EXCEPTIONAL PHYSICIANS GROUP AMARILLO SOUTH PLLC (NPI# 1487295259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487295259 |
| Entity Type | Organization |
| Organization Name | EXCEPTIONAL PHYSICIANS GROUP AMARILLO SOUTH PLLC |
| Practice Address |
5800 S Coulter St Amarillo TX 79119-6203 |
| Mailing Address |
1100 S Akard St Dallas TX 75215-1003 |
| Practice Telephone | 4693417800 |
| Mailing Telephone | 4693417800 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | SAEED S MAHBOUBI (CFO) |
| Authorized Official Telephone | 4693417800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5800 S COULTER ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79119-6203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669938437 | Exceptional Amarillo S Coulter LLC | Clinic/Center | 5800 S Coulter St, Amarillo, TX 79119-6203 | 2019-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055135 | Cindy Kay Farley | Technician | 10511 Perry Lane #5, Amarillo, TX 79119 | 2019-10-22 |
| 1033771803 | Amy Stephenson | Dentist | 7649 Hillside Road, Suite 100, Amarillo, TX 79119 | 2019-07-02 |
| 1225535321 | Chad Pearson | Chiropractor | 8950 Soncy Rd, Suite 400, Amarillo, TX 79119 | 2018-04-06 |
| 1518418250 | Er On Soncy, LLC | Clinic/Center | 3530 S. Soncy Rd., Amarillo, TX 79119 | 2016-10-18 |
| 1003362377 | Coulter Emergency Center LLC | Clinic/Center | 5800 S. Coulter St, Amarillo, TX 79119 | 2016-08-28 |
| 1427502921 | Wilfred Omoghibora Ukhurebor | Dentist | 206 Ne 7th Avenue, Amarillo, TX 79119 | 2016-08-12 |
| 1134512031 | Susan D Sosebee | Dietitian, Registered | 7910 Progress Drive, Amarillo, TX 79119 | 2015-03-17 |
| 1467874537 | Susan Elizabeth Ellington | Internal Medicine | 7659 Hillside Rd, Suite 300, Amarillo, TX 79119 | 2014-01-09 |
| 1568776250 | Sean Woodruff | Dentist | 5051 S. Soncy Rd, Amarillo, TX 79119 | 2010-08-05 |
| 1992948368 | Christopher Aaron Atkins | Dentist | 5051 S Soncy, Amarillo Oral & Maxillofacial Surgery, Amarillo, TX 79119 | 2009-04-14 |
| Find all providers in zip 79119 | ||||
| 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 |
| 1154979862 | Exceptional Physicians Group Amarillo Pllc | Emergency Medicine | 2105 S Western St, Amarillo, TX 79109-1571 | 2019-08-27 |
| 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.