD (IPN) .................................................. 35
Redrow, Mark W, MD (IPN) .......................................................... 51
Reed, Shayli, OT (IPN).................................................................. 19
Reeves, Shila R, OT (IPN) ............................................................ 19
Reeves, Susan D, SLP (IPN) ........................................................ 48
Reid, Thomas R, MD (IPN) ........................................................... 44
Reimer, Mark B, MD (IPN) ............................................................ 34
Renfro, Sarah B, APN (IPN) ................................................... 14, 54
Rhodes, Christine N, LPC............................................................. 69
Rice, Wendi V, CNM (IPN) ...................................................... 15, 54
Richardson, Amy Lynne, LPC ...................................................... 69
Richeh, Chadi, MD (IPN) .............................................................. 40
Richeh, Wael, MD (IPN)................................................................ 42
Richert, Harvey M, MD (IPN) ........................................................ 20
Richie Gillespie, Mayme F, MD (IPN) .......................................... 51
Rider, Jane C, MD (IPN) ............................................................... 46
Righi, Angela D, LPT (IPN) ........................................................... 23
Riley, Collin C, LPT (IPN).............................................................. 23
Riley, Peggy L, APN (IPN) ...................................................... 14, 54
Riley, Whitney L, OT (IPN)................................................ 19, 36, 43
Rinard, Katherine L, MD (IPN) ...................................................... 25
Rios, Ana M, MD (IPN).................................................................. 41
Ritter, Steven E, MD (IPN)............................................................ 40
Roach, Kristy M, SLP (IPN)............................................... 25, 36, 48
Roark, Gary D, MD (IPN) .............................................................. 16
Robbins, Robert M, LPT (IPN)...................................................... 23
Robbins, Stewart D, OD (IPN)................................................ 26, 29
Roberson, Katie R, SLP (IPN) ...................................................... 25
Roberts, Stephen J, MD (IPN) ...................................................... 28
Robinson, Jr, Noel K, MD (IPN) ................................................... 17
Robinson, Tammie L, APN (IPN) ........................................... 38, 56
Rodriguez, Jorge D, OD (IPN) ...................................................... 32
Rogers, Denice D, APN (IPN) ................................................. 49, 56
Romatowski, Robert, PA (IPN)..................................................... 56
Rosen, Robert T, MD (IPN)........................................................... 32
Rosenthal, Jr, Harry, MD (IPN)..................................................... 35
Roten, Lisa M, MD (IPN) ................................................... 21, 28, 45
Roy, Sani A, MD (IPN) .................................................................. 45
Rubin, Mark A, MD (IPN) .............................................................. 16
Rudy, Delbert C, MD (IPN)............................................................ 52
Russell, Roger Allen, PHD............................................................ 70
Russo, Ingrid Angela, LCSW ........................................................ 75
Rustmann, Walter C, DO (IPN) .................................................... 47
Rutland, Marsha E, LPT (IPN) .......................................... 23, 36, 47
Ryan, Kellie M, APN (IPN) .......................................... 26, 38, 54, 56
S
Saint, Alexis Milam, LPC............................................................... 72
Salama, Mostafa M, MD (IPN) ...................................................... 30
Saldivar, Oralia, APN (IPN) .................................................... 38, 56
Salyer, Eddie L, DC (IPN) ............................................................. 32
Sanchez, Rafael G, MD (IPN) ....................................................... 16
Sanders, Rick Allen, LPC.............................................................. 69
Santos, Alfred A, MD (IPN) ........................................................... 35
Sargent, Karen S, MD (IPN) ......................................................... 51
Sawyer, Becky L, PA (IPN) ........................................................... 56
Schaeffer, Elizabeth H, LPT (IPN) .................................... 23, 36, 47
Schniers, Melissa Lynn, LPC........................................................ 79
Schnitzer, Delilah M, APN (IPN)............................................. 38, 56
Schowengerdt, Rebecca, PA (IPN).............................................. 54
Schultz, Susan L, APN (IPN) .................................................. 38, 56
Schuster, Tina K, DO (IPN) .......................................................... 26
Schutte, Deborah A, MD (IPN) ......................................... 21, 28, 45
Serna, Fermin A, APN (IPN) ................................................... 38, 56
Seth, John A, APN (IPN) ......................................................... 32, 55
Shafiu, Mohamed, MD (IPN)......................................................... 30
Shah, Koonj A, MD (IPN) .............................................................. 48
Shanks, Michael T, OD (IPN)........................................................ 25
Shapiro, Michael, MD (IPN) .......................................................... 48
Shaw, Evelyn G, LPC.................................................................... 76
Shelton, Mark M, MD (IPN)........................................................... 46
Shelton, Mary D, SLP (IPN) .......................................................... 25
Sherrod, Gene A, MD (IPN) .......................................................... 39
