NACOGDOCHES COUNTY HOSPITAL DISTRICT (NPI# 1053711804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053711804 |
| Entity Type | Organization |
| Organization Name | NACOGDOCHES COUNTY HOSPITAL DISTRICT |
| Other Organization Name | NACOGDOCHES MEMORIAL PROFESSIONAL GROUP |
| Practice Address |
1204 N Mound St Nacogdoches TX 75961 |
| Mailing Address |
1204 N Mound St Nacogdoches TX 75961-4027 |
| Practice Telephone | 9365688523 |
| Practice Fax Number | 9365688588 |
| Mailing Telephone | 9365688523 |
| Mailing Fax Number | 9365688588 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | RICHARD WALLACE (CFO) |
| Authorized Official Telephone | 9365688426 |
| Is Organization Subpart | Y |
| Parent Organization Name | NACOGDOCHES COUNTY HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Nacogdoches Memorial Professional Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306026729 | Nacogdoches County Hospital District | Skilled Nursing Facility | 5915 Elysian Fields Road, Marshall, TX 75672-2083 | 2007-11-14 |
| 1831192368 | Nacogdoches County Hospital District | Skilled Nursing Facility | 451 S El Camino Xing, San Augustine, TX 75972-1666 | 2005-05-30 |
| 1568902294 | Nacogdoches County Hospital District | Skilled Nursing Facility | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2017-02-28 |
| 1669912564 | Nacogdoches County Hospital District | Skilled Nursing Facility | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2017-02-27 |
| 1871981019 | Nacogdoches County Hospital District | Skilled Nursing Facility | 112 Ruthlynn Dr, Longview, TX 75605-5634 | 2014-12-22 |
| 1093131476 | Nacogdoches County Hospital District | Skilled Nursing Facility | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2014-03-10 |
| 1487992889 | Nacogdoches County Hospital District | Skilled Nursing Facility | 12520 Fm 1840, De Kalb, TX 75559-1929 | 2013-01-21 |
| 1326182197 | Nacogdoches County Hospital District | Clinic/Center | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-02-16 |
| 1881738607 | Nacogdoches County Hospital District | Clinic/Center | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-02-16 |
| 1588708341 | Nacogdoches County Hospital District | Clinic/Center | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-02-16 |
| Street Address |
1204 N MOUND ST |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821180 | Sabrina Guillory | Advanced Practice Midwife | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2005-06-16 |
| 1568902294 | Nacogdoches County Hospital District | Skilled Nursing Facility | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2017-02-28 |
| 1669912564 | Nacogdoches County Hospital District | Skilled Nursing Facility | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2017-02-27 |
| 1780139956 | Ess of Nacogdoches LLC | Emergency Medicine | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2016-08-17 |
| 1558754259 | Memorial Hospital | Psychiatric Hospital | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2015-03-05 |
| 1710233846 | David Andrew Thomas | Family Medicine | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2012-07-26 |
| 1154691327 | Wallace D Womack | Nurse Anesthetist, Certified Registered | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2012-01-05 |
| 1942581756 | Marti Leanne Rodriguez | Dietitian, Registered | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2011-09-07 |
| 1700195013 | Vanessa Y Hooper | Dietitian, Registered | 1204 N Mound St, Dietary Department, Nacogdoches, TX 75961-4027 | 2010-10-04 |
| 1942447008 | John Darren Copen | Nurse Anesthetist, Certified Registered | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2009-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
| 1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
| 1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
| 1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
| 1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
| 1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
| 1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| Find all providers in zip 75961 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871032433 | Nacogdoches Women's Services, Pllc | Obstetrics & Gynecology | 623 Russell Blvd, Nacogdoches, TX 75965-1247 | 2017-02-15 |
| 1619373768 | Dr M Mitchell Silver Facog Pa | Obstetrics & Gynecology | 4715 North St, Nacogdoches, TX 75965-1874 | 2014-11-17 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1932167350 | Sheila Hill Md Pa | Obstetrics & Gynecology | 2708 N University Dr, Suite 101, Nacogdoches, TX 75965-2928 | 2006-05-03 |
| 1891755138 | Tony Haskins | Obstetrics & Gynecology | 4710a Ne Stallings Dr, Nacogdoches, TX 75965-1615 | 2006-03-23 |
| 1033178843 | Kim Elliot Mcmorries | Obstetrics & Gynecology | 4710 Ne Stallings Dr, Nacogdoches, TX 75965-1615 | 2006-03-21 |
| 1952360802 | David D Vineyard | Obstetrics & Gynecology | 1018 N Mound St Ste 206, Nacogdoches, TX 75961-4434 | 2006-03-20 |
| 1225037898 | James D. Koerner | Obstetrics & Gynecology | 1018 N Mound St Ste 201, Nacogdoches, TX 75961-4434 | 2005-07-18 |
| 1669988465 | Nacogdoches Womens Center, Pllc | Obstetrics & Gynecology | 4710 Ne Stallings Dr, Nacogdoches, TX 75965-1615 | 2017-12-17 |
| 1285935445 | East Texas Women's Touch Obstetrics & Gynecology Pllc | Obstetrics & Gynecology | 1018 N Mound St Ste 205, Nacogdoches, TX 75961-4434 | 2010-11-04 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
Please comment or provide details below to improve the information on NACOGDOCHES COUNTY HOSPITAL DISTRICT.
| 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.