FANNIN COUNTY HOSPITAL AUTHORITY (NPI# 1619474293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619474293 |
| Entity Type | Organization |
| Organization Name | FANNIN COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | TMC BONHAM SPECIALITY CLINIC |
| Practice Address |
1211 E 6th St Ste 120 Bonham TX 75418 |
| Mailing Address |
504 Lipscomb St Bonham TX 75418-4028 |
| Practice Telephone | 9035838585 |
| Mailing Telephone | 9035838585 |
| Mailing Fax Number | 9036407600 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | TIFFANY CAMP (QUALITY DIRECTOR) |
| Authorized Official Telephone | 9036407301 |
| Is Organization Subpart | Y |
| Parent Organization Name | FANNIN COUNTY HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TMC BONHAM HOSPITAL | Doing Business As Name - Organization |
| TMC Bonham Speciality Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578911384 | Fannin County Hospital Authority | Skilled Nursing Facility | 16550 Retama Parkway, Selma, TX 78154 | 2016-06-02 |
| 1902163686 | Fannin County Hospital Authority | Skilled Nursing Facility | 2900 Stillhouse Rd, Paris, TX 75462-2029 | 2012-04-18 |
| 1316270267 | Fannin County Hospital Authority | Skilled Nursing Facility | 721 S Hwy 78, Wylie, TX 75098-4004 | 2009-09-10 |
| 1568695310 | Fannin County Hospital Authority | Preventive Medicine | 505 Lipscomb Blvd, Bonham, TX 75418-4027 | 2009-08-27 |
| 1649402603 | Fannin County Hospital Authority | Skilled Nursing Facility | 2265 S Sycamore St, Palestine, TX 75801-4774 | 2009-08-10 |
| 1710008263 | Fannin County Hospital Authority | Skilled Nursing Facility | 711 Lucas Dr, Athens, TX 75751-3445 | 2007-04-03 |
| 1770604365 | Fannin County Hospital Authority | Skilled Nursing Facility | 8383 Meadow Rd, Dallas, TX 75231-3701 | 2007-04-02 |
| 1801917497 | Fannin County Hospital Authority | Skilled Nursing Facility | 4825 Wellesley Ave, Fort Worth, TX 76107-6148 | 2007-04-02 |
| 1477674968 | Fannin County Hospital Authority | Skilled Nursing Facility | 2645 W Randol Mill Rd, Arlington, TX 76012-4228 | 2007-04-02 |
| 1699705301 | Fannin County Hospital Authority | Medicare Defined Swing Bed Unit | 504 Lipscomb Blvd, Bonham, TX 75418-4028 | 2006-07-05 |
| Street Address |
1211 E 6TH ST STE 120 |
| City | BONHAM |
| State | TX |
| Zip Code | 75418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795093 | Custom Dental of Bonham Pllc | Clinic/Center | 2016 State Highway 121 N, Bonham, TX 75418 | 2019-11-19 |
| 1205489283 | Sharon Maria Mathew | Pharmacist | 1201 E 93rd Street, Bonham, TX 75418 | 2019-07-19 |
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1992166227 | Strengthen Your Family Chiropractic, Pllc | Chiropractor | 2110 N Center St., Suite A, Bonham, TX 75418 | 2016-03-15 |
| 1841618626 | Faye Wright | Health Maintenance Organization | 3801 Silo Rd, Bonham, TX 75418 | 2014-03-31 |
| 1861658973 | Ppacta | Nursing Facility/Intermediate Care Facility | 712 County Road 4205, Bonham, TX 75418 | 2008-07-29 |
| 1033381322 | Shanida Roxana Blades | Social Worker | 1201 E 9th Street, Bonham, TX 75418 | 2008-03-27 |
| 1821275470 | Antonio Rafael Lopez-canino | Psychiatry & Neurology | 1201 East Ninth Street, North Texas Veterans Healthcare, Bonham, TX 75418 | 2008-01-25 |
| 1275745465 | Jagdish A. Shah,md | Internal Medicine | 1220 East 6th Street, Bonham, TX 75418 | 2007-05-03 |
| 1952491771 | Sam G Thoyakulathu | Internal Medicine | 1211 East Sixth St, Suite 300, Bonham, TX 75418 | 2006-10-13 |
| Find all providers in zip 75418 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110971 | Metroplex Surgical Institute Pllc | Surgery | 2937 Lago Vista Ln, Rockwall, TX 75032-5466 | 2020-09-24 |
| 1881209708 | Preva Surgical Partners Cypress LLC | Surgery | 13114 Fm 1960 Rd W Ste 118, Houston, TX 77065-5590 | 2020-09-09 |
| 1063021749 | Brooke Nicole Harris | Surgery | 355 E Vista Ridge Mall Dr Apt 4933, Lewisville, TX 75067-4024 | 2020-07-28 |
| 1609484872 | Deepak Dev Vivekanandan | Surgery | 7703 Floyd Curl Dr # Mc-7742, San Antonio, TX 78229-3901 | 2020-07-14 |
| 1760009195 | Tomball Surgical Assistant Service LLC | Surgery | 18220 Tomball Pkwy # 249, Houston, TX 77070-4347 | 2020-07-01 |
| 1174147086 | North Texas General Surgery Pllc | Surgery | 1600 Coit Rd Ste 207, Plano, TX 75075-6172 | 2020-06-05 |
| 1619591690 | Expert Surgical, Pllc | Surgery | 3537 S I 35 E Ste 200, Denton, TX 76210-6814 | 2020-06-04 |
| 1831712314 | Merten Gene Pearson | Surgery | 7306 Sw 34th Ave Ste 6, Amarillo, TX 79121-1446 | 2020-05-19 |
| 1558983098 | Aleshia Yvette Toler-levi | Surgery | 405 Schley Ave, Orange, TX 77630-3503 | 2020-05-06 |
| 1508487570 | Somkenechi Ijeoma Ajene | Surgery | 301 University Boulevard, 6.136-b John Sealy Annex, Galveston, TX 77555-0534 | 2020-05-01 |
| Find all providers with the same taxonomy | ||||
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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.