EMVIDER MEDICAL PROFESSIONALS, LLC (NPI# 1619424157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619424157 |
| Entity Type | Organization |
| Organization Name | EMVIDER MEDICAL PROFESSIONALS, LLC |
| Practice Address |
3131 University Dr E Bryan TX 77802-3473 |
| Mailing Address |
8806 Green Branch Loop Bryan TX 77808 |
| Practice Telephone | 9797313180 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | DR. JOHN DAVIDHIZAR JR. (MANAGER) |
| Authorized Official Telephone | 9366611556 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3131 UNIVERSITY DR E |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-3473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801817135 | Brazos Valley Physicians Organization,mso-llc | General Acute Care Hospital | 3131 University Dr E, Bryan, TX 77802-3473 | 2006-07-22 |
| 1861755753 | Samrah Mobeen | Pharmacist | 3131 University Dr E, Bryan, TX 77802-3473 | 2012-06-17 |
| 1447447230 | Emergency Physicians of Park Hudson Pllc | Emergency Medicine | 3131 University Dr E, Bryan, TX 77802-3473 | 2007-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| 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 |
|---|---|---|---|---|
| 1154613735 | Lis Carol Bernuy | Emergency Medicine | 1612 W Villa Maria Rd Ste 130, Bryan, TX 77807-2309 | 2011-05-13 |
| 1528227642 | Jeffrey D Cochran Jr. | Emergency Medicine | 1630 Briarcrest Dr Ste 100, Bryan, TX 77802-2709 | 2008-06-04 |
| 1679660682 | Mark Wilson | Emergency Medicine | 2801 Franciscan Drive, St. Joseph's Regional Health System- Emergency Dept., Bryan, TX 77802 | 2006-10-10 |
| 1760585194 | Aaron Keith Buzzard | Emergency Medicine | 10485 S Fm 2038, Bryan, TX 77808 | 2006-09-07 |
| 1700817194 | Marvin D Stalter | Emergency Medicine | 12306 County Road E 35, Bryan, OH 43506-2409 | 2006-07-05 |
| 1225072234 | David Paul Gillett | Emergency Medicine | 5946 Steep Hollow Cir, Bryan, TX 77808-7644 | 2006-06-16 |
| 1174561963 | Richard U Baldwin | Emergency Medicine | 433 W. High St., Bryan, OH 43506 | 2006-06-03 |
| 1699165621 | Samaritan Emergency Physicians LLP | Emergency Medicine | 433 W High St, Bryan, OH 43506-1690 | 2015-01-29 |
| 1457797375 | Brandon Williamson | Emergency Medicine | 2900 E 29th St Ste 200, Bryan, TX 77802-2623 | 2013-05-19 |
| 1467792325 | Harrison Lake Emergency Physicians | Emergency Medicine | 433 W High St, Bryan, OH 43506-1690 | 2013-02-28 |
| Find all providers in BRYAN | ||||
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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.