BSA PHYSICIANS GROUP INC (NPI# 1245286855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245286855 |
| Entity Type | Organization |
| Organization Name | BSA PHYSICIANS GROUP INC |
| Other Organization Name | FAMILY MEDICAL CLINIC |
| Practice Address |
3501 S Soncy Rd Ste 150 Amarillo TX 79119 |
| Mailing Address |
Po Box 840026 Dallas TX 75284-0026 |
| Practice Telephone | 8062126353 |
| Practice Fax Number | 8062120558 |
| Mailing Telephone | 8062126965 |
| Mailing Fax Number | 8062126278 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-05-17 |
| NPI Deactivation Date | 11/02/2017 |
| NPI Reactivation Date | 2018-03-15 |
| Authorized Official Name | EILEEN T HARPOLE (DIRECTOR) |
| Authorized Official Telephone | 8062126965 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CLIA NUMBER | 45D1005961 | 01 |
| Other Name | Type Code |
|---|---|
| Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235185828 | Bsa Physicians Group Inc | Family Medicine | 4510 S Bell St, Urgent Care Center, Amarillo, TX 79109 | 2006-05-25 |
| 1346237955 | Bsa Physicians Group Inc | Family Medicine | 3501 S Soncy Rd Ste 148, Amarillo, TX 79119 | 2005-09-29 |
| 1144668765 | Bsa Physicians Group Inc | Family Medicine | 4510 Bell St, Amarillo, TX 79109-5714 | 2013-06-05 |
| 1457696916 | Bsa Physicians Group Inc | Internal Medicine | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2012-12-10 |
| 1467619965 | Bsa Physicians Group Inc | Clinic/Center | 4510 Bell St, Amarillo, TX 79109 | 2008-05-21 |
| 1780799502 | Bsa Physicians Group Inc | Surgery | 6 Medical Dr, Amarillo, TX 79106 | 2006-08-20 |
| Street Address |
3501 S SONCY RD STE 150 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849088 | Daniel J Merki | Family Medicine | 3501 S Soncy Rd Ste 150, Amarillo, TX 79119-6426 | 2005-05-24 |
| 1235693177 | Kayla J Price | Nurse Practitioner | 3501 S Soncy Rd Ste 150, Amarillo, TX 79119-6426 | 2019-01-24 |
| 1780197327 | Kelsey Anne Vogler | Physician Assistant | 3501 S Soncy Rd Ste 150, Amarillo, TX 79119-6426 | 2017-11-06 |
| 1194789420 | Debra Lyn Hammond | Family Medicine | 3501 S Soncy Rd Ste 150, Amarillo, TX 79119-6426 | 2006-04-13 |
| 1043212616 | Pamela K Banister | Family Medicine | 3501 S Soncy Rd Ste 150, Amarillo, TX 79119-6426 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055135 | Cindy Kay Farley | Technician | 10511 Perry Lane #5, Amarillo, TX 79119 | 2019-10-22 |
| 1033771803 | Amy Stephenson | Dentist | 7649 Hillside Road, Suite 100, Amarillo, TX 79119 | 2019-07-02 |
| 1225535321 | Chad Pearson | Chiropractor | 8950 Soncy Rd, Suite 400, Amarillo, TX 79119 | 2018-04-06 |
| 1518418250 | Er On Soncy, LLC | Clinic/Center | 3530 S. Soncy Rd., Amarillo, TX 79119 | 2016-10-18 |
| 1003362377 | Coulter Emergency Center LLC | Clinic/Center | 5800 S. Coulter St, Amarillo, TX 79119 | 2016-08-28 |
| 1427502921 | Wilfred Omoghibora Ukhurebor | Dentist | 206 Ne 7th Avenue, Amarillo, TX 79119 | 2016-08-12 |
| 1134512031 | Susan D Sosebee | Dietitian, Registered | 7910 Progress Drive, Amarillo, TX 79119 | 2015-03-17 |
| 1467874537 | Susan Elizabeth Ellington | Internal Medicine | 7659 Hillside Rd, Suite 300, Amarillo, TX 79119 | 2014-01-09 |
| 1568776250 | Sean Woodruff | Dentist | 5051 S. Soncy Rd, Amarillo, TX 79119 | 2010-08-05 |
| 1992948368 | Christopher Aaron Atkins | Dentist | 5051 S Soncy, Amarillo Oral & Maxillofacial Surgery, Amarillo, TX 79119 | 2009-04-14 |
| Find all providers in zip 79119 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760949200 | Joy Medical Clinic Pllc | Family Medicine | 4310 S Western St Unit E, Amarillo, TX 79109-6036 | 2019-02-20 |
| 1679929723 | Megan Maguire Marshall Scott | Family Medicine | Regence Health Network, 3113 Ross St., Amarillo, TX 79103 | 2016-05-08 |
| 1013276088 | Fmc Medical Foundation, Inc. | Family Medicine | 7306 Sw 34th Ave, Unit 4, Amarillo, TX 79121-1423 | 2012-05-11 |
| 1629364435 | Sarah Christine Lozano | Family Medicine | 1900 S Coulter St Ste A, Amarillo, TX 79106-1785 | 2011-06-21 |
| 1508151309 | Anastacia J Nix | Family Medicine | 2329 Ross Osage St, Amarillo, TX 79103 | 2011-06-09 |
| 1932350550 | Preventative Healthcare Institute, LLC | Family Medicine | 1920 Medi Park Dr Ste 2, Amarillo, TX 79106-2111 | 2008-10-01 |
| 1750562450 | Drs. Stout & Cotton | Family Medicine | 2300 W 7th Ave, Amarillo, TX 79106-6623 | 2007-11-21 |
| 1861689572 | Cristiane Campos Ennis | Family Medicine | 1901 Medi Park Dr 103, Amarillo, TX 79106-2106 | 2007-09-26 |
| 1043405913 | Wesley Scott Nickens | Family Medicine | 603 Quail Creek Dr Spc 300, Amarillo, TX 79124 | 2007-09-12 |
| 1336360452 | Earl C. Hoffer | Family Medicine | Pantex Plant Fm 2373 At Hwy 60, Amarillo, TX 79120 | 2007-05-02 |
| 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.