FAIR ACRES EMERGENCY PHYSICIANS, PLLC (NPI# 1851762660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851762660 |
| Entity Type | Organization |
| Organization Name | FAIR ACRES EMERGENCY PHYSICIANS, PLLC |
| Practice Address |
1405 W Jefferson St Waxahachie TX 75165-2231 |
| Mailing Address |
Po Box 98939 Las Vegas NV 89193-8684 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | WILLIAM C JERNBERG (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450547 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2015-10-21 |
| 1093187817 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 1650 W College St, Grapevine, TX 76051-3565 | 2015-10-21 |
| 1386016103 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2015-10-21 |
| 1114398922 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2015-10-20 |
| 1619349446 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 5252 W University Dr, Mckinney, TX 75071-7822 | 2015-10-20 |
| 1851762603 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 7100 Oakmont Blvd, Fort Worth, TX 76132-3900 | 2015-10-19 |
| 1255702098 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2015-10-19 |
| Street Address |
1405 W JEFFERSON ST |
| City | WAXAHACHIE |
| State | TX |
| Zip Code | 75165-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380507 | Baylor Medical Center At Waxahachie | Durable Medical Equipment & Medical Supplies | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2005-07-14 |
| 1932449055 | Kellee Lorraine Randle | Internal Medicine | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2013-02-26 |
| 1982900460 | Pathologists Bio-medical Laboratories Pllc | Pathology | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2011-02-01 |
| 1336340694 | Eidi K Millington | Internal Medicine | 1405 W Jefferson St, Waxahachie, TX 75165 | 2007-05-31 |
| 1972670529 | Texas Em-1 Medical Services, Pa | Physician Assistant | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-11-29 |
| 1558371682 | Fawad A Tufail | Internal Medicine | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-08-09 |
| 1831108661 | Derrick Chase Owens | Family Medicine | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-08-08 |
| 1437168242 | Vickie Ann Kuhn | Nurse Practitioner | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-08-08 |
| 1689683419 | Brenda S Rapp | Nurse Practitioner | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-08-08 |
| 1497764260 | Amy Lynn Edwards | Physician Assistant | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702523 | Texas Health Surgery Center Waxahachie, LLC | Clinic/Center | 1434 W Us Highway 287 Bypass, Suite 100, Waxahachie, TX 75165 | 2020-05-27 |
| 1649890112 | Roberta Mashel Wilks | Licensed Practical Nurse | 109 Southhampton Place, Waxahachie, TX 75165 | 2020-04-24 |
| 1376172072 | Marian Browning | Dietitian, Registered | 2400 North I35-e, Waxahachie, TX 75165 | 2020-04-04 |
| 1083240758 | Megan Byrom | Dietitian, Registered | 2400 North I-35e, Food and Nutrition Dept C/o Megan Byrom, Waxahachie, TX 75165 | 2020-03-13 |
| 1679118996 | Waxahachie Modern Dentistry, PC | Dentist | 1400 Us Highway 77 North, Suite 300, Waxahachie, TX 75165 | 2019-11-11 |
| 1194369546 | Eastland Memorial Hospital District | Skilled Nursing Facility | 3650 Interstate 35 E, Waxahachie, TX 75165 | 2019-10-29 |
| 1750935888 | Victoria Layne Oates | Registered Nurse | 125 Cantle St, Waxahachie, TX 75165 | 2019-07-26 |
| 1417519828 | Sarah Ann Key | Dentist | 1618 Us-287 Bus, Waxahachie, TX 75165 | 2019-07-05 |
| 1619433034 | Mariposa Perinatal Services Pllc | Obstetrics & Gynecology | 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 | 2019-02-11 |
| 1376026807 | Lyndsey Jean May | Occupational Therapy Assistant | 3650 S.interstate 35-e, Waxahachie, TX 75165 | 2018-09-11 |
| Find all providers in zip 75165 | ||||
| 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 |
|---|---|---|---|---|
| 1235633306 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 1305 N Highway 77, Waxahachie, TX 75165-5117 | 2018-03-22 |
| 1184069361 | Mary Michelle Teeter | Emergency Medicine | 2400 N Interstate Highway 35 E, Waxahachie, TX 75165-5240 | 2013-05-01 |
| 1386612091 | John S. Howell | Emergency Medicine | 791 Hwy 77 N, Suite 501c, #109, Waxahachie, TX 75165-1884 | 2006-03-09 |
| 1093177834 | Emily Ann Cooper | Emergency Medicine | 2400 N I 35, Waxahachie, TX 75165 | 2016-03-22 |
| 1477562221 | Joseph D Addesio | Emergency Medicine | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-08-07 |
| 1902856107 | Ellis Emergency Physicians Pllc | Emergency Medicine | 1405 W Jefferson St, Waxahachie, TX 75165-2231 | 2006-05-11 |
| 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 | ||||
| City | WAXAHACHIE |
| Zip Code | 75165 |
Please comment or provide details below to improve the information on FAIR ACRES EMERGENCY PHYSICIANS, PLLC.
| 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.