TEXAS EM-I MEDICAL SERVICE, PA (NPI# 1598963001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598963001 |
| Entity Type | Organization |
| Organization Name | TEXAS EM-I MEDICAL SERVICE, PA |
| Practice Address |
1000 Montgomery St Ft Worth TX 76107-2625 |
| Mailing Address |
Po Box 41426 Philadelphia PA 19101-1426 |
| Practice Telephone | 8177952100 |
| Mailing Telephone | 8003550808 |
| Mailing Fax Number | 2158342862 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JENNIFER PROVASNIK (SUPERVISOR OF PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 8003550808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205399565 | Texas Em-i Medical Service, Pa | Physician Assistant | 1501 Burnet Rd, Brownwood, TX 76801-8520 | 2019-04-12 |
| Street Address |
1000 MONTGOMERY ST |
| City | FT WORTH |
| State | TX |
| Zip Code | 76107-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| 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 |
|---|---|---|---|---|
| 1073627501 | Harry Shawn Miller | Emergency Medicine | 2205 N Tarrant Pkwy, Ft Worth, TX 76177-2204 | 2006-08-19 |
| 1174566525 | Richard Dane Robinson | Emergency Medicine | 3808 Harley Ave, Ft Worth, TX 76107-4082 | 2006-06-14 |
| 1639673056 | Jonathan Norman Hardy | Emergency Medicine | 1500 S Main St, Ft Worth, TX 76104-4941 | 2018-03-20 |
| 1003278003 | Trevor A Johnson | Emergency Medicine | 1500 S Main St, Ft Worth, TX 76104 | 2016-03-28 |
| 1740668896 | Tyler James Hedman | Emergency Medicine | 1500 S Main St, Ft Worth, TX 76104 | 2015-05-09 |
| 1477963452 | Jonathan Ford | Emergency Medicine | 1500 S Main St, Ft Worth, TX 76104-4917 | 2014-04-30 |
| 1275890212 | Matthew Allen Lawrence | Emergency Medicine | 6451 Brentwood Stair Rd, Unit 200, Ft Worth, TX 76112-3200 | 2012-04-16 |
| 1801188180 | Jamecia L Finnie | Emergency Medicine | 1500 S Main St, Ft Worth, TX 76104-4917 | 2011-05-05 |
| 1982815767 | Texas Em-1 Medical Services, Pa | Emergency Medicine | 1500 S Main St, Ft Worth, TX 76104-4917 | 2007-05-24 |
| 1376599209 | Vinu Alexander | Emergency Medicine | 1500 S Main St, 1500 Main St, Ft Worth, TX 76104-4917 | 2006-05-25 |
| Find all providers in FT WORTH | ||||
Please comment or provide details below to improve the information on TEXAS EM-I MEDICAL SERVICE, PA.
| 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.