EXCEPTIONAL AMARILLO S COULTER LLC (NPI# 1669938437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669938437 |
| Entity Type | Organization |
| Organization Name | EXCEPTIONAL AMARILLO S COULTER LLC |
| Practice Address |
5800 S Coulter St Amarillo TX 79119-6203 |
| Practice Telephone | 4693417800 |
| Practice Fax Number | 3462151007 |
| Mailing Telephone | 4693417800 |
| Mailing Fax Number | 3462151007 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | SAEED S MAHBOUBI (CFO) |
| Authorized Official Telephone | 4693417800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Street Address |
5800 S COULTER ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79119-6203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487295259 | Exceptional Physicians Group Amarillo South Pllc | Emergency Medicine | 5800 S Coulter St, Amarillo, TX 79119-6203 | 2019-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055135 | Cindy Kay Farley | Technician | 10511 Perry Lane #5, Amarillo, TX 79119 | 2019-10-22 |
| 1033771803 | Amy Stephenson | Dentist | 7649 Hillside Road, Suite 100, Amarillo, TX 79119 | 2019-07-02 |
| 1225535321 | Chad Pearson | Chiropractor | 8950 Soncy Rd, Suite 400, Amarillo, TX 79119 | 2018-04-06 |
| 1518418250 | Er On Soncy, LLC | Clinic/Center | 3530 S. Soncy Rd., Amarillo, TX 79119 | 2016-10-18 |
| 1003362377 | Coulter Emergency Center LLC | Clinic/Center | 5800 S. Coulter St, Amarillo, TX 79119 | 2016-08-28 |
| 1427502921 | Wilfred Omoghibora Ukhurebor | Dentist | 206 Ne 7th Avenue, Amarillo, TX 79119 | 2016-08-12 |
| 1134512031 | Susan D Sosebee | Dietitian, Registered | 7910 Progress Drive, Amarillo, TX 79119 | 2015-03-17 |
| 1467874537 | Susan Elizabeth Ellington | Internal Medicine | 7659 Hillside Rd, Suite 300, Amarillo, TX 79119 | 2014-01-09 |
| 1568776250 | Sean Woodruff | Dentist | 5051 S. Soncy Rd, Amarillo, TX 79119 | 2010-08-05 |
| 1992948368 | Christopher Aaron Atkins | Dentist | 5051 S Soncy, Amarillo Oral & Maxillofacial Surgery, Amarillo, TX 79119 | 2009-04-14 |
| Find all providers in zip 79119 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376086959 | Nec Amarillo South Emergency Center, Lp | Clinic/Center | 4121 S Georgia St, Amarillo, TX 79110-1117 | 2016-11-30 |
| 1518418250 | Er On Soncy, LLC | Clinic/Center | 3530 S. Soncy Rd., Amarillo, TX 79119 | 2016-10-18 |
| 1003362377 | Coulter Emergency Center LLC | Clinic/Center | 5800 S. Coulter St, Amarillo, TX 79119 | 2016-08-28 |
| 1245697820 | Nec Amarillo Emergency Center, Lp | Clinic/Center | 2105 S Western St, Amarillo, TX 79109-6523 | 2016-01-27 |
| 1225421357 | Panhandle Emergency Physicians Pllc | Clinic/Center | 22 Helium Rd, Amarillo, TX 79124-2365 | 2015-03-13 |
| 1891343455 | Exceptional Amarillo N Coulter LLC | Clinic/Center | 2101 S Coulter St, Amarillo, TX 79106-2513 | 2019-08-27 |
| 1942858642 | Exceptional H C Amarillo LLC | Clinic/Center | 2105 S Western St, Amarillo, TX 79109-1571 | 2019-08-27 |
| 1427441559 | Amarillo Emergency Center LLC | Clinic/Center | 2101 S Coulter St, Amarillo, TX 79106-2513 | 2015-03-13 |
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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.