MRS. AMBER D BETHEA (NPI# 1578526901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578526901 |
Entity Type | Individual |
Full Name | MRS. AMBER D BETHEA |
Credential | PA-C |
Practice Address |
2604 Saint Michael Dr Ste 425 Texarkana TX 75503-2378 |
Mailing Address |
2900 Saint Michael Dr Ste 401 Texarkana TX 75503-5211 |
Practice Telephone | 9036145600 |
Practice Fax Number | 9036145630 |
Mailing Telephone | 9036145393 |
Mailing Fax Number | 2146145343 |
Enumeration Date | 2006-04-07 |
Last Update Date | 2019-05-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C02148 | MD | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | R/R MEDICARE GROUP # | CA8374 | 01 |
MD | R/R MEDICARE PROVIDER # | P00187315 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
5323 Harry Hines Blvd, Dallas, TX 753907201 | 2146457500 | 2146457501 |
Street Address |
2604 SAINT MICHAEL DR STE 425 |
City | TEXARKANA |
State | TX |
Zip Code | 75503-2378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740609031 | Jeff Will Josma | Anesthesiology | 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503-2378 | 2014-04-15 |
1326305236 | Matthew Michael Johnson | Anesthesiology | 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503-2378 | 2012-04-16 |
1518131945 | Jamie Shari Landreth | Physician Assistant | 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503-2378 | 2008-04-16 |
1730143975 | Thomas T Hoang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503 | 2006-04-14 |
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 |
Find all providers in zip 75503 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306312822 | Michael Chad Elliott | Physician Assistant | 2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503 | 2018-10-23 |
1164466280 | Cynthiia Collum | Physician Assistant | 5420 Medical Parkway Dr, Texarkana, TX 75503-4622 | 2006-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
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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.