STANLEY CARL PAETZOLD (NPI# 1326129206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326129206 |
| Entity Type | Individual |
| Full Name | STANLEY CARL PAETZOLD |
| Credential | MD |
| Practice Address |
2101 S Coulter St Amarillo TX 79106 |
| Mailing Address |
2101 S Coulter St Amarillo TX 79106-2513 |
| Practice Telephone | 8063507744 |
| Practice Fax Number | 8063507776 |
| Mailing Telephone | 8063507744 |
| Mailing Fax Number | 8063507776 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2018-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | K3375 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200033590A | 05 | |
| TX | BLUE CROSS & BLUE SHIELD | 82940G | 01 |
| CAQH | 14148503 | 01 | |
| NM | 02320045 | 05 | |
| TX | 110700503 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2101 S Coulter St Ste 200, Amarillo, TX 791062513 | 8063504477 | 8063504480 |
| 5800 S Coulter St, Amarillo, TX 791196203 | 8063987744 | 8063989633 |
| 1501 S Coulter St, Amarillo, TX 791061770 | 8063541000 |
| Street Address |
2101 S COULTER ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124047410 | Matthew W Turney | Emergency Medicine | 2101 S Coulter St, Amarillo, TX 79106 | 2006-07-19 |
| 1891343455 | Exceptional Amarillo N Coulter LLC | Clinic/Center | 2101 S Coulter St, Amarillo, TX 79106-2513 | 2019-08-27 |
| 1336797992 | Exceptional Physicians Group Amarillo North Pllc | Emergency Medicine | 2101 S Coulter St, Amarillo, TX 79106-2513 | 2019-08-27 |
| 1477109338 | Ehc Coulter Urgent Care LLC | Clinic/Center | 2101 S Coulter St, Amarillo, TX 79106-2513 | 2019-08-15 |
| 1427441559 | Amarillo Emergency Center LLC | Clinic/Center | 2101 S Coulter St, Amarillo, TX 79106-2513 | 2015-03-13 |
| 1679756084 | Patrick James Kirkland | Emergency Medicine | 2101 S Coulter St, Amarillo, TX 79106 | 2007-12-07 |
| 1780879643 | Gerad A Troutman | Emergency Medicine | 2101 S Coulter St, Amarillo, TX 79106 | 2007-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| 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 |
|---|---|---|---|---|
| 1720407125 | Frederick Dean Poage | Emergency Medicine | 5220 Capulin Ln, Amarillo, TX 79110-3564 | 2014-04-14 |
| 1861693152 | Christopher Jay Thompson | Emergency Medicine | 7306 Sw 34th Ave Ste 1-107, Amarillo, TX 79121-1423 | 2007-05-31 |
| 1093839094 | Leslie Benson | Emergency Medicine | 6508 Falcon Rd, Amarillo, TX 79109-6929 | 2007-03-17 |
| 1376675876 | Lori Elizabeth Failes | Emergency Medicine | 8960 Hillside Rd, Amarillo, TX 79119-7323 | 2007-03-10 |
| 1235210121 | Darrell I Morgan | Emergency Medicine | 3440 Bell St, Suite 320, #186, Amarillo, TX 79109-4142 | 2006-10-18 |
| 1518976588 | Lee J Friend | Emergency Medicine | 1200 Wallace Blvd., Suite C, Amarillo, TX 79106 | 2006-08-07 |
| 1124047410 | Matthew W Turney | Emergency Medicine | 2101 S Coulter St, Amarillo, TX 79106 | 2006-07-19 |
| 1760448880 | Shelly Lynn Walker-adams | Emergency Medicine | 11300 Sheri Cir, Amarillo, TX 79124-2045 | 2006-04-26 |
| 1245233857 | Perry E Bassett | Emergency Medicine | 4201 N Soncy Rd, Amarillo, TX 79124-5724 | 2005-05-27 |
| 1487295259 | Exceptional Physicians Group Amarillo South Pllc | Emergency Medicine | 5800 S Coulter St, Amarillo, TX 79119-6203 | 2019-10-03 |
| Find all providers in AMARILLO | ||||
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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.