BASTION EMERGENCY PHYSICIANS, PPLC (NPI# 1568834521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568834521 |
| Entity Type | Organization |
| Organization Name | BASTION EMERGENCY PHYSICIANS, PPLC |
| Practice Address |
4920 Ne Stallings Dr Nacogdoches TX 75965-1254 |
| Mailing Address |
Po Box 98959 Las Vegas NV 89193-8959 |
| Practice Telephone | 4694012386 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | JOSEPH H GATEWOOD (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659743615 | Bastion Emergency Physicians, Pplc | Physician Assistant | 8000 Eldorado Pkwy, Mckinney, TX 75070-5940 | 2015-10-29 |
| Street Address |
4920 NE STALLINGS DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630012 | Ronald Homer Hearne | Pathology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2005-06-27 |
| 1194331876 | Brittni Colleen Andrews | Nurse Practitioner | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2020-09-18 |
| 1699258608 | Hallie Bernard | Dietitian, Registered | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2018-09-14 |
| 1174005805 | Janice Lynn Waggoner | Physical Therapist | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2018-08-29 |
| 1700381761 | Main Street Anesthesia of Texas, Pa | Anesthesiology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2018-03-29 |
| 1972032670 | Amy Ellizabeth Bagley-krenek | Nurse Practitioner | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2017-06-06 |
| 1346786258 | Hannah Dunahoe | Dietitian, Registered | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2017-01-16 |
| 1316481492 | Stone Fort Inpatient Services Pllc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2016-12-08 |
| 1588037261 | Astral Emergency Physicians, Pllc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2015-11-04 |
| 1629481932 | Jennifer Raegan Best | Dietitian, Registered | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2014-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| 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 |
|---|---|---|---|---|
| 1275594848 | Jeremy Scott Smith | Emergency Medicine | 3614 N University Dr, Nacogdoches, TX 75965-2539 | 2006-03-31 |
| 1780139956 | Ess of Nacogdoches LLC | Emergency Medicine | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2016-08-17 |
| 1023458163 | Lien Nguyen | Emergency Medicine | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2013-07-03 |
| 1760615330 | Living Forest Country Emergency Physicians Pllc | Emergency Medicine | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2009-08-31 |
| 1013037696 | Lawrence Quinn Robinson | Emergency Medicine | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-03-29 |
| 1841369345 | Chaudri Shakoor Ahmed Awan | Emergency Medicine | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2006-11-07 |
| 1336109156 | Nacogdoches Emergency Medicine Associates, Pa | Emergency Medicine | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1841807526 | Talo Medical Management, LLC | Emergency Medicine | 4190 Fm 2933, Mckinney, TX 75071-0352 | 2020-09-28 |
| 1770199101 | Mavon Oversight Pllc | Emergency Medicine | 340 Van Bibber, Salado, TX 76571 | 2020-09-21 |
| 1568077675 | Eir Pllc | Emergency Medicine | 5150 Lemmon Ave Ste 108, Dallas, TX 75209-6428 | 2020-09-15 |
| 1942819479 | Atascocita Emergency Center, LLC | Emergency Medicine | 5324 Atascocita Rd Ste T, Humble, TX 77346-2971 | 2020-07-30 |
| 1467070698 | Emer Rowlett Physicians, Pllc | Emergency Medicine | 3301 Lakeview Pkwy, Rowlett, TX 75088-3321 | 2020-07-14 |
| 1225656176 | Summit Emergency Medicine Pllc | Emergency Medicine | 2501 W 7th St Ste 101, Fort Worth, TX 76107-8014 | 2020-07-08 |
| 1720604937 | Summit Emergency Medicine Pllc | Emergency Medicine | 606 Grapevine Hwy Ste Abc, Hurst, TX 76054-2758 | 2020-06-23 |
| 1669097382 | Star Ed Pllc | Emergency Medicine | 4617 Saint Clair Ct, Flower Mound, TX 75022-1041 | 2020-06-09 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
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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.