ISLAND MEDICAL COLLEGE STATION, PLLC (NPI# 1669991162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669991162 |
| Entity Type | Organization |
| Organization Name | ISLAND MEDICAL COLLEGE STATION, PLLC |
| Practice Address |
1604 Rock Prairie Rd College Station TX 77845-8345 |
| Mailing Address |
Po Box 92990 Cleveland OH 44194-2990 |
| Practice Telephone | 9797645101 |
| Mailing Telephone | 3306565911 |
| Mailing Fax Number | 3306565901 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Authorized Official Name | JOAN DE LA PRIDA (CFO) |
| Authorized Official Telephone | 6315147600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1604 ROCK PRAIRIE RD |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-8345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211394 | Craig K Steiner | Specialist | 1604 Rock Prairie Rd, College Station, TX 77845-8395 | 2005-08-09 |
| 1568086171 | Katie Ann Jones | Pharmacist | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2020-05-31 |
| 1285265256 | Cody Rapp | Nurse Anesthetist, Certified Registered | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2020-01-29 |
| 1053963009 | St. Joseph Regional Health Center | General Acute Care Hospital | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2019-07-10 |
| 1972083509 | Cc Ems, Pllc | Emergency Medicine | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2018-08-14 |
| 1659851293 | Cc Hms Tx, Pllc | Hospitalist | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2018-08-14 |
| 1679092456 | Island Medical Hospitalist College Station, Pllc | Hospitalist | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2017-09-13 |
| 1538559125 | Riteshkumar Patel | Internal Medicine | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2015-02-03 |
| 1205233970 | Anand Alexander | Internal Medicine | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2014-11-25 |
| 1265772750 | Brittany A Bailey | Physician Assistant | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2013-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| 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 |
|---|---|---|---|---|
| 1073058939 | College Station Er, LLC | Emergency Medicine | 1512 Texas Ave S, Suite 500, College Station, TX 77840-3329 | 2017-01-03 |
| 1114196342 | Manhhai H Nguyen | Emergency Medicine | 2911 Texas Ave S Ste 103, College Station, TX 77845-5388 | 2008-02-21 |
| 1598826570 | Kenneth Urban Hackney Jr. | Emergency Medicine | A P Beutel Student Health - Ms 1264, Texas A&m University, College Station, TX 77843-0001 | 2006-12-13 |
| 1194894816 | John Edmond Pinkstaff | Emergency Medicine | 17472 Creek Xing, College Station, TX 77845-5523 | 2006-11-07 |
| 1467478313 | Michael Caraway | Emergency Medicine | 3493 Mojave Canyon Dr, College Station, TX 77845-4660 | 2006-07-14 |
| 1356373138 | Marita Jean Michelin | Emergency Medicine | 700 Scott and White Blvd, College Station, TX 77840-5600 | 2006-07-06 |
| 1275501314 | Stuart Quartemont | Emergency Medicine | 4801 Apple Valley Ct, College Station, TX 77845-4430 | 2006-03-14 |
| 1093788747 | Andrew Vincent Nicholes | Emergency Medicine | 2314 Scotney Ct, College Station, TX 77845-1933 | 2006-02-10 |
| 1356796957 | Callasandra Rose | Emergency Medicine | 700 Scott and White Dr, College Station, TX 77845-6441 | 2016-05-02 |
| 1972943231 | Wade Walker Swanson | Emergency Medicine | 700 Scott and White Dr, College Station, TX 77845-6441 | 2013-07-01 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
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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.