Shinn, Linda K, PA (IPN) ........................................................ 55, 56
Shringeri, A P, MD (IPN) .............................................................. 14
Shugart, Margaret Pace, LPC....................................................... 69
Shults, Sandra D, MD (IPN).......................................................... 50
Simpson, Jr, William F, DO (IPN) ................................................. 32
Simpson, Patricia A, APN (IPN) ............................................. 38, 56
Sinclair, Jerry W, MD (IPN) .......................................................... 18
Singer, Michael A, MD (IPN)......................................................... 30
86
Sirianni, Valerie R, PA (IPN)......................................................... 54
Sitzes, Patricia J, SLP (IPN).................................................... 31, 48
Sizemore, April C, LPC ................................................................. 69
Slaven, Jennifer D, APN (IPN) ................................................ 38, 56
Slayton, Kent Sherman, LPC ........................................................ 74
Slayton, Rebecca Powell, LPC ..................................................... 74
Sloan, Martin V, DPM (IPN)........................................................... 24
Smith, Dustin W, DPM (IPN) ......................................................... 33
Smith, James W, DO (IPN) ........................................................... 51
Smith, John Paul, LPC .................................................................. 76
Smith, Joseph B, LPC ................................................................... 72
Smith, Kathryn S, APN (IPN)................................................... 38, 56
Smith, Kevin A, DC (IPN) .............................................................. 39
Smith, Loretta L, PA (IPN)............................................................. 56
Smith, Opal, APN (IPN)..................................................... 38, 39, 56
Smith, Rachel D, SLP (IPN) .......................................................... 25
Smith, Trudy L, PA (IPN)............................................................... 54
Smithwick, Jerrie D, APN (IPN) .............................................. 38, 56
Smothermon, Jennifer Ruth, LPC................................................. 69
Snipes, Ernest Neil, LCSW ........................................................... 75
Snook, Ashley P, APN (IPN) ................................................... 38, 56
Snowden, Sara A, LPT (IPN) ........................................................ 23
Sobrero, Lisa J, LPC..................................................................... 77
Sorgen, Stephen, MD (IPN) .................................. 24, 28, 32, 34, 53
Sorrels, William F, DO (IPN) ......................................................... 46
Sosolik, Debra L, APN (IPN)................................................... 38, 56
Soto, Sylvia Ana, PHD .................................................................. 77
Southall, Belinda J, DC (IPN).................................................. 15, 26
Spell, Michael C, LMFT ................................................................. 67
Spillers, Bridgett D, APN (IPN) ............................................... 14, 54
St Cyr, Adam V, LPC..................................................................... 69
St Cyr, Sarah Elizabeth, LPC ........................................................ 69
Stallard, Christopher A, APN (IPN) ......................................... 38, 56
Stanley, Richard D, MD (IPN) ....................................................... 18
Starkey, Tonya Nichole, LCSW..................................................... 75
Stava, Victor L, PA (IPN) ............................................................... 57
Steele Perkins, Shanna L, APN (IPN) ............ 27, 29, 49, 54, 55, 56
Steelman, Joel W, MD (IPN) ......................................................... 45
Stepczynski, Jacek M, LPT (IPN) ................................................. 52
Stephenson, Donald J, PA (IPN) .................................................. 54
Stephenson, Sara L, PA (IPN)...................................................... 54
Stepp, Raymond W, OD (IPN)....................................................... 29
Stevens, Bradley N, PA (IPN) ....................................................... 56
Stevenson, John A, MD (IPN)................................................. 28, 42
Stewart, Julie B, APN (IPN)..................................................... 32, 55
Stewart, Sheila King, LPC............................................................. 77
Stojanovic, Tamara, MD (IPN)...................................................... 24
Stokes, Cindy L, APN (IPN) .................................................... 38, 56
Stokes, Eugene W, MD (IPN)........................................................ 40
Stone, Joshua S, PA (IPN) ............................................................ 57
Storey, Benjamin S, DC (IPN) ....................................................... 39
Stotts, Darci J, DC (IPN) ............................................................... 39
Strain, Melissa L, LPC................................................................... 69
Streich, Jodi H, OD (IPN).............................................................. 33
Stribling, Katherine M, SLP (IPN) ................................................. 48
Stuckey, David E, LCSW .............................................................. 67
Studt, Mary E, PA (IPN) ................................................................ 56
Summers, Lee W, DC (IPN).......................................................... 15
Sun, Kai M, DO (IPN) .............................................................. 26, 41
Surber, Ashley D, APN (IPN) .................................................. 49, 56
Sutliff, Lourell E, MD (IPN)............................................................ 42
Swanson, Mary Ruth, LCSW .................................................. 71, 72
Swarna, Udaya S, MD (IPN)........................................ 15, 17, 29, 33
