VICTORIA MARIE GROUNDS (NPI# 1144588872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144588872 |
| Entity Type | Individual |
| Full Name | VICTORIA MARIE GROUNDS |
| Other Name | VICTORIA M JACOBS |
| Credential | P.A. |
| Practice Address |
170 Municipal Dr Gun Barrel City TX 75156-3704 |
| Mailing Address |
117 Medical Circle Athens TX 75751-5610 |
| Practice Telephone | 9038877992 |
| Practice Fax Number | 9038877996 |
| Mailing Telephone | 9036763200 |
| Mailing Fax Number | 9036763277 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
170 MUNICIPAL DR |
| City | GUN BARREL CITY |
| State | TX |
| Zip Code | 75156-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667182 | Bruce Woodall | Family Medicine | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841751757 | John Preston Turner | Social Worker | 122 S Old Gunbarrel Lane #6, Gun Barrel City, TX 75156 | 2019-03-26 |
| 1609389089 | Kristina Michelle Merritt | Social Worker | 122 Old Gun Barrel Ln, #6, Gun Barrel City, TX 75156 | 2017-11-08 |
| 1952840431 | Kristina Haning | Counselor | 122 South Old Gunbarrel Lane, #6, Gun Barrel City, TX 75156 | 2017-02-17 |
| 1306393582 | Budget Smiles Pllc | Dentist | 1116 W. Main St., Ste B, Gun Barrel City, TX 75156 | 2016-09-06 |
| 1346600210 | Gbc Medical Associates Pllc | Nurse Practitioner | 237 South Gun Barrel Lane, Gun Barrel City, TX 75156 | 2016-03-04 |
| 1548412943 | Bruce C Thurston | Dentist | 2527 W. Main St., Gun Barrel, TX 75156 | 2008-10-16 |
| 1952460016 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1279 W Main Street, Gun Barrel City, TX 75156 | 2006-12-06 |
| 1467556100 | Karen Elizabeth Shrader | Family Medicine | 429 N Gun Barrel Lane, Suite 111, Gun Barrel City, TX 75156 | 2006-09-12 |
| 1447289509 | Howell Home Medical Corporation | Durable Medical Equipment & Medical Supplies | 735 West Main Street, Gun Barrel City, TX 75156 | 2006-07-01 |
| 1386677243 | Garrett O Smith Jr. | Physician Assistant | 2418 W. Main St, Gun Barrel City, TX 75156 | 2006-07-07 |
| Find all providers in zip 75156 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386677243 | Garrett O Smith Jr. | Physician Assistant | 2418 W. Main St, Gun Barrel City, TX 75156 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | GUN BARREL CITY |
| Zip Code | 75156 |
Please comment or provide details below to improve the information on VICTORIA MARIE GROUNDS.
| 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.