COLLOM AND CARNEY CLINIC ASSOCIATION (NPI# 1083696801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083696801 |
| Entity Type | Organization |
| Organization Name | COLLOM AND CARNEY CLINIC ASSOCIATION |
| Other Organization Name | COLLOM AND CARNEY CLINIC PULMONOLOGY |
| Practice Address |
5002 Cowhorn Creek Rd Texarkana TX 75503-9766 |
| Practice Telephone | 9036143000 |
| Practice Fax Number | 9036143525 |
| Mailing Telephone | 9036143000 |
| Mailing Fax Number | 9036143525 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | MARY E DWIGHT (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9036143282 |
| Authorized Official Credential | CCS-P, MHA, CMPE |
| Is Organization Subpart | Y |
| Parent Organization Name | COLLOM AND CARNEY CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
========= | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 119849106 | 05 | |
| RAILROAD MEDICARE | CU0435 | 01 |
| Other Name | Type Code |
|---|---|
| Collom and Carney Clinic Pulmonology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407273287 | Collom and Carney Clinic Association | Neurological Surgery | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2014-03-18 |
| 1316364193 | Collom and Carney Clinic Association | Radiology | 511 W 11th St, Texarkana, TX 75501-4300 | 2014-03-18 |
| 1265414635 | Collom and Carney Clinic Association | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2005-11-18 |
| 1447232814 | Collom and Carney Clinic Association | Clinic/Center | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-11-18 |
| 1285616805 | Collom and Carney Clinic Association | Family Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2005-11-18 |
| 1376525832 | Collom and Carney Clinic Association | Otolaryngology | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-11-18 |
| 1619959244 | Collom and Carney Clinic Association | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2005-11-18 |
| 1952383770 | Collom and Carney Clinic Association | Physical Medicine & Rehabilitation | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2005-11-17 |
| 1588646301 | Collom and Carney Clinic Association | Pediatrics | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-11-17 |
| 1285616003 | Collom and Carney Clinic Association | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2005-11-17 |
| Street Address |
5002 COWHORN CREEK RD |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-9766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255229 | Jeffrey David Decaprio | Surgery | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-06-17 |
| 1225681604 | Lauren N. Hadaway | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2019-07-24 |
| 1144872839 | Brandi M. Martin | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2019-07-12 |
| 1093292104 | Heidi R Smith | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2018-07-20 |
| 1194215814 | Angela L Bowen | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2018-05-17 |
| 1689174955 | Cody C Ray | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2018-02-13 |
| 1699282087 | Melissa Ann Lamon | Registered Nurse | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2018-01-07 |
| 1013443589 | Laura L Jackson | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-05-03 |
| 1316478852 | Schamma Salomon | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-03-26 |
| 1346781325 | Melissa Elizabeth Redfearn | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114044328 | Pulmonary Diseases Medicine Clinic | Internal Medicine | 921 Texas Blvd Ste D, Texarkana, TX 75501-5163 | 2007-03-23 |
| 1598783870 | Carlos Luis Perez | Internal Medicine | 921 Texas Blvd, Ste D, Texarkana, TX 75501-5163 | 2006-07-17 |
| 1588167779 | Pulmonary & Internal Medicine of Texarkana | Internal Medicine | 5730 Summerhill Rd, Texarkana, TX 75503-1635 | 2018-03-14 |
| 1043322696 | Michelle R Dehan | Internal Medicine | 1550 Moores Ln, Texarkana, TX 75503-4657 | 2006-08-31 |
| 1174525174 | Malcolm A Smith | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-08-10 |
| 1649270539 | Bret F Craytor | Internal Medicine | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431907 | Texas Lung Care Associates Pllc | Internal Medicine | 115 Wendover Ct, Southlake, TX 76092-8589 | 2020-09-09 |
| 1437782430 | Evette Karlene Robinson | Internal Medicine | 1904 Pine St Ste 4c, Abilene, TX 79601-2450 | 2020-02-18 |
| 1154964526 | Sridhar Badireddi Md Pa | Internal Medicine | 3500 Gaston Ave # Floors34, Dallas, TX 75246-2017 | 2019-10-17 |
| 1740830702 | Jamal Adel Turki | Internal Medicine | 20510 Walnut Canyon Dr, Katy, TX 77450-5427 | 2019-09-12 |
| 1245885342 | Manica Isiguzo, Md Pa | Internal Medicine | 34910 Interstate 10 W Ste 601, Boerne, TX 78006-9230 | 2019-08-06 |
| 1497243943 | Howard M Mintz Md Pllc | Internal Medicine | 10501 N Central Expy Ste 101, Dallas, TX 75231-2203 | 2018-04-30 |
| 1417457938 | Lung Specialist Associates of Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 455, Sherman, TX 75092-7391 | 2018-02-21 |
| 1265943104 | Greater Houston Lung and Sleep Center Pllc | Internal Medicine | 6550 Fannin St Ste 2321, Houston, TX 77030-2723 | 2017-10-18 |
| 1164961405 | Texas Pulmonology Inc | Internal Medicine | 19315 Country Village Dr, Spring, TX 77388-3080 | 2017-02-20 |
| 1013382753 | Internal & Pulmonary Granbury | Internal Medicine | 2214 E Us Highway 377, Ste B, Granbury, TX 76049-6010 | 2015-12-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.