STACEY BASKERVILLE (NPI# 1417099565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417099565 |
| Entity Type | Individual |
| Full Name | STACEY BASKERVILLE |
| Practice Address |
300 Silverleaf Rd Apt 1201 Sweeny TX 77480-1839 |
| Practice Telephone | 9794824637 |
| Mailing Telephone | 9794824637 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146M00000X | Emergency Medical Technician, Intermediate | 139905 | TX | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1824609 | 05 |
| Street Address |
300 SILVERLEAF RD APT 1201 |
| City | SWEENY |
| State | TX |
| Zip Code | 77480-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386026516 | Andlyco, LLC | General Practice | 9098 Cr 360, Sweeny, TX 77480 | 2015-06-24 |
| 1891996005 | Subramaniam Ramanathan Mdpa | Emergency Medicine | Subramaniam Ramanathan, 303 North Mckineey Street, Sweeny, TX 77480 | 2007-05-29 |
| 1891889226 | Lonny Thomas Montgomery | Dentist | 303 Mckinney, Suite A, Sweeny, TX 77480 | 2006-10-02 |
| 1598386195 | Jennifer Mullis | Pharmacist | 200 N Main St, Sweeny, TX 77480 | 2020-05-05 |
| 1245738616 | Pharm House Sweeny LLC | Pharmacy | 200 N Main St, Sweeny, TX 77480 | 2018-01-31 |
| 1659572097 | Lifechek Sweeny LLC | Pharmacy | 200 N Main St, Sweeny, TX 77480 | 2007-05-31 |
| 1275815862 | Sweeny Isd | Local Education Agency (LEA) | 1310 N Elm St, Sweeny, TX 77480-1308 | 2011-09-09 |
| 1386007102 | Derek Cook | Specialist/Technologist | 1310 N Elm St, Sweeny, TX 77480-1308 | 2016-03-30 |
| 1972664076 | Enrique A Leal | Family Medicine | 303 N Mckinney St, Ste E, Sweeny, TX 77480-2800 | 2006-12-12 |
| 1326377201 | David T. Barr, Md Pa | Clinic/Center | 303 N Mckinney St, Suite C, Sweeny, TX 77480-2800 | 2009-12-23 |
| Find all providers in zip 77480 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275988289 | Jewell Robinson Parker | Emergency Medical Technician, Intermediate | 11111 Canyon Tree Ct, Richmond, TX 77406-7276 | 2016-04-27 |
| 1407266562 | Robert Brownd | Emergency Medical Technician, Intermediate | 9110 Jordan Lane, Suite 100, Woodway, TX 76712 | 2014-04-29 |
| 1023338746 | David Allen Salinas | Emergency Medical Technician, Intermediate | 1107 Santa Rosa St, San Diego, TX 78384-3917 | 2010-06-03 |
| 1811134265 | Jeffery R Lynn | Emergency Medical Technician, Intermediate | 8907 Endicott Ln, Houston, TX 77096-2711 | 2009-01-07 |
| 1578748489 | Tri-met Medical Services, Pa | Emergency Medical Technician, Intermediate | 3406 College, Suite 100, Beaumont, TX 77701-4691 | 2008-01-09 |
| 1346441334 | Guillermina Garza | Emergency Medical Technician, Intermediate | 1301 S 8th St Ste B, Mcallen, TX 78501-2908 | 2007-05-29 |
| 1558498071 | George N Martin | Emergency Medical Technician, Intermediate | 3190 Pittman Rd, Saint Hedwig, TX 78152-3602 | 2007-02-28 |
| 1740748771 | Jesus Garza Jr. | Emergency Medical Technician, Intermediate | 5151 Flynn Pkwy Ste 412g, Corpus Christi, TX 78411-4367 | 2019-03-08 |
| 1477882132 | Mary Louise Martin | Emergency Medical Technician, Intermediate | 3190 Pittman Rd, Saint Hedwig, TX 78152-3602 | 2009-12-09 |
| 1689863169 | Kenneth D Wilgers M.d. Pa | Emergency Medical Technician, Intermediate | 3129 College St, Suite 200, Beaumont, TX 77701-4660 | 2007-10-19 |
| Find all providers with the same taxonomy | ||||
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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.