COUNTRY ROAD EMERGENCY PHYSICIANS, PLLC (NPI# 1942671961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942671961 |
| Entity Type | Organization |
| Organization Name | COUNTRY ROAD EMERGENCY PHYSICIANS, PLLC |
| Practice Address |
1275 Marvin Hancock Dr Jasper TX 75951-4935 |
| Mailing Address |
Po Box 98953 Las Vegas NV 89193-8953 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | JOSEPH H GATEWOOD (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 |
|---|---|---|---|---|
| 1346614294 | Country Road Emergency Physicians, Pllc | Physician Assistant | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2015-11-16 |
| 1134590151 | Country Road Emergency Physicians, Pllc | Physician Assistant | 2830 Calder St, Beaumont, TX 77702-1809 | 2015-10-16 |
| 1669843686 | Country Road Emergency Physicians, Pllc | Physician Assistant | 2606 Hospital Blvd, Corpus Christi, TX 78405-1833 | 2015-10-16 |
| 1144691163 | Country Road Emergency Physicians, Pllc | Physician Assistant | 2500 E Main St, Alice, TX 78332-4261 | 2015-10-16 |
| 1164893186 | Country Road Emergency Physicians, Pllc | Physician Assistant | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2015-10-16 |
| Street Address |
1275 MARVIN HANCOCK DR |
| City | JASPER |
| State | TX |
| Zip Code | 75951-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203658 | John Michael Pauzauskie | Nurse Anesthetist, Certified Registered | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2005-05-27 |
| 1356713960 | Solitude Emergency Physicians, Pllc | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2015-10-22 |
| 1700200284 | Mh Drive Emergency Physicians Pllc | Emergency Medicine | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2014-02-05 |
| 1457774648 | Texas Em-i Medical Services Pa | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2014-01-24 |
| 1538392600 | Belinda Daniel | Nurse Practitioner | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2009-08-24 |
| 1346442746 | Jasper Emergency Medicine Associates Pa | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2007-06-05 |
| 1255481883 | Jimmy W. Spruill | Emergency Medicine | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2007-01-12 |
| 1104997998 | Cleon S Nunnally | General Acute Care Hospital | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-11-13 |
| 1104855808 | Clinical Partners Pa - Jasper | Anesthesiology | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-07-03 |
| 1790758738 | Christus Health Southeast Texas | Medicare Defined Swing Bed Unit | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
| 1871023028 | Tamara Nicole Vandiver | Nurse Practitioner | 2427 Hwy 255 West, Brookeland, TX 75951 | 2017-06-19 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1275931792 | David Scott Hughes | Counselor | 1501-c South Wheeler St, Jasper, TX 75951 | 2014-12-16 |
| 1881091684 | D.scott Hughes Center for Counseling and Rehab | Clinic/Center | 1501-c South Wheeler, Jasper, TX 75951 | 2014-11-24 |
| 1720497480 | Harvest Counseling | Marriage & Family Therapist | 1501-c South Wheeler Street, Jasper, TX 75951 | 2014-08-07 |
| 1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
| 1750668034 | Susan Irene Craft | Hearing Instrument Specialist | 530 S. Wheeler, Jasper, TX 75951 | 2011-11-14 |
| 1194012740 | Harbor Hospice of East Texas Lp | Hospice Care, Community Based | 1440 Fm 777, Jasper, TX 75951 | 2011-07-05 |
| 1457661845 | Barbara Patin | Occupational Therapist | 11117 Fm 777, Jasper, TX 75951 | 2010-10-19 |
| Find all providers in zip 75951 | ||||
| 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 |
|---|---|---|---|---|
| 1336569359 | Kevin Stevens | Emergency Medicine | 1000 Tn-28, Jasper, TN 37347 | 2014-04-17 |
| 1447411376 | Alina G. Barrett | Emergency Medicine | 1266 Ga Hwy 515, Jasper, GA 30143 | 2008-06-23 |
| 1205913761 | Yong Park | Emergency Medicine | 506 4th St Nw, Jasper, FL 32052-6603 | 2006-11-01 |
| 1538100417 | Dean Robert Naden | Emergency Medicine | 2708 Highway 78 East, Jasper, AL 35501 | 2006-06-09 |
| 1912358698 | Alisha Shake | Emergency Medicine | 800 W 9th St, Jasper, IN 47546 | 2016-06-24 |
| 1720466378 | Erynn Thinnes | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2015-05-15 |
| 1811392129 | Debra Sue White | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2014-10-29 |
| 1710392667 | Logan Dellinger | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2014-06-29 |
| 1518377944 | Kyle Patrick Schroering | Emergency Medicine | 800 W 9th St, Jasper, IN 47546 | 2014-05-07 |
| 1841610755 | Heron Emergency Physicians Pllc | Emergency Medicine | 1000 Highway 28, Jasper, TN 37347-3638 | 2014-04-17 |
| Find all providers in JASPER | ||||
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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.