HEB EMERGICARE PA (NPI# 1306812193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306812193 |
| Entity Type | Organization |
| Organization Name | HEB EMERGICARE PA |
| Practice Address |
2700 Tibbets Dr Suite #210 Bedford TX 76022-5928 |
| Mailing Address |
P O Box 960046 Oklahoma City OK 73196-0001 |
| Practice Telephone | 8173545600 |
| Mailing Telephone | 8774854474 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2014-04-29 |
| Authorized Official Name | DAN PECKENPAUGH (PRESIDENT) |
| Authorized Official Telephone | 8176854619 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 112655904 | 05 | |
| TX | BCBS | 00L58L | 01 |
| TX | 112655902 | 05 | |
| GROUP NPI | 1306812193 | 01 | |
| TX | RAILROAD MEDICARE | CQ3073 | 01 |
| Street Address |
2700 TIBBETS DR SUITE #210 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76022-5928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831626845 | Riny Thomas | Nurse Practitioner | 2700 Tibbets Dr, Bedford, TX 76022-5928 | 2017-05-22 |
| 1689027732 | Pathways To Independence, Inc. | Occupational Therapist | 2700 Tibbets Dr, Ste 301, Bedford, TX 76022-5928 | 2016-07-13 |
| 1700275179 | Parkinson Place Speechtherapy Pllc | Speech-Language Pathologist | 2700 Tibbets Dr, Suite 300, Bedford, TX 76022-5928 | 2015-01-22 |
| 1417227315 | Jessica Renee Clemons | Nurse Practitioner | 2700 Tibbets Dr, Ste 500, Bedford, TX 76022-5928 | 2012-01-09 |
| 1538456835 | Rebecca D Bowen | Speech-Language Pathologist | 2700 Tibbets Dr, Suite 300, Bedford, TX 76022-5928 | 2011-07-07 |
| 1740573740 | Healing Psychiatry Pllc | Clinic/Center | 2700 Tibbets Dr, Suite 406, Bedford, TX 76022-5928 | 2011-05-24 |
| 1568697209 | Frankie Lynn Burget | Massage Therapist | 2700 Tibbets Dr, #402, Bedford, TX 76022-5928 | 2009-05-26 |
| 1699950972 | Covenant Pharmacy LLC | Pharmacy | 2700 Tibbets Dr, Ste 200, Bedford, TX 76022-5928 | 2008-01-04 |
| 1457540148 | Jaymi Daneill Palmer | Counselor | 2700 Tibbets Dr, Suite 502, Bedford, TX 76022-5928 | 2007-10-18 |
| 1497950554 | Nikhil Kiran Bhayani | Internal Medicine | 2700 Tibbets Dr, Ste 408, Bedford, TX 76022-6900 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
| 1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
| 1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
| 1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
| 1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
| 1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
| 1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
| 1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| Find all providers in zip 76022 | ||||
| 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 |
|---|---|---|---|---|
| 1669698973 | Erica R. Lavoie | Emergency Medicine | 93 Colonel Daniels Dr, Bedford, NH 03110-5010 | 2007-04-17 |
| 1548288533 | Winston Yau Fui Yap | Emergency Medicine | 470 Hwy. 421 N., Bedford, KY 40006-0247 | 2006-07-17 |
| 1861439002 | Mary Pat Hamilton | Emergency Medicine | 1953 Shepherds Store Rd, Bedford, VA 24523-5510 | 2006-05-31 |
| 1063485431 | Terry Wayne Springer | Emergency Medicine | 301 Carolyn Dr, Bedford, TX 76021-4111 | 2006-02-08 |
| 1922078708 | Angela Rose-marie Crane | Emergency Medicine | 168 South River Rd., Bedford, NH 03110-6547 | 2006-01-25 |
| 1881670396 | Mary Beth Manning | Emergency Medicine | 44 Blaine Ave, Bedford, OH 44146-2709 | 2005-12-16 |
| 1952777807 | United Medical Group | Emergency Medicine | 22750 Rockside Rd, Bedford, OH 44146-1574 | 2015-08-14 |
| 1184873739 | Indiana Emergency Physicians LLP | Emergency Medicine | 1600 23rd St, Bedford, IN 47421-4704 | 2008-09-18 |
| 1184882003 | Robert Bollinger II | Emergency Medicine | 1600 Hospital Pkwy, Bedford, TX 76022-6913 | 2008-05-28 |
| 1356531701 | Sonya Cooper Melville | Emergency Medicine | 1600 Hospital Pkwy, Bedford, TX 76022-6913 | 2007-07-31 |
| Find all providers in BEDFORD | ||||
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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.