Szabo, Karen A, PA (IPN) ............................................................. 54
T
Taff, Amber M, APN (IPN) ....................................................... 14, 54
Taff, Laura Christina, LPC ............................................................. 69
Taff, Richard, PA (IPN) .................................................................. 55
Tankersley, Boyce, APN (IPN) ............................................... 14, 54
Tarkenton, Tim R, MD (IPN) ......................................................... 34
Tatsch, Kelly Valeria, LPC ............................................................ 79
Taylor Chinn, Michelle L, APN (IPN) ...................................... 38, 56
Taylor, Dayna L, LPT (IPN)........................................................... 47
Taylor, Jason G, MD (IPN) ................................................ 28, 48, 53
Taylor, Pennissi P, PHD.................................................... 72, 73, 78
Taylor, Rebecca C, APN (IPN)................................................ 38, 56
Taylor, Susan J, MD (IPN) ............................................................ 30
Teague, Brettly J, MD (IPN)........................................................... 20
Terrell, Frank V, MD (IPN)................................................. 32, 35, 51
Thambidorai, Senthil, MD (IPN).................................................... 39
Thames, Paul B, MD (IPN) ............................................................ 20
Specialists Index
bmk_hmo_specn_idex
Thane, Trussell L, OD (IPN) .......................................................... 49
Thelen, Andrea K, PA (IPN) .......................................................... 55
Thiberville, Sunnie J, APN (IPN) ............................................ 14, 54
Thigpen, Brad D, DO (IPN) ........................................................... 17
Thom, William H, MD (IPN) ........................................................... 44
Thomas Aguilar, Velma E, PA (IPN) ............................................ 56
Thomas, Mylinda, LPC.................................................................. 72
Thomas, Stephanie Lynn, LPC ..................................................... 77
Thomas, Steven M, DC (IPN) ....................................................... 50
Thomas, Teena C, MD (IPN) ........................................................ 21
Thompson, Christopher R, MD (IPN) ........................................... 21
Thomson, Deborah A, PA (IPN) ................................................... 55
Thornton, Paul S, MD (IPN).......................................................... 21
Thorp, Gorman M, MD (IPN)................................................... 15, 17
Tice, Brett A, LPT (IPN) ................................................................. 31
Tidmore, Taylor R, MD (IPN) ........................................................ 21
Tindol, Amy B, MD (IPN)............................................................... 27
Tipton, George B, MD................................................................... 72
Tomberlin, Janice K, MD (IPN)..................................................... 24
Toombs, Wade B, OD (IPN) ......................................................... 27
Torres, Sherron L, APN (IPN) ................................................. 29, 54
Totoe, Robert A, MD (IPN) ............................................................ 17
Trifilo, Richard D, MD (IPN) .......................................................... 22
Tuley, Derek Alan, LCSW ............................................................. 67
Tumlinson, Kaci L, SLP (IPN)........................................... 25, 36, 48
Turk, David, DC (IPN) ................................................................... 34
Turner, Taryn J, DO (IPN)....................................................... 32, 50
Tyler, Erica R, LPT (IPN)............................................................... 31
U
Ulrich, Brian K, MD (IPN) .............................................................. 33
Uribe, Cristina R, SLP (IPN).......................................................... 26
Uricchio, Francis J, MD (IPN) ....................................................... 27
V
Vadlamani, Lalit, MD (IPN) ........................................................... 27
Valverde, Alex, LPC...................................................................... 77
Vanden Berge, Kevin M, MD (IPN)............................................... 51
Vanderzant, Christopher W, DO (IPN).......................................... 42
Vann, Elliott R, MD (IPN)......................................................... 20, 25
Vann, Julie Beth, LPC ................................................................... 77
Varghese, Joji J, MD (IPN)............................................................ 17
Vaughan, Christopher A, APN (IPN)....................................... 14, 54
Vaughan, Daniel J, MD (IPN)........................................................ 18
Vega Dulanto, Ivanoe J, MD (IPN) ............................................... 16
Vickers, Lonnie L, MD (IPN) ......................................................... 26
Vidacic, Aleksandra, MD (IPN) ..................................................... 41
Viertel, Lacy A, LPT (IPN)............................................................. 23
Villarreal, Clarisa A, SLP (IPN)..................................................... 48
Villers, James F, LPT (IPN) .............................................. 23, 36, 47
Vosburg, Caleb, MD (IPN) ............................................................ 44
Vulcan, Marius, MD (IPN) ............................................................. 44
W
White, Jennifer L, LPT (IPN).......................................................... 47
Whitehead, Brandi L, PA (IPN) ..................................................... 56
Whitehead, III, William F, MD (IPN) .............................................. 40
Whitten, Elya Hope, LPC .............................................................. 70
Whitten, Jr, Buren A, PA (IPN)...................................................... 55
