DR. JAMES WALLACE SLAUSON (NPI# 1124013560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124013560 |
| Entity Type | Individual |
| Full Name | DR. JAMES WALLACE SLAUSON |
| Credential | MD |
| Practice Address |
120 E Harris Ave Emergency Room San Angelo TX 76903-5904 |
| Mailing Address |
Po Box 22000 San Angelo TX 76902-7200 |
| Practice Telephone | 3256536741 |
| Mailing Telephone | 3256581511 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2011-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
J3615 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | J3615 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 127626306 | 05 | |
| TX | BCBS | 8K7851 | 01 |
| TX | 127626309 | 05 |
| Street Address |
120 E HARRIS AVE EMERGENCY ROOM |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455113 | Michael F Carper | Pharmacist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2005-05-24 |
| 1083185565 | Stephanie Lauren Hayes | Nurse Practitioner | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2018-12-10 |
| 1326556283 | Erin E Miller | Occupational Therapist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2018-01-12 |
| 1700398484 | Jacob Webster | Physician Assistant | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2017-11-02 |
| 1518322890 | Justina Casiano | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-30 |
| 1114392040 | Megan Webb | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-03 |
| 1316312341 | Chelsie Jenna Barnes | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-02 |
| 1881069912 | Tiffany Rohmfeld | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-01 |
| 1164897252 | Nicole Lusk | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-01 |
| 1750756888 | Jessica Butts | Dietitian, Registered | 120 E Harris Ave, Food & Nutrition Dept, San Angelo, TX 76903-5904 | 2015-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
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| 1912510710 | Post Oak Physician Group, Pllc | Emergency Medicine | 3101 Golfcrest Blvd, Houston, TX 77087-2405 | 2020-08-31 |
| 1063039790 | Victory Ambulance Care LLC | Emergency Medicine | 210b N 5th St, Carrizo Springs, TX 78834-3104 | 2020-06-29 |
| 1225652779 | Rgv Urgent Care Clinic Mcallen LLC | Emergency Medicine | 2812 W Nolana Ave Ste 210, Mcallen, TX 78504-4190 | 2020-06-01 |
| 1760022776 | Kyle Ip, Pllc | Emergency Medicine | 5615 Kyle Center Dr, Kyle, TX 78640-6553 | 2020-01-08 |
| 1659832160 | Red River Ep Pllc | Emergency Medicine | 2022 N Us Highway 75, Sherman, TX 75090-2802 | 2019-03-27 |
| 1588135024 | Scott Allen Frankel | Emergency Medicine | 5205 Pine St, Bellaire, TX 77401-4820 | 2018-12-10 |
| 1104324433 | Anc Physicians Group Pllc | Emergency Medicine | 1860 S Seguin Ave Ste 400, New Braunfels, TX 78130-3915 | 2018-02-01 |
| 1780197574 | 4642 N Mesa Er Physicians Pllc | Emergency Medicine | 4642 N Mesa St., El Paso, TX 79912 | 2017-11-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
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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.