DR. JUSTIN ROBERT NORTHEIM (NPI# 1952529828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952529828 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN ROBERT NORTHEIM |
| Credential | D.O. |
| Practice Address |
3535 S Interstate 35 E Denton TX 76210-6850 |
| Mailing Address |
9161 Cedar Rdg Lantana TX 76226-4344 |
| Practice Telephone | 9403843535 |
| Mailing Telephone | 9528184083 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | N8132 | TX | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
51416 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 219337701 | 05 | |
| TX | RAILROAD | P00896830 | 01 |
| TX | 219337702 | 05 |
| Street Address |
3535 S INTERSTATE 35 E |
| City | DENTON |
| State | TX |
| Zip Code | 76210-6850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477530871 | Mary Charlene Berg | Nurse Anesthetist, Certified Registered | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2005-12-27 |
| 1073084679 | Taylor Fletcher | Physician Assistant | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2018-12-09 |
| 1760959696 | Prajnawati Wibowo | Nurse Practitioner | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2018-10-29 |
| 1104367168 | Terrie Branson | Nurse Practitioner | 3535 S Interstate 35 E, Denton, TX 76210 | 2017-03-10 |
| 1649512591 | Ashley Rena Wiles | Nurse Practitioner | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2013-03-19 |
| 1093975278 | Elango Packirisamy Vinjirayer | Internal Medicine | 3535 S Interstate 35 E, Denton Regional Medical Center, Denton, TX 76210-6850 | 2008-06-11 |
| 1376769026 | Thomas J Olmsted | Emergency Medicine | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2007-04-18 |
| 1396865358 | Christina K Sokolowski | Physical Therapist | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2007-03-30 |
| 1568545663 | Bradley Ray Armstrong | Physician Assistant | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2006-10-23 |
| 1487621306 | Lise Amy Labiche | Psychiatry & Neurology | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2006-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403716 | Corinth Community Pharmacy, LLC. | Pharmacy | 3001 F.m. 2181, Suite 450, Corinth, TX 76210 | 2020-03-26 |
| 1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
| 1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
| 1083100101 | Ahir Dental Pllc | Dentist | 3220 Teasley Ln, Suite#100, Dention, TX 76210 | 2018-07-02 |
| 1235636010 | Diane Michelle Dean | Counselor | 2701 Shoreline Drive, Denton, TX 76210 | 2018-04-09 |
| 1740709344 | Southridge Dental, LLC | Dentist | 3303 Unicorn Lake Blvd, Ste 200, Denton, TX 76210 | 2017-09-14 |
| 1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
| 1366990137 | Phee Dental Group | Dentist | 4920 Teasley Ln, Denton, TX 76210 | 2016-09-21 |
| 1265893283 | Ann Marie Norris | Respiratory Therapist, Registered | 3535 E I-35, Denton, TX 76210 | 2016-03-18 |
| 1447644778 | Santa Patricia Espinoza | Nurse Practitioner | 3537 South Interstate 35e, Ste. 210, Denton, TX 76210 | 2015-03-25 |
| Find all providers in zip 76210 | ||||
| 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 |
|---|---|---|---|---|
| 1992094460 | M.diane Condit | Emergency Medicine | 8108 Laurel Ln, Denton, MD 21629-1609 | 2011-04-05 |
| 1912932104 | James Donovitz | Emergency Medicine | 1513 N Locust St, Denton, TX 76201-3041 | 2006-07-12 |
| 1932133527 | Lisa M Kohler | Emergency Medicine | 3535 S I35e, Denton, TX 76205 | 2006-07-10 |
| 1295780906 | Denton Erdocs Pa | Emergency Medicine | 3000 N Interstate 35, Denton, TX 76201-5119 | 2006-05-23 |
| 1992773444 | Krishna P Kumar | Emergency Medicine | 301 Dallas Dr, 126, Denton, TX 76205-5291 | 2006-03-10 |
| 1609851625 | Glenn Michael Calabrese | Emergency Medicine | 3535 S I-35 E, Denton, TX 76210-6850 | 2005-12-13 |
| 1245559004 | Trinity Trails Emergency Physicians | Emergency Medicine | 2801 S Mayhill Rd, Denton, TX 76208-5910 | 2010-05-19 |
| 1376769026 | Thomas J Olmsted | Emergency Medicine | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2007-04-18 |
| 1104968684 | Elizabeth R Seymour | Emergency Medicine | 3303 Colorado Blvd, Denton, TX 76210-6812 | 2007-02-13 |
| 1831273432 | Jimmy N Harris | Emergency Medicine | 3000 N Interstate 35, Denton, TX 76201-5119 | 2006-10-24 |
| Find all providers in DENTON | ||||
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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.