MEDSUR ONE TELEMEDICINE LLC (NPI# 1568098937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568098937 |
| Entity Type | Organization |
| Organization Name | MEDSUR ONE TELEMEDICINE LLC |
| Practice Address |
110 Eisenhower Court (administrative Office Location) 1309 Coffeen Ave Ste 1200 Sheridan Wy 82801 Georgetown TX 78633 |
| Mailing Address |
1309 Coffeen Avenue Ste 1200 Sheridan WY 82801 |
| Practice Telephone | 3076551666 |
| Practice Fax Number | 5126514666 |
| Mailing Telephone | 3076551666 |
| Mailing Fax Number | 5126514666 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | KATHLEEN MCCOY (MANAGER) |
| Authorized Official Telephone | 5123642151 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 EISENHOWER COURT (ADMINISTRATIVE OFFICE LOCATION) 1309 COFFEEN AVE STE 1200 SHERIDAN WY 82801 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467946384 | Majestic Healthcare, Pllc | Nurse Practitioner | 110 Eisenhower Ct, Georgetown, TX 78633 | 2018-06-15 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1255783510 | Peter James Mcgrath | Physical Therapist | 4749 Williams Drive, Suite 335, Georgetown, TX 78633 | 2016-07-11 |
| 1316357346 | Cody Ryon Gomez | Internal Medicine | 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 | 2014-04-29 |
| 1902130701 | Don Wayne Berry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 624 Rio Grand Loop, Georgetown, TX 78633 | 2009-09-25 |
| 1851567499 | Georgetown Pediatric Dentistry, LLC | Dentist | 4507 Williams Drive, Georgetown, TX 78633 | 2008-05-04 |
| 1215035845 | Saramma George | Family Medicine | 105 Wildwood Drive, Suite 105, Georgetown, TX 78633 | 2006-09-20 |
| 1104834258 | Mobile Cr Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4749 Williams Dr, Georgetown, TX 78633 | 2006-08-04 |
| 1619997350 | Kathryn E Holland | Counselor | 603 Chambers Creek Ct, Georgetown, TX 78633 | 2006-07-19 |
| 1417404153 | Ochna Health | Clinic/Center | 4749 Williams Dr, Suite 304, Georgetown, TX 78633 | 2016-09-09 |
| Find all providers in zip 78633 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626700 | Mind & Body Wellness | Nurse Practitioner | 105 Bob White Path, Georgetown, KY 40324-6169 | 2020-10-15 |
| 1598370694 | Candace Jones-martin | Nurse Practitioner | 111 Osbourne Way # 101, Georgetown, KY 40324-8004 | 2020-09-15 |
| 1003421744 | Kamia Rochelle Scroggins Fasheun | Nurse Practitioner | 1118 Boxwood Loop, Georgetown, TX 78628-5236 | 2020-09-10 |
| 1497388474 | Shelley Andrea Spencer | Nurse Practitioner | 1911 Ne Inner Loop, Georgetown, TX 78626-4439 | 2020-02-18 |
| 1235769498 | Daniel Kevin Epperly | Nurse Practitioner | 1140 Lexington Rd # 100, Georgetown, KY 40324-9330 | 2020-01-16 |
| 1508354275 | Cathy Norman Al-meedny | Nurse Practitioner | 220 Pocahontas Trl, Georgetown, KY 40324-1144 | 2018-04-27 |
| 1801335286 | Deanna Lunn | Nurse Practitioner | 22141 Bunting Rd, Georgetown, DE 19947-5885 | 2017-02-17 |
| 1235480211 | Joann C Aubrey Marvel | Nurse Practitioner | 20930 Dupont Blvd Unit 101, Georgetown, DE 19947-1723 | 2012-10-01 |
| 1497999171 | Abby L Allen | Nurse Practitioner | 20797 Professional Park Blvd, Georgetown, DE 19947-3198 | 2009-04-27 |
| 1285846402 | Barbara Lee Williamson | Nurse Practitioner | 2020 Highmarket St, Georgetown, SC 29440-2618 | 2007-05-03 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78633 |
Please comment or provide details below to improve the information on MEDSUR ONE TELEMEDICINE LLC.
| 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.