EXCEPTIONAL PHYSICIANS GROUP ORANGE PLLC (NPI# 1679121560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679121560 |
| Entity Type | Organization |
| Organization Name | EXCEPTIONAL PHYSICIANS GROUP ORANGE PLLC |
| Practice Address |
1321 N 16th St Orange TX 77630-3609 |
| Practice Telephone | 4693417800 |
| Mailing Telephone | 4693417800 |
| Enumeration Date | 2019-09-03 |
| 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 |
1321 N 16TH ST |
| City | ORANGE |
| State | TX |
| Zip Code | 77630-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851780373 | Nec Orange Emergency Center, Lp | Clinic/Center | 1321 N 16th St, Orange, TX 77630-3609 | 2015-01-21 |
| 1942861471 | Exceptional Port Arthur LLC | Emergency Medicine | 1321 N 16th St, Orange, TX 77630-3609 | 2019-06-25 |
| 1508424490 | Exceptional H C Orange LLC | Clinic/Center | 1321 N 16th St, Orange, TX 77630-3609 | 2019-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548685159 | Healthcare Warehouse, LLC | Durable Medical Equipment & Medical Supplies | 3515 Mockingbird St. Ste C, Orange, TX 77630 | 2014-02-19 |
| 1346688637 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 1302 Cypress St., Orange, TX 77630 | 2013-06-07 |
| 1740567510 | Mary Cannatella | Pharmacist | 1408 16th Street, Orange, TX 77630 | 2011-11-08 |
| 1811292642 | Inlightened Safe Haven | Contractor | 828 Nth 28th St., Orange, TX 77630 | 2011-01-26 |
| 1437472107 | Frank's Medical Mart, Inc | Durable Medical Equipment & Medical Supplies | 1619 Strickland Dr, Orange, TX 77630 | 2010-03-09 |
| 1952427403 | Assisted Living Concepts Inc | Assisted Living Facility | 5301 Meeks Drive, Orange, TX 77630 | 2007-03-22 |
| 1013033364 | Ronda Lynn Hathaway | Psychologist | 2495 N Mlk Dr, Orange, TX 77630 | 2007-03-21 |
| 1487790333 | The Eye Place, Inc. | Eyewear Supplier (Equipment, not the service) | 1502 Strickland Dr Ste 2, Orange, TX 77630 | 2007-01-29 |
| 1538220710 | Sheila R Cole | Nurse Practitioner | 2014 N.10th St., Orange, TX 77630 | 2006-12-12 |
| 1063583896 | Nina P Scales Leifeste | Dentist | 1509 Burton, Orange, TX 77630 | 2006-11-13 |
| Find all providers in zip 77630 | ||||
| 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 |
|---|---|---|---|---|
| 1396137337 | Heesun Choi | Emergency Medicine | 333 City Blvd W Ste 640, Orange, CA 92868 | 2015-02-27 |
| 1376800219 | Alisa V Wray | Emergency Medicine | 101 The City Dr S Ste 710, Orange, CA 92868-3201 | 2012-04-17 |
| 1205125093 | Shaheena Ruby Patierno | Emergency Medicine | 101 The City Drive South Bldg 1a, Room 1009 Rt 128, Orange, CA 92868 | 2011-03-31 |
| 1962727669 | Austin Kinney | Emergency Medicine | 101 The City Drive, Rte 128-01, Uci Medical Center - Dept. Emergency Medicine, Orange, CA 92868 | 2010-04-06 |
| 1457674947 | Richard Anthony Lavely | Emergency Medicine | 695 Orange Center Rd, Orange, CT 06477-1830 | 2010-03-11 |
| 1467612580 | Robert James Katzer | Emergency Medicine | 101 The City Dr S Bldg 1a, Orange, CA 92868-3201 | 2008-06-12 |
| 1285810689 | Megan Boysen Osborn | Emergency Medicine | 101 The City Dr. Rte 128, Department of Emergency Medicine, Orange, CA 92868 | 2008-01-15 |
| 1043494982 | Ali Ghobadi | Emergency Medicine | 101 South The City Dr., Route 128, Orange, CA 92868-3298 | 2007-12-27 |
| 1588696819 | Mark Y Lee | Emergency Medicine | 2601 E Chapman Avenue, Orange, CA 92869 | 2006-07-07 |
| 1407811623 | Rishi Bhargava | Emergency Medicine | 1100 West Stewart Drive, Orange, CA 92868-3849 | 2006-04-19 |
| Find all providers in ORANGE | ||||
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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.