STILLHOUSE EMERGENCY PHYSICIANS (NPI# 1619060712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619060712 |
| Entity Type | Organization |
| Organization Name | STILLHOUSE EMERGENCY PHYSICIANS |
| Practice Address |
3816 S Clear Creek Suite D Killeen TX 76549-4400 |
| Mailing Address |
Po Box 10308 Killeen TX 76547-0308 |
| Practice Telephone | 2545548773 |
| Mailing Telephone | 2545548773 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-09-16 |
| Authorized Official Name | MR. MATTHEW SHELDON MITCHELL (BILLING MANAGER) |
| Authorized Official Telephone | 2545265970 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0026KV | 01 |
| Street Address |
3816 S CLEAR CREEK SUITE D |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629164264 | Sejal S Soni | Physical Therapist | 3816 S Clear Creek, Suite B, Killeen, TX 76549 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164056750 | Smb Healthcare Services | Family Medicine | 3604 S W S Young Dr Apt 328, Killeen, TX 76542-2943 | 2020-02-24 |
| 1790329381 | Yemisi Docas Abudu | Family Medicine | 400 W Orion Dr, Killeen, TX 76542-0007 | 2019-11-06 |
| 1386811198 | Jay Mckenna | Family Medicine | 3202 S W S Young Dr Ste 106, Killeen, TX 76542-6537 | 2008-05-12 |
| 1417160417 | Jeremy Lloyd Swain | Family Medicine | 3800 S W S Young Dr Ste 402, Killeen, TX 76542-3374 | 2007-05-07 |
| 1720130305 | Kimberly Tanis Russell | Family Medicine | 3404 Kaydence Ct, Killeen, TX 76542-3338 | 2007-01-17 |
| 1023169448 | Ronald Gelzer | Family Medicine | 2900 Trimmier Rd, Killeen, TX 76542-6005 | 2007-01-13 |
| 1588736870 | Killeen Medical Clinic, P.a. | Family Medicine | 502 W Jasper Dr, Killeen, TX 76542-1312 | 2006-11-14 |
| 1992808018 | Dave E Webster | Family Medicine | 5610 E Central Texas Expy Ste 1, Killeen, TX 76543-5600 | 2006-09-06 |
| 1376564153 | Arturo Guajardo | Family Medicine | 3800 S Ws Young, Suite 103, Killeen, TX 76542-3312 | 2006-07-21 |
| 1275598187 | Cesar Emilio Cantu | Family Medicine | 5702 E Central Texas Expy, Killeen, TX 76543-5500 | 2006-04-20 |
| Find all providers in KILLEEN | ||||
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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.