EMERGENCY MEDICINE DOCTOR OF WACO, PA


Address: 3721 Herwol Ave, Waco, TX 76710-7218
Phone: 2544938337

EMERGENCY MEDICINE DOCTOR OF WACO, PA (NPI# 1548466766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548466766
Entity Type Organization
Organization Name EMERGENCY MEDICINE DOCTOR OF WACO, PA
Practice Address 3721 Herwol Ave
Waco
TX 76710-7218
Practice Telephone 2544938337
Mailing Telephone 2544938337
Enumeration Date 2007-06-25
Last Update Date 2014-07-29
Authorized Official Name JAMES PETTIT (OWNER-PRESIDENT)
Authorized Official Telephone 2547529821
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine F9947 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 167263601 05

Office Location

Street Address 3721 HERWOL AVE
City WACO
State TX
Zip Code 76710-7218

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740741156 Jessica Cook-lindsay Physical Therapist 2121 W Hwy 6, Waco, Waco, TX 76710 2019-03-28
1306354824 Paula A Huffhines Technician, Other 115 S 25th, Waco, TX 76710 2018-01-18
1982154639 Nha Do Pharmacist 1301 Wood Acres, Waco, TX 76710 2016-10-06
1649662495 Pediatric Advanced Life Services Home Health LLC Home Health 3640 W Waco Dr, Waco, TX 76710 2015-03-02
1881008795 Soumava Sen, Dds, P.C. Dentist 4215 Franklin Ave, Ste. 300, Waco, TX 76710 2014-06-18
1053742221 Dustin Dwain Kelm Physical Therapist 5400 Laurel Dr., Waco, TX 76710 2013-12-12
1881038776 Penelope Diane Lane Counselor 7524 Bosque, Waco, TX 76710 2013-04-22
1538400627 Erik Alexander Pernes Caluscusao Physical Therapist 415 Owen Ln Apt 911, Waco, TX 76710 2013-03-14
1447509039 Sheree L Mach Occupational Therapist 5400 Laurel Lake Dr., Waco, TX 76710 2012-08-29
1568738425 Ramanathan Anandaraman Internal Medicine 2608 Skyline Drive, Waco, TX 76710 2012-03-26
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205840238 Daniel F Akers Emergency Medicine 1201 Hewitt Dr, Suite 203, Waco, TX 76712-8833 2006-07-27
1659333862 Andrew B. Popejoy Emergency Medicine 322 Canterbury Dr, Waco, TX 76712-3992 2006-04-04
1740289800 Jeffrey Lynn Arnold Emergency Medicine 6614 Sanger Ave, Waco, TX 76710-4253 2005-07-20
1962938191 Plains Er Management Harco, Ltd Emergency Medicine 1411 N Valley Mills Dr, Waco, TX 76710-4460 2017-05-09
1417483140 Express Er Harco Pa Emergency Medicine 1411 N Valley Mills Dr, Waco, TX 76710-4460 2017-05-01
1508314410 Mclennan County Emergency Physicians, Pa Emergency Medicine 6901 Medical Pkwy, Waco, TX 76712-7910 2016-09-20
1154776425 Jessica Lynn Lopez Emergency Medicine 6901 Medical Pkwy, Waco, TX 76712-7910 2016-04-25
1760865018 Stephanie Dunlop Emergency Medicine 100 Hillcrest Medical Blvd, Waco, TX 76712 2015-07-06
1063755460 Joel David Mendez Emergency Medicine 6901 Medical Pkwy, Waco, TX 76712-7910 2013-04-03
1790030906 Jay A Allport Emergency Medicine 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 2012-07-13
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Competitor

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City WACO
Zip Code 76710

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Dataset Information

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.

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