TEXAS EM-1 MEDICAL SERVICES, PA (NPI# 1104993617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104993617 |
| Entity Type | Organization |
| Organization Name | TEXAS EM-1 MEDICAL SERVICES, PA |
| Practice Address |
1313 Hermann Dr Houston TX 77004-7005 |
| Mailing Address |
1717 Main St Suite 5200 Dallas TX 75201-4612 |
| Practice Telephone | 7135275129 |
| Practice Fax Number | 2147122487 |
| Mailing Telephone | 2147122000 |
| Mailing Fax Number | 2147122487 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WILLIAM C JERNBERG (PRESIDENT) |
| Authorized Official Telephone | 2147122000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851565345 | Texas Em-1 Medical Services, Pa | Physician Assistant | 9110 Barker Cypress Ste 100, Cypress, TX 77433 | 2008-04-16 |
| 1730257643 | Texas Em-1 Medical Services, Pa | Physician Assistant | 2850 E. State Highway 114, Trophy Club, TX 76262 | 2006-11-30 |
| 1295780757 | Texas Em-1 Medical Services, Pa | Clinical Nurse Specialist | 3500 I-30, Mesquite, TX 75150 | 2006-05-23 |
| 1942255492 | Texas Em-1 Medical Services, Pa | Clinical Nurse Specialist | 100a E Alton Gloor Blvd, Brownsville, TX 78526-3375 | 2006-05-23 |
| 1164475216 | Texas Em-1 Medical Services, Pa | Emergency Medicine | 4400 New York Ave, Arlington, TX 76018-4817 | 2006-05-18 |
| 1124369731 | Texas Em-1 Medical Services, Pa | Emergency Medicine | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2013-03-06 |
| 1780960328 | Texas Em-1 Medical Services, Pa | Nurse Practitioner | 1401 E 8th St, Weslaco, TX 78596-6640 | 2011-10-27 |
| 1205092772 | Texas Em-1 Medical Services, Pa | Physician Assistant | 3280 Joe Battle Blvd, El Paso, TX 79938-2622 | 2008-08-04 |
| 1396908018 | Texas Em-1 Medical Services, Pa | Physician Assistant | 1935 Motor Street, Bright Building, Dallas, TX 75235 | 2008-07-02 |
| 1912173824 | Texas Em-1 Medical Services, Pa | Physician Assistant | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2008-05-01 |
| Street Address |
1313 HERMANN DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004-7005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437109618 | Caroline Emergency Physicians Pllc | Emergency Medicine | 1313 Hermann Dr, Houston, TX 77004-7005 | 2006-05-11 |
| 1164058467 | Questcare Intensivists Pllc | Hospitalist | 1313 Hermann Dr, Houston, TX 77004-7005 | 2020-03-18 |
| 1962055749 | Houston Intensivists Pllc | Internal Medicine | 1313 Hermann Dr, Houston, TX 77004-7005 | 2019-07-20 |
| 1073043592 | Houston - Pph, LLC | General Acute Care Hospital | 1313 Hermann Dr, Houston, TX 77004-7005 | 2017-06-18 |
| 1386016343 | Fortress Emergency Physicians, Pplc | Physician Assistant | 1313 Hermann Dr, Houston, TX 77004-7005 | 2015-10-29 |
| 1508132812 | Carlos Omar Encarnacion | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1313 Hermann Dr, Houston, TX 77004-7005 | 2012-03-30 |
| 1609157221 | Park Plaza Hospital Billing Center LLC | Obstetrics & Gynecology | 1313 Hermann Dr, Houston, TX 77004-7005 | 2011-09-09 |
| 1508165085 | Ryan Kennard White | Emergency Medicine | 1313 Hermann Dr, Houston, TX 77004-7005 | 2011-03-23 |
| 1427385624 | Erica Lynn Daniels | Emergency Medicine | 1313 Hermann Dr, Houston, TX 77004 | 2009-11-09 |
| 1346482999 | Heather Renee Grizzle | Radiology Practitioner Assistant | 1313 Hermann Dr, Houston, TX 77004-7005 | 2009-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081622 | University of Houston | Community Health Worker | 4649 Calhoun Rd, Ste 342, Houston, TX 77004 | 2020-01-03 |
| 1205487394 | Sharon B Robinson | Technician | 3405 Drew Apt. #1, Houston, TX 77004 | 2019-09-20 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1922541275 | Rita Assi | Student in an Organized Health Care Education/Training Program | 4407 Austin Street, Houston, TX 77004 | 2016-11-18 |
| 1396291001 | Yoon Jung Park | Nurse Practitioner | 1200 Binz St #1040, Houston, TX 77004 | 2016-09-01 |
| 1962869339 | Elite One Direct | Home Health | 3501 Chenevert, 24, Houston, TX 77004 | 2016-01-15 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1508109273 | Akwete Riley | Speech-Language Pathologist | 2712 Isabella, Houston, TX 77004 | 2013-04-01 |
| 1831437003 | Lonestar Dental Emergency Care, PC | Dentist | 5445 Almeda Rd, Ste. 300, Houston, TX 77004 | 2013-01-23 |
| Find all providers in zip 77004 | ||||
| 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 |
|---|---|---|---|---|
| 1871129247 | Texmed Corp | Emergency Medicine | 14770 Memorial Drive Suite 100, Houston, TX 77079-5252 | 2020-03-18 |
| 1548894751 | Emergency Medicine Physician of Houston | Emergency Medicine | 4000 Washington Ave Ste 100, Houston, TX 77007-5676 | 2020-02-26 |
| 1912472929 | Bellaire Emergency Center, LLC | Emergency Medicine | 5413 S Rice Ave, Houston, TX 77081-2113 | 2018-10-05 |
| 1295200202 | Copperfield Emergency Center, LLC | Emergency Medicine | 5835 Highway 6 N, Houston, TX 77084-1833 | 2018-10-05 |
| 1285109298 | 1960 Emergency Center, LLC | Emergency Medicine | 5003 Cypress Creek Pkwy, Houston, TX 77069-4502 | 2018-10-05 |
| 1992294748 | Khalid Mohammed S Alhamdan | Emergency Medicine | 1504 Taub Loop # I, Houston, TX 77030-1608 | 2018-05-08 |
| 1861981920 | Chloe Woodington | Emergency Medicine | 1504 Taub Loop Emergency Center, Houston, TX 77030 | 2018-05-04 |
| 1497250757 | Westchase Emergency Center, LLC | Emergency Medicine | 11103 Westheimer Rd, Houston, TX 77042 | 2018-03-28 |
| 1932617768 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 13550 East Fwy, Houston, TX 77015-5926 | 2018-01-15 |
| 1396251781 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 16307 Fm 529 Road, Houston, TX 77095-1417 | 2017-12-20 |
| Find all providers in HOUSTON | ||||
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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.