DENTON ACUTE TRAUMA PLLC (NPI# 1205175056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205175056 |
| Entity Type | Organization |
| Organization Name | DENTON ACUTE TRAUMA PLLC |
| Practice Address |
3535 S I-35 E Denton TX 76210-6850 |
| Mailing Address |
13737 Noel Rd Suite 1600 Dallas TX 75240-1331 |
| Practice Telephone | 8173759790 |
| Practice Fax Number | 8173759791 |
| Mailing Telephone | 4694012386 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2014-01-24 |
| Authorized Official Name | WILLIAM JERNBERG (PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
3535 S I-35 E |
| City | DENTON |
| State | TX |
| Zip Code | 76210-6850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609851625 | Glenn Michael Calabrese | Emergency Medicine | 3535 S I-35 E, Denton, TX 76210-6850 | 2005-12-13 |
| 1952671042 | Heidi M Willett | Physician Assistant | 3535 S I-35 E, Denton, TX 76210-6850 | 2012-01-05 |
| 1265679294 | Mikki L Singleton-wiley | Speech-Language Pathologist | 3535 S I-35 E, Denton, TX 76210-6850 | 2009-01-13 |
| 1225079189 | Scott Eric Shaw | Physician Assistant | 3535 S I-35 E, Denton, TX 76210-6850 | 2006-06-09 |
| 1952355919 | Columbia Medical Center of Denton Subsidiary Lp | Rehabilitation Unit | 3535 S I-35 E, Denton, TX 76210-6850 | 2006-05-22 |
| 1033162961 | Marsha Niven | Physician Assistant | 3535 S I-35 E, Denton, TX 76210-6850 | 2006-05-19 |
| 1215989975 | Columbia Medical Center of Denton Subsidiary Lp | Clinic/Center | 3535 S I-35 E, Denton, TX 76210-6850 | 2006-05-17 |
| 1306897277 | Columbia Medical Center of Denton Subsidiary Lp | General Acute Care Hospital | 3535 S I-35 E, Denton, TX 76210-6850 | 2006-05-15 |
| 1255398145 | Kary Neil Holt | Physician Assistant | 3535 S I-35 E, Denton, TX 76210-6850 | 2006-04-26 |
| 1932185402 | Manisha Gupta | Emergency Medicine | 3535 S I-35 E, Denton, TX 76210-6850 | 2005-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403716 | Corinth Community Pharmacy, LLC. | Pharmacy | 3001 F.m. 2181, Suite 450, Corinth, TX 76210 | 2020-03-26 |
| 1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
| 1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
| 1083100101 | Ahir Dental Pllc | Dentist | 3220 Teasley Ln, Suite#100, Dention, TX 76210 | 2018-07-02 |
| 1235636010 | Diane Michelle Dean | Counselor | 2701 Shoreline Drive, Denton, TX 76210 | 2018-04-09 |
| 1740709344 | Southridge Dental, LLC | Dentist | 3303 Unicorn Lake Blvd, Ste 200, Denton, TX 76210 | 2017-09-14 |
| 1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
| 1366990137 | Phee Dental Group | Dentist | 4920 Teasley Ln, Denton, TX 76210 | 2016-09-21 |
| 1265893283 | Ann Marie Norris | Respiratory Therapist, Registered | 3535 E I-35, Denton, TX 76210 | 2016-03-18 |
| 1447644778 | Santa Patricia Espinoza | Nurse Practitioner | 3537 South Interstate 35e, Ste. 210, Denton, TX 76210 | 2015-03-25 |
| Find all providers in zip 76210 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174034623 | Stat Trauma & Surgical Services, Pllc | Surgery | 6 Garden Ln, Arlington, TX 76016 | 2017-10-23 |
| 1487164604 | Urgent Specialty Associates Pllc | Surgery | 4100 Spring Valley Rd Ste 250, Farmers Branch, TX 75244-3645 | 2017-10-02 |
| 1578969788 | Advanced Fracture Care Solutions Pllc | Surgery | 2145 Sutton Pl, Plano, TX 75093-4323 | 2014-11-16 |
| 1952737371 | Ernest A Gonzalez Md Pa | Surgery | 12319 N Mopac Expy Ste 350, Austin, TX 78758-2512 | 2013-09-17 |
| 1831393735 | Alexander Laurance Eastman | Surgery | 5323 Harry Hines Blvd # Mc9158, Department of Surgery--btcc, Dallas, TX 75390-9158 | 2007-06-13 |
| 1669592242 | Surgical Consultants Pa | Surgery | 6210 Wooldridge Rd Ste A, Corpus Christi, TX 78414-2528 | 2007-03-29 |
| 1144240508 | Ted R. Smith | Surgery | 50 Hillcrest Medical Blvd Ste 105, Waco, TX 76712-8953 | 2006-07-20 |
| 1750310520 | Matthew A Lovitt | Surgery | 2710 Swiss Avenue, Dallas, TX 75204-5900 | 2006-07-02 |
| 1730115270 | Jimie Dianne Owsley | Surgery | 810 Morgan Ave Apt 1, Corpus Christi, TX 78404-2058 | 2006-06-25 |
| 1578500815 | Advanced Laparoendoscopic Surgery, Pllc | Surgery | 3005 West Loop S, Suite 225, Houston, TX 77027-6100 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DENTON ACUTE TRAUMA PLLC.
| 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.