DR. SAMUEL THOMAS GATZERT (NPI# 1548681042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548681042 |
Entity Type | Individual |
Full Name | DR. SAMUEL THOMAS GATZERT |
Other Name | SAM THOMAS GATZERT |
Credential | M.D. |
Practice Address |
2600 Saint Michael Dr Texarkana TX 75503-2372 |
Mailing Address |
Po Box 5667 Texarkana TX 75505-5667 |
Practice Telephone | 9032231014 |
Practice Fax Number | 9032231028 |
Mailing Telephone | 9032231014 |
Mailing Fax Number | 9032231028 |
Enumeration Date | 2013-12-31 |
Last Update Date | 2020-07-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Q6191 | TX | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
10049245 | TX | Allopathic & Osteopathic Physicians |
Street Address |
2600 SAINT MICHAEL DR |
City | TEXARKANA |
State | TX |
Zip Code | 75503-2372 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063410637 | Jayendra D. Patel | Internal Medicine | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2005-07-08 |
1629682802 | Emily Rupp | Physical Medicine & Rehabilitation | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-09-03 |
1275168098 | Megan Hawley | Registered Nurse | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-03-12 |
1811521727 | Jennifer White | Registered Nurse | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-02-29 |
1821622002 | Jamie Danielle Hawthorne | Registered Nurse | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-02-26 |
1417588393 | James Owens | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2020-01-30 |
1871052050 | Ian Watson | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2019-03-18 |
1972075141 | Joshua Trenton Pinkham | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-12-27 |
1467939975 | John Benjamin Harrison | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-07-26 |
1356827935 | Jonathan Miller | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-07-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
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Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346356573 | Medical Investments of Texarkana LLC | Radiology | 4303 Texas Blvd Ste 8, Texarkana, TX 75503-3094 | 2006-08-21 |
1588770721 | Texarkana Mri, Lp | Radiology | 4303 Texas Blvd # No.8, Texarkana, TX 75503-3097 | 2006-08-21 |
1912994708 | Larry M Peebles | Radiology | 4102 Richmond Mdws, Texarkana, TX 75503-0067 | 2005-10-05 |
1245231885 | William Randall Brown | Radiology | 5508 Summerhill Rd, Texarkana, TX 75503-1822 | 2005-08-04 |
1225637820 | Photon Imaging, Pllc | Radiology | 515 W 12th St, Texarkana, TX 75501-4416 | 2020-10-23 |
1235503319 | William Beaty | Radiology | 5508 Summerhill Rd, Texarkana, TX 75503-1822 | 2015-11-30 |
1124286737 | Joshua Gordon Martin | Radiology | 4102 Richmond Mdws, Texarkana, TX 75503-0067 | 2008-05-30 |
1609049956 | Robert Samuel Mcginnis IIi | Radiology | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2008-04-08 |
1437320256 | Christian Allen Sell | Radiology | 4102 Richmond Mdws, Texarkana, TX 75503-0067 | 2008-03-19 |
1780735845 | Trevor L Clayton | Radiology | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2007-01-16 |
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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.