PARIS TRAIL EMERGENCY PHYSICIANS PLLC (NPI# 1790115632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790115632 |
| Entity Type | Organization |
| Organization Name | PARIS TRAIL EMERGENCY PHYSICIANS PLLC |
| Practice Address |
865 Deshong Dr Paris TX 75460-9313 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 9037854521 |
| Mailing Telephone | 4694012386 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |
| Authorized Official Name | JOSEPH GATEWOOD (PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| 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 |
865 DESHONG DR |
| City | PARIS |
| State | TX |
| Zip Code | 75460-9313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761777 | Frederick Allen Thurmond | Specialist | 865 Deshong Dr, Paris, TX 75460-9313 | 2005-06-22 |
| 1811514250 | Yen Hoang Nguyen | Pharmacist | 865 Deshong Dr, Paris, TX 75460-9313 | 2020-07-01 |
| 1649896580 | Jennifer Ann Christian | Nurse Practitioner | 865 Deshong Dr, Paris, TX 75460-9313 | 2020-06-16 |
| 1932751799 | Philip Kwetey | Nurse Anesthetist, Certified Registered | 865 Deshong Dr, Paris, TX 75460-9313 | 2019-07-11 |
| 1518528389 | Adam Zigler | Anesthesiology | 865 Deshong Dr, Paris, TX 75460-9313 | 2019-06-24 |
| 1205349875 | Reginald Robinson | Physician Assistant | 865 Deshong Dr, Paris, TX 75460-9313 | 2017-11-06 |
| 1790226504 | Lacey Gardner | Physician Assistant | 865 Deshong Dr, Paris, TX 75460-9313 | 2017-03-13 |
| 1134665607 | Murray Walker | Nurse Anesthetist, Certified Registered | 865 Deshong Dr, Paris, TX 75460-9313 | 2017-01-09 |
| 1164974143 | Fasciamedica Prompta, Pllc | Emergency Medicine | 865 Deshong Dr, Paris, TX 75460-9313 | 2016-10-26 |
| 1386004570 | Katherine Ann Chadwick | Physician Assistant | 865 Deshong Dr, Paris, TX 75460-9313 | 2016-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574409 | Patrick Hayden Tomlinson | Pharmacist | 707 Lamar Ave Suite A, Paris, TX 75460 | 2020-09-25 |
| 1053938530 | King Vision of Tyler LLC | Hospice Care, Community Based | 2555 Ruby Way 8102, Paris, TX 75460 | 2020-06-30 |
| 1376013946 | Kristi Marie Holden | In Home Supportive Care | 1320 27th Ne, Paris, TX 75460 | 2018-11-27 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1386123941 | Luz Elena Luna | Licensed Vocational Nurse | 11245 15 St Se, Paris, TX 75460 | 2018-08-14 |
| 1255821369 | Paris Speech Pathology Clinic, Pllc | Speech-Language Pathologist | 2404 Lamar Ave, Paris, TX 75460 | 2018-05-14 |
| 1083127054 | Conway Counseling, LLC | Counselor | 2654 Lamar Ave., 1, Paris, TX 75460 | 2017-11-13 |
| 1851803373 | Paris Wellness Center & Medical Spa | Family Medicine | 1122 E. Austin St., Paris, TX 75460 | 2017-10-25 |
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1386098523 | Nikki Goodale | Occupational Therapist | 2710 E Price St, Paris, TX 75460 | 2016-04-13 |
| Find all providers in zip 75460 | ||||
| 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 |
|---|---|---|---|---|
| 1558682955 | Sean Crowley | Emergency Medicine | 105 Smith Heights Rd, Paris, TN 38242-8836 | 2010-06-20 |
| 1588890180 | Joseph Orville Hoffman | Emergency Medicine | 380 Levy Rd, Paris, KY 40361-9562 | 2009-06-09 |
| 1295866382 | David Nicholas Tancredi | Emergency Medicine | 1, Rue Laurent Pichat, Paris, ILE-DE-FRANCE 75116 | 2007-03-08 |
| 1376670828 | Robert Allen Biddle | Emergency Medicine | 4888 Lexington Rd, Paris, KY 40361 | 2007-02-28 |
| 1255355541 | Julia M Huber | Emergency Medicine | 9 Linville Dr, Paris, KY 40361-2129 | 2006-07-27 |
| 1710900444 | Patricia Swiney | Emergency Medicine | 2017 Main St Ste 4, Paris, KY 40361-1167 | 2006-07-25 |
| 1922047059 | Bill Scott Portis | Emergency Medicine | 14201 Tyson Ave, Paris, TN 38222 | 2006-06-05 |
| 1124079579 | Daniel A. Davis | Emergency Medicine | 301 Tyson Ave., Henry County Medical Center Emergency Dep, Paris, TN 38242-1030 | 2006-05-12 |
| 1295785004 | Robert C. Stephenson | Emergency Medicine | Henry County Medical Center Emergency Dept., 301 Tyson Ave., Paris, TN 38242-1030 | 2006-05-11 |
| 1104391119 | Paris Emergency Center, LLC | Emergency Medicine | 3055 Ne Loop 286, Paris, TX 75460-3433 | 2018-10-05 |
| Find all providers in PARIS | ||||
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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.