BSA PHYSICIANS GROUP INC (NPI# 1457696916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457696916 |
| Entity Type | Organization |
| Organization Name | BSA PHYSICIANS GROUP INC |
| Practice Address |
1600 Wallace Blvd Amarillo TX 79106-1799 |
| Mailing Address |
1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 |
| Practice Telephone | 8062126965 |
| Practice Fax Number | 8062126278 |
| Mailing Telephone | 6152963000 |
| Mailing Fax Number | 6152966011 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-17 |
| Authorized Official Name | STEPHEN C PETROVICH (SVP) |
| Authorized Official Telephone | 6152963000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BSA PHYSICIAN HOLDING COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235185828 | Bsa Physicians Group Inc | Family Medicine | 4510 S Bell St, Urgent Care Center, Amarillo, TX 79109 | 2006-05-25 |
| 1346237955 | Bsa Physicians Group Inc | Family Medicine | 3501 S Soncy Rd Ste 148, Amarillo, TX 79119 | 2005-09-29 |
| 1144668765 | Bsa Physicians Group Inc | Family Medicine | 4510 Bell St, Amarillo, TX 79109-5714 | 2013-06-05 |
| 1467619965 | Bsa Physicians Group Inc | Clinic/Center | 4510 Bell St, Amarillo, TX 79109 | 2008-05-21 |
| 1780799502 | Bsa Physicians Group Inc | Surgery | 6 Medical Dr, Amarillo, TX 79106 | 2006-08-20 |
| 1245286855 | Bsa Physicians Group Inc | Family Medicine | 3501 S Soncy Rd Ste 150, Amarillo, TX 79119 | 2006-05-25 |
| Street Address |
1600 WALLACE BLVD |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102431 | Agha Zia Haider | Pediatrics | 1600 Wallace Blvd, Nicu, 2nd Floor, Amarillo, TX 79106 | 2005-05-27 |
| 1144821034 | Michelle Lee Fowler | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-11-05 |
| 1659978773 | Charlotte Cash | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-10-01 |
| 1710518071 | Audrey Wallace | Family Medicine | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-01-27 |
| 1962042648 | Jamie Denae Polite | Physical Therapy Assistant | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-01-10 |
| 1336786748 | Shelby Fields | Hospitalist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-12-04 |
| 1740833615 | Josh Tabor Longbine | Pharmacist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-07-19 |
| 1295392124 | Pranav Dilip Bhakta | Physician Assistant | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-05-27 |
| 1750844270 | Phyllis Fields | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-04-11 |
| 1124581772 | Anita Auers Smith | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630825 | Yalamanchili Physicians Group Pllc | Internal Medicine | 62 Prestwick Ln, Amarillo, TX 79124-4975 | 2019-07-10 |
| 1861924623 | Ryan Batson Smithee | Internal Medicine | 1301 S Coulter St Ste 107, Amarillo, TX 79106-1764 | 2017-03-31 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| 1881074524 | Susan Mbu | Internal Medicine | 1501 Coulter Road, Amarillo, TX 79106 | 2015-06-08 |
| 1043698681 | Msj Services Pllc | Internal Medicine | 26 Medical Dr Ste A, Amarillo, TX 79106-4129 | 2015-05-15 |
| 1467874537 | Susan Elizabeth Ellington | Internal Medicine | 7659 Hillside Rd, Suite 300, Amarillo, TX 79119 | 2014-01-09 |
| 1497189526 | Saeed Md Pllc | Internal Medicine | 3144 W 28th Ave, Suite C, Amarillo, TX 79109-3169 | 2013-08-26 |
| 1922399724 | Reesha Mahnoor | Internal Medicine | 1400 Coulter Street, Ttuhsc, Amarillo, TX 79106-1708 | 2011-04-27 |
| 1457652075 | Charles W. Seward | Internal Medicine | 237 Lisa Ln, Amarillo, TX 79118-8021 | 2010-11-12 |
| 1366754673 | Lylla Ngo | Internal Medicine | 1400 S Coulter St Ste 2500, Amarillo, TX 79106-1786 | 2010-07-02 |
| Find all providers in AMARILLO | ||||
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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.