FOSSIL RIM EMERGENCY PHYSICIANS PLLC (NPI# 1144507542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144507542 |
| Entity Type | Organization |
| Organization Name | FOSSIL RIM EMERGENCY PHYSICIANS PLLC |
| Practice Address |
1021 Holden St Glen Rose TX 76043-4937 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 2548972215 |
| Practice Fax Number | 8003053233 |
| Mailing Telephone | 9548382371 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2019-08-25 |
| Authorized Official Name | MR. JOSEPH GATEWOOD (VICE PRESIDENT) |
| Authorized Official Telephone | 9548382371 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1021 HOLDEN ST |
| City | GLEN ROSE |
| State | TX |
| Zip Code | 76043-4937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255315131 | Kevin Andrew Crawford | Nurse Anesthetist, Certified Registered | 1021 Holden St, Glen Rose, TX 76043-4937 | 2005-12-03 |
| 1366918542 | Tammie Apodaca | Speech-Language Pathologist | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-10-16 |
| 1962986125 | Ashleigh Megan Stegall | Speech-Language Pathologist | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-09-24 |
| 1487136982 | Joel Tyler | Physical Therapy Assistant | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-08-30 |
| 1528549052 | Kali Jan Fehler | Skilled Nursing Facility | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-08-23 |
| 1144700915 | Carla Denise Champion | Occupational Therapy Assistant | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-08-21 |
| 1205316924 | Laura Jean Ward | Physical Therapy Assistant | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-08-21 |
| 1861864472 | Libra Emergency Physicians, Pllc | Emergency Medicine | 1021 Holden St, Glen Rose, TX 76043-4937 | 2015-10-22 |
| 1770812646 | Somervell County Hospital Authority | Skilled Nursing Facility | 1021 Holden St, Glen Rose, TX 76043-4937 | 2009-12-23 |
| 1568574291 | Somervell County Hospital District | General Acute Care Hospital | 1021 Holden St, Glen Rose, TX 76043-4937 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760137 | Stefani Stovall | Speech-Language Pathologist | 203 Bo Gibbs Blvd, Glen Rose, TX 76043 | 2020-11-02 |
| 1235620691 | Charis Psychological Services & Christian Counseling, Pllc | Psychologist | 1100 Fm 56, Glen Rose, TX 76043 | 2018-05-22 |
| 1801125646 | Melinda Gaye Lewis | Counselor | 1104 Hereford St, Glen Rose, TX 76043 | 2009-12-07 |
| 1528291614 | Angela Adams | Pharmacist | 906 N.e. Big Bend Trail, Glen Rose, TX 76043 | 2009-08-24 |
| 1386829281 | Mark Allen Fanning | Specialist/Technologist, Other | 408 Glennwood, Glenn Rose, TX 76043 | 2008-01-09 |
| 1124235353 | Glen Rose Isd | Local Education Agency (LEA) | 201 Allen Lane, Glen Rose, TX 76043 | 2007-05-17 |
| 1558495333 | Schmidt Medical Clinic, Pa | Family Medicine | 1008 N E Big Bend Trl, Glen Rose, TX 76043 | 2007-03-15 |
| 1386712701 | Best Value Pharmacies, Inc. | Pharmacy | 1100 Bluebonnet, Glen Rose, TX 76043 | 2006-12-01 |
| 1497831432 | C Jeffrey Bise | Counselor | 409 Glenwood St., Ste 500, Glen Rose, TX 76043 | 2006-10-31 |
| 1912016106 | County of Somervell | Emergency Medical Technician, Paramedic | 111 Sheppard Street, Glen Rose, TX 76043 | 2006-08-30 |
| Find all providers in zip 76043 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639292964 | Glen Rose Medical Foundation Inc. | Emergency Medicine | 1021 Holden, Glen Rose, TX 76043-2099 | 2007-04-10 |
| 1932177474 | James Hoffman | Emergency Medicine | 1021 Holden Street, Glen Rose, TX 76043 | 2006-03-10 |
| 1760485676 | Mark W Schneider | Emergency Medicine | 507 Sw Big Bend Trl, Ste J, Glen Rose, TX 76043-4449 | 2005-05-24 |
| 1861864472 | Libra Emergency Physicians, Pllc | Emergency Medicine | 1021 Holden St, Glen Rose, TX 76043-4937 | 2015-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1841807526 | Talo Medical Management, LLC | Emergency Medicine | 4190 Fm 2933, Mckinney, TX 75071-0352 | 2020-09-28 |
| 1770199101 | Mavon Oversight Pllc | Emergency Medicine | 340 Van Bibber, Salado, TX 76571 | 2020-09-21 |
| 1568077675 | Eir Pllc | Emergency Medicine | 5150 Lemmon Ave Ste 108, Dallas, TX 75209-6428 | 2020-09-15 |
| 1942819479 | Atascocita Emergency Center, LLC | Emergency Medicine | 5324 Atascocita Rd Ste T, Humble, TX 77346-2971 | 2020-07-30 |
| 1467070698 | Emer Rowlett Physicians, Pllc | Emergency Medicine | 3301 Lakeview Pkwy, Rowlett, TX 75088-3321 | 2020-07-14 |
| 1225656176 | Summit Emergency Medicine Pllc | Emergency Medicine | 2501 W 7th St Ste 101, Fort Worth, TX 76107-8014 | 2020-07-08 |
| 1720604937 | Summit Emergency Medicine Pllc | Emergency Medicine | 606 Grapevine Hwy Ste Abc, Hurst, TX 76054-2758 | 2020-06-23 |
| 1669097382 | Star Ed Pllc | Emergency Medicine | 4617 Saint Clair Ct, Flower Mound, TX 75022-1041 | 2020-06-09 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
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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.