CODE 3 EMERGENCY PHYSICIANS, PA (NPI# 1013322510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013322510 |
| Entity Type | Organization |
| Organization Name | CODE 3 EMERGENCY PHYSICIANS, PA |
| Practice Address |
400 Enterprise Blvd Ste A100 Rockport TX 78382 |
| Mailing Address |
4701 Paxton Ln Frisco TX 75034-2209 |
| Practice Telephone | 3615299400 |
| Practice Fax Number | 3615299402 |
| Mailing Telephone | 4698154142 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | DR. CARRIE E DE MOOR (CEO) |
| Authorized Official Telephone | 4693209820 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 00G6G8 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3111 Teasley Lane, Suite 100, Denton, TX 762058024 | 9405148120 | 9405148123 |
| 4228 N Josey Ln Ste 100, Carrollton, TX 750104600 | 4693209821 | 9723947626 |
| 6045 Alma Rd Ste 110, Mckinney, TX 750702190 | 9725492040 | 9725492041 |
| 1080 E Cartwright Rd Ste 100, Mesquite, TX 751496621 | 2142759234 | 2142759236 |
| 2390 Innovation Drive, Suite 100, Dfw Airport, TX 752619428 | 2149971940 | 2149971941 |
| Street Address |
400 ENTERPRISE BLVD STE A100 |
| City | ROCKPORT |
| State | TX |
| Zip Code | 78382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548700990 | C3erow, LLC | Clinic/Center | 400 Enterprise Blvd Ste A100, Rockport, TX 78382 | 2017-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618297 | Youngjoon Lee Kim | Dentist | 2347 Tx-35 Bus, Rockport, TX 78382 | 2020-08-03 |
| 1568013951 | Tracy Ann Oros | Nurse Practitioner | 400 North Enterprise, Rockport, TX 78382 | 2019-09-26 |
| 1831545219 | Gillian Cox | Registered Nurse | 161 Bernardy Rd, Rockport, TX 78382 | 2016-05-04 |
| 1043627029 | Jonathan Marcus Heyward | Counselor | 620 East Concho, Rockport, TX 78382 | 2014-07-22 |
| 1114344728 | Barbara Bridges | Audiologist-Hearing Aid Fitter | 1723 Cherry St Ste 1, Rockport, TX 78382 | 2014-03-20 |
| 1962779959 | Lorraine Michele Cameron | Student in an Organized Health Care Education/Training Program | 1801 Omohundro Dr, Rockport, TX 78382 | 2011-11-19 |
| 1063723641 | Calvin Kimura | Pharmacist | 1309 Sh 35 N, Rockport, TX 78382 | 2010-06-29 |
| 1811212269 | Jadron LLC | Home Health | 2600 Lakeview Dr., St. 2, Rockport, TX 78382 | 2010-03-29 |
| 1316123342 | Linda Faye Lemmons | Speech-Language Pathologist | 1703 Bayshores Dr, Rockport, TX 78382 | 2008-01-22 |
| 1932240256 | Nichole Q Soto | Optometrist | 2740 Hwy 35 North, Rockport, TX 78382 | 2007-02-09 |
| Find all providers in zip 78382 | ||||
| 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 |
|---|---|---|---|---|
| 1922194901 | Robert Charles Jorden | Emergency Medicine | Emergency Department, Penobscot Bay Medical Center, 6 Glen Cove Drive, Rockport, ME 04856 | 2006-10-05 |
| 1912986118 | Kamran Algilani | Emergency Medicine | 1325 Broadway St, Rockport, TX 78382-3333 | 2006-01-16 |
| 1215916622 | Erlinda Devera | Emergency Medicine | 638 East Market Street, Rockport, TX 78382-3333 | 2006-01-13 |
| 1649259235 | Stephen Pritchard | Emergency Medicine | 638 E Market St, Rockport, TX 78382-2530 | 2006-01-11 |
| 1477088672 | Kyle Ettinger | Emergency Medicine | 6 Glen Cove Dr, Rockport, ME 04856-4272 | 2017-04-25 |
| 1285167924 | Tyler Andrew Giberson | Emergency Medicine | 6 Glen Cove Dr, Rockport, ME 04856-4272 | 2017-04-10 |
| 1023409075 | Bay Revenue Management LLC | Emergency Medicine | 638 E Market St, Rockport, TX 78382-2530 | 2015-02-12 |
| 1790128155 | Stephen Jay Skinner | Emergency Medicine | 6 Glen Cove Dr, Rockport, ME 04856-4272 | 2013-04-16 |
| 1558621334 | Katharine Mcnamara | Emergency Medicine | 1121 Highway 35 N, Rockport, TX 78382-3112 | 2012-05-25 |
| 1194010504 | Ernest Carson Alsop | Emergency Medicine | 2621 Hwy 35 N, Rockport, TX 78382-5708 | 2011-06-14 |
| Find all providers in ROCKPORT | ||||
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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.