DEREK W GUILLORY (NPI# 1710972880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710972880 |
| Entity Type | Individual |
| Full Name | DEREK W GUILLORY |
| Credential | M.D. |
| Practice Address |
202 Fm 1346 Suite 2 La Vernia TX 78121 |
| Mailing Address |
503 Avenue A Suite 1118 San Antonio TX 78215-1264 |
| Practice Telephone | 8307793200 |
| Practice Fax Number | 8307793211 |
| Mailing Telephone | 2104683042 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2016-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | L5751 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8M8130 | 01 |
| TX | 167798102 | 05 | |
| TX | 167798105 | 05 |
| Street Address |
202 FM 1346 SUITE 2 |
| City | LA VERNIA |
| State | TX |
| Zip Code | 78121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918864 | Madison Jill Weise | Speech-Language Pathologist | 249 Fm 1346 S. La Verina 1sd (lv Phmam), La Vernia, TX 78121 | 2020-09-24 |
| 1083197339 | Heather Yosko | Physical Therapist | 169 Woodlands Dr, La Vernia, TX 78121 | 2018-09-12 |
| 1982185575 | Patrick Christian Traugott Jr. | Occupational Therapist | 1217 Hillside Oaks Dr., La Vernia, TX 78121 | 2018-08-22 |
| 1154627487 | Toni Vargas | Physician Assistant | 402 West Chihuahua Street, La Vernia, TX 78121 | 2011-02-03 |
| 1073830659 | H-e-b, Lp | Clinical Medical Laboratory | 14414 Us Highway 87 West, Lavernia, TX 78121 | 2010-04-22 |
| 1417123399 | Tami Ray Wieland | Physician Assistant | 102 S. Fm 1346, Suite 1, La Vernia, TX 78121 | 2008-05-01 |
| 1063693398 | Roderick D Ekmark | Family Medicine | 13857 Us Highway 87 West, La Vernia, TX 78121 | 2007-11-15 |
| 1902951007 | La Vernia Volunteer Ambulance Service | Ambulance | 12033 Hwy 87 West, La Vernia, TX 78121 | 2007-01-25 |
| 1710056619 | David L Fleitas | Dentist | 200 W Chihuahua Street, The Dental Depot, La Vernia, TX 78121 | 2006-11-06 |
| 1053313205 | Bruen C Goolsby | Chiropractor | 13210 Us Highway 87 W, Lavernia, TX 78121 | 2005-06-01 |
| Find all providers in zip 78121 | ||||
| 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 |
|---|---|---|---|---|
| 1639150410 | Claire Ellen Escamilla | Emergency Medicine | 202 S Fm 1346 Ste 2, La Vernia, TX 78121-4282 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1841807526 | Talo Medical Management, LLC | Emergency Medicine | 4190 Fm 2933, Mckinney, TX 75071-0352 | 2020-09-28 |
| 1770199101 | Mavon Oversight Pllc | Emergency Medicine | 340 Van Bibber, Salado, TX 76571 | 2020-09-21 |
| 1568077675 | Eir Pllc | Emergency Medicine | 5150 Lemmon Ave Ste 108, Dallas, TX 75209-6428 | 2020-09-15 |
| 1942819479 | Atascocita Emergency Center, LLC | Emergency Medicine | 5324 Atascocita Rd Ste T, Humble, TX 77346-2971 | 2020-07-30 |
| 1467070698 | Emer Rowlett Physicians, Pllc | Emergency Medicine | 3301 Lakeview Pkwy, Rowlett, TX 75088-3321 | 2020-07-14 |
| 1225656176 | Summit Emergency Medicine Pllc | Emergency Medicine | 2501 W 7th St Ste 101, Fort Worth, TX 76107-8014 | 2020-07-08 |
| 1720604937 | Summit Emergency Medicine Pllc | Emergency Medicine | 606 Grapevine Hwy Ste Abc, Hurst, TX 76054-2758 | 2020-06-23 |
| 1669097382 | Star Ed Pllc | Emergency Medicine | 4617 Saint Clair Ct, Flower Mound, TX 75022-1041 | 2020-06-09 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| 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.