DENTON ERDOCS PA (NPI# 1295780906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295780906 |
| Entity Type | Organization |
| Organization Name | DENTON ERDOCS PA |
| Practice Address |
3000 N Interstate 35 Denton TX 76201-5119 |
| Mailing Address |
Po Box 8526 Fort Worth TX 76124-0526 |
| Practice Telephone | 9408987000 |
| Mailing Telephone | 8174514208 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BARRY KEN GRAY (PRESIDENT) |
| Authorized Official Telephone | 9408987000 |
| 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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUECROSS BLUESHIELD | 0037HQ | 01 |
| Street Address |
3000 N INTERSTATE 35 |
| City | DENTON |
| State | TX |
| Zip Code | 76201-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023578051 | Melissa Michelle Andersen | Nurse Practitioner | 3000 N Interstate 35, Denton, TX 76201-5119 | 2019-03-25 |
| 1659869196 | Brittney Spiegel | Registered Nurse | 3000 N Interstate 35, Denton, TX 76201-5119 | 2018-04-30 |
| 1578015491 | Deborah Oyegoke | Nurse Practitioner | 3000 N Interstate 35, Denton, TX 76201-5119 | 2016-10-26 |
| 1053768259 | Michael Jason Mercado | Family Medicine | 3000 N Interstate 35, Denton, TX 76201-5119 | 2016-05-17 |
| 1720499726 | Sarah G Moyo | Nurse Practitioner | 3000 N Interstate 35, Denton, TX 76201 | 2014-05-13 |
| 1457771362 | Margaretta Sapon-amoah | Nurse Practitioner | 3000 N Interstate 35, Denton, TX 76201-5119 | 2014-04-17 |
| 1184042871 | Jeffrey Paul Brekke | Anesthesiology | 3000 N Interstate 35, Denton, TX 76201 | 2014-03-31 |
| 1134545767 | Richie Manikat | Internal Medicine | 3000 N Interstate 35, Denton, TX 76201-5119 | 2014-03-06 |
| 1144642935 | Jamil A Abbasi, Md Pllc | Internal Medicine | 3000 N Interstate 35, Denton, TX 76201-5119 | 2014-01-13 |
| 1992001903 | Mushtaq Ahmad Bhat | Internal Medicine | 3000 N Interstate 35, Denton, TX 76201-5119 | 2011-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779885 | Darren Duy Pham | Optometrist | 1800 W Chestnut St # 101, Denton, TX 76201 | 2020-01-12 |
| 1184276032 | Daniel Max & Marc Andrea LLC | Optometrist | 2505 W University Dr #1015, Denton, TX 76201 | 2019-07-11 |
| 1396254975 | Ideal Dental of Denton Pllc | Dentist | 2200 W University Drive, Suite 120, Denton, TX 76201 | 2017-09-26 |
| 1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
| 1275065724 | Daneydy Hernandez | Dietitian, Registered | 721 Locust St., Denton, TX 76201 | 2017-04-03 |
| 1073998118 | National Vision, Inc. | Technician/Technologist | 2600 W University Dr, Ste 1240, Denton, TX 76201 | 2015-07-29 |
| 1326420555 | Brittany Ann Ortiz | Occupational Therapist | 2620 Scripture Street, Denton, TX 76201 | 2015-06-24 |
| 1932581253 | Kim Tien Blois | Optometrist | 1800 W Chestnut St Ste 101, Denton, TX 76201 | 2015-06-23 |
| 1679969257 | Allison Haffey | Physical Therapist | 26260 Scripture St, Denton, TX 76201 | 2015-04-10 |
| 1982001319 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1510 W Hickory St, Denton, TX 76201 | 2014-12-01 |
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| 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 |
|---|---|---|---|---|
| 1992094460 | M.diane Condit | Emergency Medicine | 8108 Laurel Ln, Denton, MD 21629-1609 | 2011-04-05 |
| 1912932104 | James Donovitz | Emergency Medicine | 1513 N Locust St, Denton, TX 76201-3041 | 2006-07-12 |
| 1932133527 | Lisa M Kohler | Emergency Medicine | 3535 S I35e, Denton, TX 76205 | 2006-07-10 |
| 1992773444 | Krishna P Kumar | Emergency Medicine | 301 Dallas Dr, 126, Denton, TX 76205-5291 | 2006-03-10 |
| 1609851625 | Glenn Michael Calabrese | Emergency Medicine | 3535 S I-35 E, Denton, TX 76210-6850 | 2005-12-13 |
| 1245559004 | Trinity Trails Emergency Physicians | Emergency Medicine | 2801 S Mayhill Rd, Denton, TX 76208-5910 | 2010-05-19 |
| 1952529828 | Justin Robert Northeim | Emergency Medicine | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2007-04-23 |
| 1376769026 | Thomas J Olmsted | Emergency Medicine | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2007-04-18 |
| 1104968684 | Elizabeth R Seymour | Emergency Medicine | 3303 Colorado Blvd, Denton, TX 76210-6812 | 2007-02-13 |
| 1831273432 | Jimmy N Harris | Emergency Medicine | 3000 N Interstate 35, Denton, TX 76201-5119 | 2006-10-24 |
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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.