COMANCHE COUNTY PHYSICIANS GROUP (NPI# 1275854952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275854952 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY PHYSICIANS GROUP |
| Practice Address |
10201 Highway 16 Comanche TX 76442-4462 |
| Practice Telephone | 2548794900 |
| Mailing Telephone | 2548794900 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Authorized Official Name | KEVIN STOREY (CEO) |
| Authorized Official Telephone | 2548794900 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
10201 HIGHWAY 16 |
| City | COMANCHE |
| State | TX |
| Zip Code | 76442-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752404 | Comanche County Consolidated Hospital District | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2005-10-05 |
| 1679033476 | Charles Jordan | Nurse Practitioner | 10201 Highway 16, Comanche, TX 76442-4462 | 2019-03-20 |
| 1306181508 | Comanche County Medical Center Company | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2012-11-29 |
| 1336483684 | Texas Health Care, P.l.l.c. | Orthopaedic Surgery | 10201 Highway 16, Comanche, TX 76442-4462 | 2012-11-26 |
| 1114221199 | Comanche County Medical Center Company | Clinic/Center | 10201 Highway 16, Comanche, TX 76442-4462 | 2011-01-05 |
| 1346544616 | Comanche County Medical Center Company | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-12-30 |
| 1114220928 | Comanche County Medical Center | Ambulance | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-12-16 |
| 1356501035 | Hill Country Advanced Foot and Ankle Center, P.a. | Podiatrist | 10201 Highway 16, Comanche, TX 76442-4462 | 2008-06-16 |
| 1386811958 | Comanche Internal Medicine, Pa | Internal Medicine | 10201 Highway 16, Comanche, TX 76442-4462 | 2008-05-13 |
| 1225216930 | Doctors Medical Center Clinic | Family Medicine | 10201 Highway 16, Comanche, TX 76442-4462 | 2008-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689130692 | Mylinda Gay Blue | Registered Nurse | 10201 Highway 16 N, Comanche, TX 76442 | 2019-02-14 |
| 1598246654 | Minerva L Marsh | Occupational Therapist | 400 Sidney Rd, Comanche, TX 76442 | 2018-08-27 |
| 1891189676 | Comanche County Consolidated Hospital District | Hospice Care, Community Based | 108 W Oak, Comanche, TX 76442 | 2015-03-19 |
| 1083851513 | Comanche County Medical Center Dba Doctors Medical Center | Family Medicine | 10201 Hwy 16 N, Comanche, TX 76442 | 2009-01-21 |
| 1548284631 | Gary M Easley, Dds Inc | Dentist | 203 Valley Forge St, Comanche, TX 76442 | 2006-07-26 |
| 1992260244 | Stephanie Renee Stout | Licensed Vocational Nurse | 10201 Hwy 16 North, Comanche, TX 76442 | 2019-01-31 |
| 1629286182 | Gary M Easley | Dentist | 203 Valley Forge St, Comanche, TX 76442 | 2007-05-18 |
| 1861707010 | Greater North Texas Emergency Medical Services Corp | Ambulance | 1400-a N. Austin, Comanche, TX 76442-0000 | 2010-08-12 |
| 1629579842 | Susan Raye Johnson | Licensed Vocational Nurse | 303 W Martin Ave, Comanche, TX 76442-1661 | 2018-02-22 |
| 1285738245 | John Ben Knudson | Pharmacy | 1001 N Austin St, Comanche, TX 76442-1701 | 2006-09-12 |
| Find all providers in zip 76442 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110971 | Metroplex Surgical Institute Pllc | Surgery | 2937 Lago Vista Ln, Rockwall, TX 75032-5466 | 2020-09-24 |
| 1881209708 | Preva Surgical Partners Cypress LLC | Surgery | 13114 Fm 1960 Rd W Ste 118, Houston, TX 77065-5590 | 2020-09-09 |
| 1063021749 | Brooke Nicole Harris | Surgery | 355 E Vista Ridge Mall Dr Apt 4933, Lewisville, TX 75067-4024 | 2020-07-28 |
| 1609484872 | Deepak Dev Vivekanandan | Surgery | 7703 Floyd Curl Dr # Mc-7742, San Antonio, TX 78229-3901 | 2020-07-14 |
| 1760009195 | Tomball Surgical Assistant Service LLC | Surgery | 18220 Tomball Pkwy # 249, Houston, TX 77070-4347 | 2020-07-01 |
| 1174147086 | North Texas General Surgery Pllc | Surgery | 1600 Coit Rd Ste 207, Plano, TX 75075-6172 | 2020-06-05 |
| 1619591690 | Expert Surgical, Pllc | Surgery | 3537 S I 35 E Ste 200, Denton, TX 76210-6814 | 2020-06-04 |
| 1831712314 | Merten Gene Pearson | Surgery | 7306 Sw 34th Ave Ste 6, Amarillo, TX 79121-1446 | 2020-05-19 |
| 1558983098 | Aleshia Yvette Toler-levi | Surgery | 405 Schley Ave, Orange, TX 77630-3503 | 2020-05-06 |
| 1508487570 | Somkenechi Ijeoma Ajene | Surgery | 301 University Boulevard, 6.136-b John Sealy Annex, Galveston, TX 77555-0534 | 2020-05-01 |
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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.