Whitworth, Mary S, MD (IPN) ....................................................... 46
Wilburn, Travis R, APN (IPN).................................................. 26, 54
Wilke, Angela D, APN (IPN) .................................................... 38, 56
Wilkinson, Cody J, OD (IPN) ........................................................ 53
Wilkinson, Joe B, MD (IPN) .............................................. 26, 44, 49
Wilkinson, Susan C, APN (IPN).............................................. 38, 56
Willberg, Belinda Turn, LPC.......................................................... 77
Williams, Brandie D, MD (IPN)...................................................... 50
Williams, Kory D, DPM (IPN) ........................................................ 49
Williams, Pamela, LPC ........................................................... 71, 73
Williams, Randy L, LPT (IPN) ....................................................... 47
Williams, Ryan C, PA (IPN) .................................................... 54, 55
Williamson, Leslie K, MD (IPN) .................................................... 44
Willis, Charles Stephen, LPC ........................................................ 70
Willis, Jennifer M, MD (IPN) .................................................... 18, 22
Wilson, Donnie, MD (IPN) ............................................................. 45
Wilson, Jennifer V, APN (IPN) ................................................ 26, 54
Wilson, Jerrye Lyn H, SLP (IPN)................................................... 48
Wilson, Kelly W, MD (IPN) ............................................................ 42
Wilson, Laura N, LPT (IPN)........................................................... 47
Wilson, Mary E, APN (IPN) ..................................................... 38, 56
Wilson, Misty D, SLP (IPN) ........................................................... 52
Wilson, Suzan, SLP (IPN) ................................................. 25, 37, 48
Winkelspecht, Susan Marie, LPC................................................. 77
Witkowski, Kimberly K, SLP (IPN) ................................................ 25
Witt, Ginny P, LPT (IPN)................................................................ 28
Wofford, Scott D, DC (IPN) ........................................................... 15
Womack, Brandi R, LPT (IPN) ...................................................... 52
Wong, Nancy, MD (IPN) ................................................................ 23
Wright, Marion J, PA (IPN)............................................................ 54
Wright, Monty C, DC (IPN)............................................................ 40
Wymore, Jessie L, SLP (IPN)........................................................ 48
Wymore, Matthew A, OT (IPN)................................................ 19, 43
Y
Yarborough, Sarah A, SLP (IPN).................................................. 52
Yeh, Amelia, MD (IPN)............................................................. 24, 28
Yost, James G, MD (IPN) .............................................................. 16
Yost, Nicole P, MD (IPN) ............................................................... 18
Young, Blake M, DC (IPN) ............................................................ 40
Young, Cynthia Pearce, LPC ........................................................ 70
Young, Sara E, LPT (IPN) ............................................................. 26
Z
Zamora Salinas, Rolando, MD (IPN) ...................................... 31, 45
Zarate Caceres, Hernan A, MD (IPN) ........................................... 48
Zhang, Ren, MD (IPN)................................................................... 15
Zhao, Guangquan, MD (IPN)................................................... 17, 19
Zimmerman, Renee, APN (IPN) ............................................. 34, 55
Zondag, Daniel, DC (IPN) ............................................................. 27
Zubak, Joseph J, MD (IPN) ........................................................... 44
Wadley, James W, OD (IPN)................................................... 25, 32
Waldrip, Greg W, DC (IPN)........................................................... 15
Walia, Ishmeet, MD (IPN)........................................................ 18, 28
Walker, Andrew S, MD (IPN)......................................................... 34
Walker, Curtis L, DC (IPN) ............................................................ 53
Walker, Kelsey A, LPT (IPN) ......................................................... 23
Wall, Krista L, SLP (IPN) ............................................................... 52
Wallace, Drew G, DC (IPN)........................................................... 39
Wallendorff, Lacey J, OD (IPN) .................................................... 25
Walsh, Heather G, MD (IPN)......................................................... 34
Walthall, Ellen D, MD (IPN)........................................................... 53
Walts, Kayleigh N, LPT (IPN)........................................................ 23
Walvoord, Keith, MD (IPN) ........................................................... 44
Ward, Charisse J, MD (IPN) .......................................................... 15
Warman, Leroy, OT (IPN) ............................................................. 43
Warren Hicks, Vickie Leann, LPC ................................................ 79
Warren, William J, DPM (IPN)........................................... 27, 35, 52
Watson, Edwyna Ann, LPC........................................................... 69
Weaver, Jacqueline C, DC (IPN)................................................... 15
Weeks IV, Andrew Jackson, LPC.................................................. 79
Werner, Kara M, SLP (IPN)........................................................... 25
Westmoreland, Scott E, DPM (IPN) ............................................. 47
Wheat, Danny E, DPM (IPN) ......................................................... 24
87

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