MEDCO PHYSICIAN GROUP (NPI# 1154887842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154887842 |
| Entity Type | Organization |
| Organization Name | MEDCO PHYSICIAN GROUP |
| Practice Address |
3960 Legacy Dr Plano TX 75023-8319 |
| Mailing Address |
Po Box 232398 Encinitas CA 92023-2398 |
| Practice Telephone | 4693924000 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |
| Authorized Official Name | TONY SHAHRI (MANAGING MEMBER) |
| Authorized Official Telephone | 4693924000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3960 LEGACY DR |
| City | PLANO |
| State | TX |
| Zip Code | 75023-8319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174089866 | Medco Er Plano | Clinic/Center | 3960 Legacy Dr, Plano, TX 75023-8319 | 2019-02-18 |
| 1669930194 | Medco Er | Clinic/Center | 3960 Legacy Dr, Plano, TX 75023-8319 | 2019-03-04 |
| 1972069672 | Medco Urgent Care Plano | Clinic/Center | 3960 Legacy Dr, Plano, TX 75023-8319 | 2019-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854116 | Vanessa C Eldridge | Registered Nurse | 1008 Lockhart Dr, Plano, TX 75023 | 2020-06-05 |
| 1750935573 | Asistencia En Casa Therapy Service, Inc. | Nursing Care | 1225 Glyndon Dr., Plano, TX 75023 | 2019-07-30 |
| 1215420567 | Vera Ngozi Anyirah | Registered Nurse | 3412 Grenoble Court, Plano, TX 75023 | 2018-06-12 |
| 1043740004 | Varun Joseph | Dentist | 3405 Silverstone Dr Ste 100, Plano, TX 75023 | 2017-06-13 |
| 1902330384 | Applegate Health Services, Inc | Clinic/Center | 3303 N. Central Expressway, Suite 210, Plano, TX 75023 | 2017-04-12 |
| 1821529603 | Emerson Speech and Consulting | Speech-Language Pathologist | 6565 Independence Pkwy, Plano, TX 75023 | 2017-03-23 |
| 1033502018 | Marquis Hines | Occupational Therapy Assistant | 701 Legacy Dr Apt 1224, Plano, TX 75023 | 2015-03-14 |
| 1811386303 | Gn Medical Center, Inc. | Clinic/Center | 3415 Custer Rd., Ste 100, Plano, TX 75023 | 2015-01-21 |
| 1568850899 | Parvaneh Yancheshmeh Azimi | Nurse Practitioner | 2045 Hawken Dr, Plano, TX 75023 | 2015-01-09 |
| 1568866358 | Byungwon Choi | Chiropractor | 2050 W. Spring Creek Pkwy Suite 208, Plano, TX 75023 | 2014-10-22 |
| Find all providers in zip 75023 | ||||
| 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 |
|---|---|---|---|---|
| 1730711847 | Dfw Plano Emergency Center, LLC | Emergency Medicine | 3670 State Highway 121, Plano, TX 75025-5200 | 2020-02-06 |
| 1316349004 | J. Thomas Ward, Jr., M.d., P.a. | Emergency Medicine | 8404 Yancey Ct, Plano, TX 75025-4343 | 2014-09-24 |
| 1598023749 | Joel Richard Wussow | Emergency Medicine | 3604 S Echo Trl, Plano, TX 75023-6107 | 2012-04-25 |
| 1720394653 | Louis Bernstein Pa | Emergency Medicine | 1528 Copper Creek Dr, Plano, TX 75075-2214 | 2010-08-30 |
| 1689848061 | Laurie Otto | Emergency Medicine | 3308 Preston Rd, Ste 350, #224, Plano, TX 75093-7471 | 2008-04-17 |
| 1417161886 | Michael Lee | Emergency Medicine | 8512 Cadbury Ct, Plano, TX 75024-6822 | 2007-05-09 |
| 1285855163 | Cary Nelson Schneider | Emergency Medicine | 1609 Watch Hill Dr, Plano, TX 75093-4921 | 2007-05-01 |
| 1962625087 | Gregory Blomquist | Emergency Medicine | 2401 Preston Rd, Suite D, Plano, TX 75093-2322 | 2007-04-10 |
| 1235209669 | Jay Robert Woody | Emergency Medicine | 5700 Granite Pkwy Ste 455, Plano, TX 75024-6631 | 2006-11-09 |
| 1710091178 | Geoffrey Stephen Coates | Emergency Medicine | 5913 New Haven Dr, Plano, TX 75093-7741 | 2006-08-19 |
| Find all providers in PLANO | ||||
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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.