DR. GERALD PHILIP DOUGLASS (NPI# 1457336141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457336141 |
| Entity Type | Individual |
| Full Name | DR. GERALD PHILIP DOUGLASS |
| Credential | DO |
| Practice Address |
8245 Precinct Line Rd Suite #100 North Richland Hills TX 76180-1672 |
| Mailing Address |
156 Jellico Cir Southlake TX 76092-6804 |
| Practice Telephone | 8175038800 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2013-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | K7011 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 105380301 | 05 | |
| TX | BCBS | 8F6633 | 01 |
| TX | MEDICARE RAILROAD | 930122992 | 01 |
| TX | 105380303 | 05 | |
| TX | 105380306 | 05 |
| Street Address |
8245 PRECINCT LINE RD SUITE #100 |
| City | NORTH RICHLAND HILLS |
| State | TX |
| Zip Code | 76180-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760691968 | Emc Your Private Er Inc | Internal Medicine | 8245 Precinct Line Rd, Suite 100, North Richland Hills, TX 76180-1674 | 2007-05-22 |
| 1467525808 | Frank Robert Genco | Emergency Medicine | 8245 Precinct Line Rd, Suite 100, North Richland Hills, TX 76180-1672 | 2006-11-15 |
| 1811913916 | Er Associates of North Texas Pa | Clinic/Center | 8245 Precinct Line Rd, Suite 100, North Richland Hills, TX 76182-8672 | 2006-07-14 |
| 1750306924 | Emergency Medical Center Inc | Clinic/Center | 8245 Precinct Line Rd, #100, North Richland Hills, TX 76180-1674 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057602 | Heather Penka | Preventive Medicine | 820 Holiday Ln, North Richland Hills, TX 76180 | 2019-11-07 |
| 1093273781 | Southwest Vascular P.C. | Surgery | 4375 Booth Callaway Suite 501, Fort Worth, TX 76180 | 2019-03-12 |
| 1871063644 | Christina Luu | Physician Assistant | 4300 City Point Dr Ste 102, North Richland Hills, TX 76180 | 2018-12-04 |
| 1578042917 | Marcos H Guerra | Licensed Vocational Nurse | 4525 City Point Drive, North Richland Hills, TX 76180 | 2018-08-07 |
| 1760975247 | Alliancestar One LLC | Durable Medical Equipment & Medical Supplies | 6719 Mid-cities Blvd, North Richland Hills, TX 76180 | 2018-06-11 |
| 1710486196 | Kayan K Reno | Home Health | 5608 Davis Blvd, North Richland Hills, TX 76180 | 2018-02-12 |
| 1184133209 | Sonja Jackson | Counselor | 2214 Michigan Ave Suite F, Arlington, TX 76180 | 2017-09-20 |
| 1821512880 | Robin Wray Manley | Registered Nurse | 5117 Maryanna Way, North Richland Hills, TX 76180 | 2017-08-01 |
| 1487195442 | D3 Medical | Durable Medical Equipment & Medical Supplies | 5424 Rufe Snow #502, North Richland Hills, TX 76180 | 2017-03-10 |
| 1629510474 | Helping Hands Ministry of Richland Hills | Public Health or Welfare | 7294 Gleview Drive, Richland Hills, TX 76180 | 2016-11-10 |
| Find all providers in zip 76180 | ||||
| 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 |
|---|---|---|---|---|
| 1265408033 | Josh Prickett | Emergency Medicine | 8950 N Tarrant Pkwy, North Richland Hills, TX 76182-8465 | 2006-02-23 |
| 1316923097 | Bennett T Gardner | Emergency Medicine | 4401 Booth Calloway Rd, North Richland Hills, TX 76180-7371 | 2005-12-15 |
| 1861090326 | Summit Apex Physician Services Pllc | Emergency Medicine | 6035 Precinct Line Rd, North Richland Hills, TX 76180-5410 | 2020-10-15 |
| 1609255728 | Jerome Siringan Cephas | Emergency Medicine | 4401 Booth Calloway Rd, North Richland Hills, TX 76180-7371 | 2015-05-21 |
| 1023435146 | Emilyann Wilkinson Faulk | Emergency Medicine | 4401 Booth Calloway Rd, North Richland Hills, TX 76180 | 2014-03-26 |
| 1346466349 | Ellen Elizabeth Mcdaniel | Emergency Medicine | 4401 Booth Calloway Rd, North Richland Hills, TX 76180-7371 | 2007-04-18 |
| 1467525808 | Frank Robert Genco | Emergency Medicine | 8245 Precinct Line Rd, Suite 100, North Richland Hills, TX 76180-1672 | 2006-11-15 |
| 1912944034 | Jody H Lorimer | Emergency Medicine | 8950 N Tarrant Pkwy, North Richland Hills, TX 76182-8465 | 2006-05-31 |
| 1457328379 | James W Czewski | Emergency Medicine | 4401 Booth Calloway Rd, North Richland Hills, TX 76180-7371 | 2006-03-01 |
| 1114907441 | David N Whitten | Emergency Medicine | 4401 Booth Calloway Rd, North Richland Hills, TX 76180-7371 | 2006-01-20 |
| Find all providers in NORTH RICHLAND HILLS | ||||
| City | NORTH RICHLAND HILLS |
| Zip Code | 76180 |
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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.