DR. ALAN BART MICKISH (NPI# 1215045240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215045240 |
| Entity Type | Individual |
| Full Name | DR. ALAN BART MICKISH |
| Credential | M.D. |
| Practice Address |
400 W Plummer Eastland TX 76448 |
| Mailing Address |
Po Box 1429 Eastland TX 76448-1429 |
| Practice Telephone | 2546291744 |
| Practice Fax Number | 2546293904 |
| Mailing Telephone | 2546291744 |
| Mailing Fax Number | 2546293904 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E1059 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1210627-01 | 05 |
| Street Address |
400 W PLUMMER |
| City | EASTLAND |
| State | TX |
| Zip Code | 76448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871055822 | Eastland Dialysis Center, LLC | Registered Nurse | 2300 Commerce Street, Eastland, TX 76448 | 2019-04-01 |
| 1801139936 | Accesscare Dialysis | Clinic/Center | 2300 West Commerce Street, Eastland, TX 76448 | 2013-03-27 |
| 1023353752 | Eastland Memorial Hospital District | Medicare Defined Swing Bed Unit | 304 South Daugherty Street, Eastland, TX 76448 | 2012-12-06 |
| 1801165543 | Billy B Alexander | Family Medicine | 201 S. Oaklawn, Eastland, TX 76448 | 2011-12-27 |
| 1609160472 | Valerie Kai Deluca | Internal Medicine | 500 West Plummer, Eastland, TX 76448 | 2011-06-08 |
| 1710107024 | William F Simpson Jr D.o.p.a. | Surgery | 921 East Main Street, Eastland, TX 76448 | 2007-04-27 |
| 1366483810 | Scooter Mart Inc | Durable Medical Equipment & Medical Supplies | 208 S Lamar, Eastland, TX 76448 | 2006-06-08 |
| 1215190053 | Doc's Drugstore of Eastland Inc | Pharmacy | 905 E Main St, Eastland, TX 76448 | 2008-07-02 |
| 1881721082 | Cone C Rice IIi | Dentist | 963 E Main St, Eastland, TX 76448 | 2007-02-27 |
| 1760815633 | Air Evac Ems Inc. | Ambulance | 9614 Interstate 20, Eastland, TX 76448-0000 | 2013-08-15 |
| Find all providers in zip 76448 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801165543 | Billy B Alexander | Family Medicine | 201 S. Oaklawn, Eastland, TX 76448 | 2011-12-27 |
| 1861521825 | Larry L. Maples, D.o., P.a. | Family Medicine | 203 S Daugherty Ave, Eastland, TX 76448-2607 | 2007-03-05 |
| 1861446544 | B & W Clinic Pa | Family Medicine | 400 W Plummer St, Eastland, TX 76448-2627 | 2006-05-19 |
| 1295729739 | Robert Charles Deluca | Family Medicine | 500 W Plummer St, Eastland, TX 76448-2629 | 2005-09-09 |
| 1144459868 | Christopher Tidroski | Family Medicine | 961 E Main St, Eastland, TX 76448-3014 | 2009-07-02 |
| 1265695290 | B & W Healthcare Associates Pa | Family Medicine | 400 W Plummer St, Eastland, TX 76448-2627 | 2008-07-09 |
| 1053570952 | Robert Deluca, D.o,, P.a. | Family Medicine | 500 W Plummer St, Eastland, TX 76448-2629 | 2008-06-05 |
| 1114054673 | Kevin Ray Cunningham | Family Medicine | 400 W Plummer St, Eastland, TX 76448-2627 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.