FAIR ACRES EMERGENCY PHYSICIANS, PLLC (NPI# 1255702098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255702098 |
| Entity Type | Organization |
| Organization Name | FAIR ACRES EMERGENCY PHYSICIANS, PLLC |
| Practice Address |
4700 Alliance Blvd Plano TX 75093-5323 |
| Mailing Address |
Po Box 98939 Las Vegas NV 89193-8684 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | WILLIAM C JERNBERG (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450547 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2015-10-21 |
| 1093187817 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 1650 W College St, Grapevine, TX 76051-3565 | 2015-10-21 |
| 1386016103 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2015-10-21 |
| 1114398922 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2015-10-20 |
| 1851762660 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2015-10-20 |
| 1619349446 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 5252 W University Dr, Mckinney, TX 75071-7822 | 2015-10-20 |
| 1851762603 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 7100 Oakmont Blvd, Fort Worth, TX 76132-3900 | 2015-10-19 |
| Street Address |
4700 ALLIANCE BLVD |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273434 | Baylor Regional Medical Center At Plano | General Acute Care Hospital | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2005-05-24 |
| 1801407135 | Victoria Diane King | Physical Therapist | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2020-08-11 |
| 1740814698 | Ashley Neill | Physical Therapist | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2020-03-01 |
| 1356975254 | Precious Lelia Hunt Barnes | Registered Nurse | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2020-02-28 |
| 1720619141 | Tesia Thomas | Physical Therapist | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2020-02-04 |
| 1538700901 | Grace Anesthesia Consultants, Pa | Anesthesiology | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2019-10-07 |
| 1407406796 | Natalie Deklyen | Occupational Therapist | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2019-09-18 |
| 1346807054 | Hannah Marie Schindel | Speech-Language Pathologist | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2019-05-29 |
| 1144781840 | Edgard Jose Cheng | Physical Therapist | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2019-03-26 |
| 1376003327 | Jessica Ferguson | Occupational Therapist | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2019-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| 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 |
|---|---|---|---|---|
| 1730711847 | Dfw Plano Emergency Center, LLC | Emergency Medicine | 3670 State Highway 121, Plano, TX 75025-5200 | 2020-02-06 |
| 1316349004 | J. Thomas Ward, Jr., M.d., P.a. | Emergency Medicine | 8404 Yancey Ct, Plano, TX 75025-4343 | 2014-09-24 |
| 1598023749 | Joel Richard Wussow | Emergency Medicine | 3604 S Echo Trl, Plano, TX 75023-6107 | 2012-04-25 |
| 1720394653 | Louis Bernstein Pa | Emergency Medicine | 1528 Copper Creek Dr, Plano, TX 75075-2214 | 2010-08-30 |
| 1689848061 | Laurie Otto | Emergency Medicine | 3308 Preston Rd, Ste 350, #224, Plano, TX 75093-7471 | 2008-04-17 |
| 1417161886 | Michael Lee | Emergency Medicine | 8512 Cadbury Ct, Plano, TX 75024-6822 | 2007-05-09 |
| 1285855163 | Cary Nelson Schneider | Emergency Medicine | 1609 Watch Hill Dr, Plano, TX 75093-4921 | 2007-05-01 |
| 1962625087 | Gregory Blomquist | Emergency Medicine | 2401 Preston Rd, Suite D, Plano, TX 75093-2322 | 2007-04-10 |
| 1235209669 | Jay Robert Woody | Emergency Medicine | 5700 Granite Pkwy Ste 455, Plano, TX 75024-6631 | 2006-11-09 |
| 1710091178 | Geoffrey Stephen Coates | Emergency Medicine | 5913 New Haven Dr, Plano, TX 75093-7741 | 2006-08-19 |
| Find all providers in PLANO | ||||
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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.