1551 W CENTRAL ER PHYSICIANS PLLC (NPI# 1972118198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972118198 |
| Entity Type | Organization |
| Organization Name | 1551 W CENTRAL ER PHYSICIANS PLLC |
| Practice Address |
1551 W Central Ave Temple TX 76504-4005 |
| Mailing Address |
910 S Kimball Ave Southlake TX 76092-9005 |
| Practice Telephone | 2542820516 |
| Mailing Telephone | 8175273403 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | JULIE RADLEY (COO) |
| Authorized Official Telephone | 7135912256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1551 W CENTRAL AVE |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098119 | Complete Temple Fser Facility LLC | Clinic/Center | 1551 W Central Ave, Temple, TX 76504-4005 | 2020-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| 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 |
|---|---|---|---|---|
| 1831619709 | Elizabeth Katherine Lackey | Emergency Medicine | 2401 S 31st St # 11ag062, Temple, TX 76508-0001 | 2017-06-22 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1326498320 | Garrett Fitzpatrick Frantz | Emergency Medicine | 2306 Kingsbury Drive, Temple, TX 76502-7303 | 2016-06-21 |
| 1023498318 | Caleb Cadis | Emergency Medicine | Dept of Emergency Medicine 2401 S 31st St, Ms-11-ag062, Temple, TX 76508-0001 | 2015-06-02 |
| 1821333469 | Bryce Gregerson | Emergency Medicine | Ms 11 Ag062 2401 South 31st St, Temple, TX 76508-0001 | 2012-12-08 |
| 1659647832 | Joshua L Houser | Emergency Medicine | Ms 11 Ag062, 2401 South 31st Street, Temple, TX 76508-0001 | 2012-04-01 |
| 1811216542 | Clayton Koontz Massey | Emergency Medicine | Scott & White, 2401 S. 31st St., Temple, TX 76508-0001 | 2010-05-20 |
| 1497913644 | Neeta Soorya Bhakta | Emergency Medicine | 2301 S 31st St, Temple, TX 76508-0001 | 2008-05-23 |
| 1417007758 | Michael M Thomas | Emergency Medicine | 7010 W Adams Ave Ste 200, Temple, TX 76502-5550 | 2007-01-11 |
| 1881781565 | Jerry Ray Baskerville | Emergency Medicine | 2003 W Avenue H, Temple, TX 76504-5256 | 2006-10-06 |
| Find all providers in TEMPLE | ||||
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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.