EXCEPTIONAL PHYSICIANS GROUP AMARILLO PLLC (NPI# 1154979862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154979862 |
| Entity Type | Organization |
| Organization Name | EXCEPTIONAL PHYSICIANS GROUP AMARILLO PLLC |
| Practice Address |
2105 S Western St Amarillo TX 79109-1571 |
| Practice Telephone | 4693417800 |
| Practice Fax Number | 3462151007 |
| Mailing Telephone | 4693417800 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | SAEED S MAHBOUBI (CFO) |
| Authorized Official Telephone | 4693417800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2105 S WESTERN ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245697820 | Nec Amarillo Emergency Center, Lp | Clinic/Center | 2105 S Western St, Amarillo, TX 79109-6523 | 2016-01-27 |
| 1942858642 | Exceptional H C Amarillo LLC | Clinic/Center | 2105 S Western St, Amarillo, TX 79109-1571 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| Find all providers in zip 79109 | ||||
| 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 |
|---|---|---|---|---|
| 1720407125 | Frederick Dean Poage | Emergency Medicine | 5220 Capulin Ln, Amarillo, TX 79110-3564 | 2014-04-14 |
| 1861693152 | Christopher Jay Thompson | Emergency Medicine | 7306 Sw 34th Ave Ste 1-107, Amarillo, TX 79121-1423 | 2007-05-31 |
| 1093839094 | Leslie Benson | Emergency Medicine | 6508 Falcon Rd, Amarillo, TX 79109-6929 | 2007-03-17 |
| 1376675876 | Lori Elizabeth Failes | Emergency Medicine | 8960 Hillside Rd, Amarillo, TX 79119-7323 | 2007-03-10 |
| 1235210121 | Darrell I Morgan | Emergency Medicine | 3440 Bell St, Suite 320, #186, Amarillo, TX 79109-4142 | 2006-10-18 |
| 1518976588 | Lee J Friend | Emergency Medicine | 1200 Wallace Blvd., Suite C, Amarillo, TX 79106 | 2006-08-07 |
| 1124047410 | Matthew W Turney | Emergency Medicine | 2101 S Coulter St, Amarillo, TX 79106 | 2006-07-19 |
| 1760448880 | Shelly Lynn Walker-adams | Emergency Medicine | 11300 Sheri Cir, Amarillo, TX 79124-2045 | 2006-04-26 |
| 1245233857 | Perry E Bassett | Emergency Medicine | 4201 N Soncy Rd, Amarillo, TX 79124-5724 | 2005-05-27 |
| 1487295259 | Exceptional Physicians Group Amarillo South Pllc | Emergency Medicine | 5800 S Coulter St, Amarillo, TX 79119-6203 | 2019-10-03 |
| Find all providers in AMARILLO | ||||
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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.