ASTRAL EMERGENCY PHYSICIANS, PLLC (NPI# 1366814089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366814089 |
| Entity Type | Organization |
| Organization Name | ASTRAL EMERGENCY PHYSICIANS, PLLC |
| Practice Address |
100 Medical Dr Lake Jackson TX 77566-5674 |
| Mailing Address |
Po Box 98961 Las Vegas NV 89193-8684 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-10-21 |
| 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 |
|---|---|---|---|---|
| 1982064168 | Astral Emergency Physicians, Pllc | Physician Assistant | 1900 Hospital Blvd, Gainesville, TX 76240-2002 | 2016-03-01 |
| 1528426079 | Astral Emergency Physicians, Pllc | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2016-01-29 |
| 1780042242 | Astral Emergency Physicians, Pllc | Physician Assistant | 2001 N Oregon St, El Paso, TX 79902-3320 | 2016-01-29 |
| 1467826610 | Astral Emergency Physicians, Pllc | Physician Assistant | 132 E Hospital Dr, Angleton, TX 77515-4112 | 2015-11-25 |
| 1588037261 | Astral Emergency Physicians, Pllc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2015-11-04 |
| 1467824193 | Astral Emergency Physicians, Pllc | Physician Assistant | 2900 S Loop 256, Palestine, TX 75801-6958 | 2015-10-21 |
| 1992177620 | Astral Emergency Physicians, Pllc | Physician Assistant | 11380 Gateway Blvd N, El Paso, TX 79934-3380 | 2015-10-21 |
| 1588036214 | Astral Emergency Physicians, Pllc | Physician Assistant | 2201 W Lampasas St, Ennis, TX 75119-5644 | 2015-10-21 |
| 1306218029 | Astral Emergency Physicians, Pllc | Physician Assistant | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2015-10-21 |
| 1477925105 | Astral Emergency Physicians, Pllc | Physician Assistant | 3280 Joe Battle Blvd, El Paso, TX 79938-2622 | 2015-10-21 |
| Street Address |
100 MEDICAL DR |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316497381 | U S Anesthesia Partners of Texas | Anesthesiology | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2016-10-13 |
| 1588118194 | Brian Chang | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2016-08-11 |
| 1720441561 | Anthonia Ada Abanobi | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2016-03-30 |
| 1215308143 | Kristin Bravenec Jackson | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-19 |
| 1295106201 | Rhapsody Emergency Physicians, Pplc | Physician Assistant | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-16 |
| 1336520113 | Tasha Chaoman | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-06-17 |
| 1457757890 | Joshua Roszak | Physician Assistant | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2014-11-12 |
| 1013321819 | Laura Day Ellender | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2014-06-19 |
| 1083034771 | Ruchita Patel | Family Medicine | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2014-04-21 |
| 1285063776 | A. Mohammad Khan, Md | Skilled Nursing Facility | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2013-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| 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 |
|---|---|---|---|---|
| 1447789904 | Brazos River Emergency Physicians Pllc | Emergency Medicine | 200 Oak Dr S, Lake Jackson, TX 77566-5628 | 2017-06-08 |
| 1366653669 | Orlando Jose Encarnacion Jr. | Emergency Medicine | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2007-05-25 |
| 1780603472 | David Lawerence Burger | Emergency Medicine | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2006-07-19 |
| 1942253588 | Oxbow Emergency Physicians Pllc | Emergency Medicine | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1841807526 | Talo Medical Management, LLC | Emergency Medicine | 4190 Fm 2933, Mckinney, TX 75071-0352 | 2020-09-28 |
| 1770199101 | Mavon Oversight Pllc | Emergency Medicine | 340 Van Bibber, Salado, TX 76571 | 2020-09-21 |
| 1568077675 | Eir Pllc | Emergency Medicine | 5150 Lemmon Ave Ste 108, Dallas, TX 75209-6428 | 2020-09-15 |
| 1942819479 | Atascocita Emergency Center, LLC | Emergency Medicine | 5324 Atascocita Rd Ste T, Humble, TX 77346-2971 | 2020-07-30 |
| 1467070698 | Emer Rowlett Physicians, Pllc | Emergency Medicine | 3301 Lakeview Pkwy, Rowlett, TX 75088-3321 | 2020-07-14 |
| 1225656176 | Summit Emergency Medicine Pllc | Emergency Medicine | 2501 W 7th St Ste 101, Fort Worth, TX 76107-8014 | 2020-07-08 |
| 1720604937 | Summit Emergency Medicine Pllc | Emergency Medicine | 606 Grapevine Hwy Ste Abc, Hurst, TX 76054-2758 | 2020-06-23 |
| 1669097382 | Star Ed Pllc | Emergency Medicine | 4617 Saint Clair Ct, Flower Mound, TX 75022-1041 | 2020-06-09 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| Find all providers with the same taxonomy | ||||
| City | LAKE JACKSON |
| Zip Code | 77566 |
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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.