JIMMY W. SPRUILL (NPI# 1255481883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255481883 |
| Entity Type | Individual |
| Full Name | JIMMY W. SPRUILL |
| Credential | M.D. |
| Practice Address |
1275 Marvin Hancock Dr Jasper TX 75951-4935 |
| Mailing Address |
3560 Delaware St Suite 601-a Beaumont TX 77706-3067 |
| Practice Telephone | 4093841951 |
| Practice Fax Number | 4099249696 |
| Mailing Telephone | 8002582016 |
| Mailing Fax Number | 4099249696 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2014-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | F2033 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | F2033 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8R0098 | 01 |
| TX | 1399511-25 | 05 | |
| TX | CIGNA | 8142853 | 01 |
| TX | AETNA | 5645622 | 01 |
| TX | RAILROAD MEDICARE | P00264261 | 01 |
| Street Address |
1275 MARVIN HANCOCK DR |
| City | JASPER |
| State | TX |
| Zip Code | 75951-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203658 | John Michael Pauzauskie | Nurse Anesthetist, Certified Registered | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2005-05-27 |
| 1356713960 | Solitude Emergency Physicians, Pllc | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2015-10-22 |
| 1942671961 | Country Road Emergency Physicians, Pllc | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2015-10-16 |
| 1700200284 | Mh Drive Emergency Physicians Pllc | Emergency Medicine | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2014-02-05 |
| 1457774648 | Texas Em-i Medical Services Pa | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2014-01-24 |
| 1538392600 | Belinda Daniel | Nurse Practitioner | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2009-08-24 |
| 1346442746 | Jasper Emergency Medicine Associates Pa | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2007-06-05 |
| 1104997998 | Cleon S Nunnally | General Acute Care Hospital | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-11-13 |
| 1104855808 | Clinical Partners Pa - Jasper | Anesthesiology | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-07-03 |
| 1790758738 | Christus Health Southeast Texas | Medicare Defined Swing Bed Unit | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
| 1871023028 | Tamara Nicole Vandiver | Nurse Practitioner | 2427 Hwy 255 West, Brookeland, TX 75951 | 2017-06-19 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1275931792 | David Scott Hughes | Counselor | 1501-c South Wheeler St, Jasper, TX 75951 | 2014-12-16 |
| 1881091684 | D.scott Hughes Center for Counseling and Rehab | Clinic/Center | 1501-c South Wheeler, Jasper, TX 75951 | 2014-11-24 |
| 1720497480 | Harvest Counseling | Marriage & Family Therapist | 1501-c South Wheeler Street, Jasper, TX 75951 | 2014-08-07 |
| 1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
| 1750668034 | Susan Irene Craft | Hearing Instrument Specialist | 530 S. Wheeler, Jasper, TX 75951 | 2011-11-14 |
| 1194012740 | Harbor Hospice of East Texas Lp | Hospice Care, Community Based | 1440 Fm 777, Jasper, TX 75951 | 2011-07-05 |
| 1457661845 | Barbara Patin | Occupational Therapist | 11117 Fm 777, Jasper, TX 75951 | 2010-10-19 |
| Find all providers in zip 75951 | ||||
| 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 |
|---|---|---|---|---|
| 1699399519 | Evolve Health Services LLC | Family Medicine | 201 19th St E Ste B, Jasper, AL 35501-5457 | 2020-06-05 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1134762206 | The Aicher Clinic, LLC | Family Medicine | 35 W Church St Ste 101, Jasper, GA 30143-1618 | 2019-10-22 |
| 1083179246 | Michelle Lynn Story | Family Medicine | 980 Highway 28 Ste 100, Jasper, TN 37347-3696 | 2019-02-01 |
| 1295200228 | Hooked On Health Family Practice Pllc | Family Medicine | 494 Springhill St Ste 200, Jasper, TX 75951-5053 | 2018-10-05 |
| 1306323597 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 966 Bartley Street, Jasper, IN 47546-2641 | 2018-07-20 |
| 1952612103 | Herschel L Kessler | Family Medicine | 1266 Georgia 515, Jasper, GA 30143 | 2010-06-22 |
| 1831353846 | Jasper Doctors Clinic and Urgent Care Inc. | Family Medicine | 4330 Highway 78 E Ste 115, Medical Plaza East 114-115, Jasper, AL 35501-8955 | 2008-07-18 |
| 1831358290 | William Eugene Birdsong | Family Medicine | 120 N Walston Bridge Rd, Jasper, AL 35504-8622 | 2008-06-02 |
| 1548456494 | Urgent Care Northwest PC | Family Medicine | 2708 Highway 78 E, Jasper, AL 35501-3430 | 2007-09-24 |
| Find all providers in JASPER | ||||
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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.