DFW LEWISVILLE EMERGENCY CENTER LLC (NPI# 1548800733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548800733 |
| Entity Type | Organization |
| Organization Name | DFW LEWISVILLE EMERGENCY CENTER LLC |
| Other Organization Name | SIGNATURE CARE EMERGENCY CENTER - LEWISVILLE |
| Practice Address |
1596 W. Main St. Lewisville TX 75067 |
| Mailing Address |
Po Box 46197 Houston TX 77210-6197 |
| Practice Telephone | 8326993777 |
| Mailing Telephone | 8326993777 |
| Mailing Fax Number | 2817527961 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | LISA LUNA (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8326993777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Signature Care Emergency Center - Lewisville | Doing Business As Name - Organization |
| Street Address |
1596 W. MAIN ST. |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767290 | Dental Depot of Lewisville, Pllc | Dentist | 1260 W Fm 3040, Lewisville, TX 75067 | 2020-07-17 |
| 1548885692 | Guiding Grace LLC | Case Management | 405 State Highway 121, Ste A250, Lewisville, TX 75067 | 2020-06-15 |
| 1386286854 | Rachel Lee Herd | Registered Nurse | 940 W Round Grove Rd Apt 2237, Lewisville, TX 75067 | 2019-10-16 |
| 1437631108 | Rosa Lydia Rodriguez | Massage Therapist | 330 Brook Cove Ln, Lewisville, TX 75067 | 2018-08-29 |
| 1023508819 | W. Main Street Dental Lewisville, Tx, P.C. | Dentist | 724 W Main St Ste 316, Lewisville, TX 75067 | 2018-05-16 |
| 1255821286 | Alicia D Wallace | Counselor | 105 Kathryn Dr. Bldg. 3, Ste. D, Lewisville, TX 75067 | 2018-05-15 |
| 1861921116 | Megan Blair Morrison | Dentist | 420 E Round Grove Rd #640, Lewisville, TX 75067 | 2017-06-09 |
| 1508305905 | Schofield Orthodontics Pllc | Dentist | 755 Hwy 121 Byp, A200, Lewisville, TX 75067 | 2017-02-17 |
| 1275080897 | Trinity Counseling | Counselor | 2001 Woven Trail, Lewisville, TX 75067 | 2016-09-01 |
| 1750745840 | Shelley Tedder | Counselor | 2785 Rockbrook Dr. Suite 306, Lewisville, TX 75067 | 2016-04-05 |
| Find all providers in zip 75067 | ||||
| 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 |
|---|---|---|---|---|
| 1003871658 | Catherine Eno Okpon Onabajo | Emergency Medicine | 1118 W Main St, Lewisville, TX 75067-3426 | 2006-04-18 |
| 1518991108 | Jiwon Lee | Emergency Medicine | 500 W Main St, Lewisville, TX 75057-3629 | 2006-07-10 |
| 1720019623 | Donald E Gibbons IIi | Emergency Medicine | 500 W Main St, Emergency Department, Lewisville, TX 75057-3629 | 2006-07-06 |
| 1063440121 | Ellen J O'connell | Emergency Medicine | 500 W Main St, Lewisville, TX 75057-3629 | 2006-06-29 |
| 1386689677 | Mahesh Candiah Thiagarajah | Emergency Medicine | 500 W Main St, Lewisville, TX 75057-3629 | 2006-06-19 |
| 1245219757 | Rouhollah F Prueitt | Emergency Medicine | 500 W Main St, Lewisville, TX 75057-3641 | 2006-01-12 |
| 1922084144 | Robert D Garrison | Emergency Medicine | 500 W Main St, Lewisville, TX 75057-3641 | 2005-12-20 |
| 1497731566 | Travis K Lilly | Emergency Medicine | 500 W Main St, Lewisville, TX 75057-3641 | 2005-12-20 |
| 1275519902 | James D Doyle | Emergency Medicine | 500 W Main St, Lewisville, TX 75057-3641 | 2005-12-15 |
| 1952387607 | Nicole A Duval | Emergency Medicine | 500 W Main St, Lewisville, TX 75057-3641 | 2005-12-15 |
| Find all providers in LEWISVILLE | ||||
| City | LEWISVILLE |
| Zip Code | 75067 |
Please comment or provide details below to improve the information on DFW LEWISVILLE EMERGENCY CENTER LLC.
| 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.