CITIZENS MEDICAL CENTER COUNTY OF VICTORIA (NPI# 1730239252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730239252 |
| Entity Type | Organization |
| Organization Name | CITIZENS MEDICAL CENTER COUNTY OF VICTORIA |
| Other Organization Name | CITIZENS MEDICAL CENTER EMERGENCY ROOM PHYSICIANS |
| Practice Address |
2701 Hospital Dr Victoria TX 77901-5748 |
| Practice Telephone | 3615739181 |
| Practice Fax Number | 3615725126 |
| Mailing Telephone | 3615739181 |
| Mailing Fax Number | 3615725126 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2010-01-18 |
| Authorized Official Name | MR. DAVID BROWN (CEO ADMINISTRATOR) |
| Authorized Official Telephone | 3615725112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 137907504 | 05 | |
| TX | RAILROAD MEDICARE | CN75500 | 01 |
| Other Name | Type Code |
|---|---|
| Citizens Medical Center Emergency Room Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427106103 | Citizens Medical Center County of Victoria | Home Health | 2710 Hospital Dr Ste 202, Victoria, TX 77901-5743 | 2007-01-08 |
| 1396145587 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2014-08-26 |
| 1588063804 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 104 Rex Kerwin Ct, Pflugerville, TX 78660-2630 | 2014-08-22 |
| 1295134526 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 169 Medical Dr, Pearsall, TX 78061-6604 | 2014-08-22 |
| 1245639566 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2014-08-22 |
| 1669871984 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 1373 N Avenue C, Elgin, TX 78621-1528 | 2014-08-22 |
| 1326447640 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 9801 S 1st St, Austin, TX 78748-6760 | 2014-08-22 |
| 1942609268 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 5301 Duval Rd, Austin, TX 78727-6618 | 2014-08-22 |
| 1740689066 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 2806 Real St, Austin, TX 78722-1715 | 2014-08-22 |
| 1255730578 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 2735 Airline Rd, Corpus Christi, TX 78414-3306 | 2014-08-22 |
| Street Address |
2701 HOSPITAL DR |
| City | VICTORIA |
| State | TX |
| Zip Code | 77901-5748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004142 | Satkartar Ltd LLP | Anesthesiology | 2701 Hospital Dr, Victoria, TX 77901-5748 | 2005-06-22 |
| 1104460435 | Chelsea Laging | Nurse Practitioner | 2701 Hospital Dr, Victoria, TX 77901-5748 | 2019-10-30 |
| 1780246009 | Caitlin Elizabeth Jimenez | Nurse Practitioner | 2701 Hospital Dr, Victoria, TX 77901-5749 | 2019-07-08 |
| 1124689187 | Stephanie Abraham | Nurse Practitioner | 2701 Hospital Dr, Victoria, TX 77901-5749 | 2019-06-20 |
| 1639735293 | Elias Aparicio | Nurse Practitioner | 2701 Hospital Dr, Victoria, TX 77901 | 2019-05-18 |
| 1700369808 | Doris Udosen | Nurse Practitioner | 2701 Hospital Dr, Victoria, TX 77901-5748 | 2018-09-13 |
| 1639670250 | Maegan Jo Svatek | Nurse Practitioner | 2701 Hospital Dr, Victoria, TX 77901-5749 | 2018-02-28 |
| 1851809982 | Kyle Andrew Shnowski | Registered Nurse | 2701 Hospital Dr, Victoria, TX 77901 | 2018-01-10 |
| 1083126205 | David Mykal Schmidt | Nurse Practitioner | 2701 Hospital Dr, Victoria, TX 77901-5748 | 2017-10-27 |
| 1043743636 | Benjamin Reddoch | Pharmacist | 2701 Hospital Dr, Victoria, TX 77901-5748 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
| 1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
| 1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
| 1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
| 1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
| 1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
| Find all providers in zip 77901 | ||||
| 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 |
|---|---|---|---|---|
| 1215391438 | Mercer Emergency Physicians Victoria Pllc | Emergency Medicine | 6902 Ne Zac Lentz Pkwy, Victoria, TX 77904-3441 | 2016-04-13 |
| 1316076482 | Boniface Gbalazeh | Emergency Medicine | 114 Sandstone Ct, Victoria, TX 77904-2952 | 2007-03-05 |
| 1457709040 | Lone Star Emergency Associates LLC | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2016-05-25 |
| 1497192660 | Crossroads Hospitalist Associates, Pllc | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2013-05-29 |
| 1740485697 | Victoria of Texas Lp | Emergency Medicine | 101 Medical Dr, Victoria, TX 77904-3102 | 2007-06-20 |
| 1669528329 | John W Vaughan | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2007-01-26 |
| 1407917164 | Victoria Emergency Associates LLC | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2006-12-13 |
| 1710996350 | James Rutland Brand | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2006-08-05 |
| 1114936788 | Matias Relos Medina | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2006-08-05 |
| 1235144676 | Clyde Walrod | Emergency Medicine | 2701 Hospital Dr, Victoria, TX 77901-5748 | 2006-07-31 |
| Find all providers in VICTORIA | ||||
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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.