PCCA TEXAS INTENSIVISTS, PLLC (NPI# 1144884792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144884792 |
| Entity Type | Organization |
| Organization Name | PCCA TEXAS INTENSIVISTS, PLLC |
| Practice Address |
1900 Pine St Abilene TX 79601-2432 |
| Mailing Address |
Po Box 641057 Pittsburgh PA 15264-1057 |
| Practice Telephone | 8006552656 |
| Practice Fax Number | 4128227411 |
| Mailing Telephone | 8006552656 |
| Mailing Fax Number | 4128227411 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | DAVID A GREEN (OWNER) |
| Authorized Official Telephone | 8006552656 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1900 PINE ST |
| City | ABILENE |
| State | TX |
| Zip Code | 79601-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637215 | Gerry N Lawler | Anesthesiology | 1900 Pine St, Abilene, TX 79601-2432 | 2005-05-23 |
| 1619576394 | Jessica Rachelle Jones | Nurse Practitioner | 1900 Pine St, Abilene, TX 79601-2432 | 2020-10-22 |
| 1952916405 | Robin Claire Bankey | Pharmacy | 1900 Pine St, Abilene, TX 79601-2432 | 2020-09-11 |
| 1215542766 | Leah Schumpert | Pharmacist | 1900 Pine St, Abilene, TX 79601-2432 | 2020-09-11 |
| 1629687033 | Matthew John Mohr Jr. | Pharmacist | 1900 Pine St, Abilene, TX 79601-2432 | 2020-07-31 |
| 1659989036 | Justin Francis Langreck | Pharmacist | 1900 Pine St, Abilene, TX 79601-2432 | 2020-07-21 |
| 1730708819 | Natalie Vaughn | Nurse Practitioner | 1900 Pine St, Abilene, TX 79601-2432 | 2020-04-09 |
| 1477183465 | Grace Chishongo Mlondiwa | Nurse Anesthetist, Certified Registered | 1900 Pine St, Abilene, TX 79601-2432 | 2020-01-19 |
| 1508401365 | Jason Gonzalez | Nurse Anesthetist, Certified Registered | 1900 Pine St, Abilene, TX 79601-2432 | 2019-11-15 |
| 1952942963 | Shane Satterfield | Nurse Practitioner | 1900 Pine St, Abilene, TX 79601-2432 | 2019-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
| 1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
| 1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
| 1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
| 1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
| 1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
| 1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
| 1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
| 1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
| 1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
| Find all providers in zip 79601 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1164583720 | Chest and Sleep Medicine P A | Internal Medicine | 3210 Antilley Road, Abilene, TX 79606-5013 | 2006-12-13 |
| 1023183928 | Amelia Y Yeh | Internal Medicine | 3210 Antilley Rd, Abilene, TX 79606-5013 | 2006-11-24 |
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|---|---|---|---|---|
| 1225647423 | Fivestar Pulmonary Associates Pllc | Internal Medicine | 981 State Hwy 121, Ste 3100, Allen, TX 75013 | 2020-07-24 |
| 1821586454 | Alfredo Conde Md Pllc | Internal Medicine | 8038 Wurzbach Rd Ste 210, San Antonio, TX 78229-3812 | 2018-04-30 |
| 1629581467 | The Lung Consultants LLC | Internal Medicine | 1325 Pennsylvania Ave Ste 370, Fort Worth, TX 76104-2110 | 2017-11-15 |
| 1902315534 | Javier Cabello, Md Pa | Internal Medicine | 4605 Park Bnd, Harlingen, TX 78552-2874 | 2017-09-27 |
| 1750815742 | Katy Endocrine Clinic Pa | Internal Medicine | 28431 Tall Juniper Hill Dr, Katy, TX 77494-1957 | 2017-04-17 |
| 1225411309 | Ms Medical Consultants, Pllc | Internal Medicine | 2100 W 18th St, Weslaco, TX 78596-4983 | 2015-07-07 |
| 1871976084 | Ammar Halloum Sallora, Md, Pllc | Internal Medicine | 2706 Pinehurst Dr, Harlingen, TX 78550-8697 | 2015-07-07 |
| 1174924450 | David Maldonado IIi Md Pa | Internal Medicine | 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132-6115 | 2014-09-05 |
| 1679993562 | Jess Anderson | Internal Medicine | 3551 Roger Brooke Dr Apt 3, San Antonio, TX 78234-4505 | 2014-04-18 |
| 1609208768 | Infectious Disease & Pulmonary Consultants, Pllc | Internal Medicine | 2710 Hospital Dr Ste 310, Victoria, TX 77901-5743 | 2013-07-31 |
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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.