PAPPAS MEDICAL CLINIC PA (NPI# 1689619132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689619132 |
| Entity Type | Organization |
| Organization Name | PAPPAS MEDICAL CLINIC PA |
| Practice Address |
4110 Richmond Pl Texarkana TX 75503-0001 |
| Practice Telephone | 9038316312 |
| Practice Fax Number | 9038383613 |
| Mailing Telephone | 9038316312 |
| Mailing Fax Number | 9038383613 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2009-11-11 |
| Authorized Official Name | DR. PUIFUN LILA PAPPAS (OWNER) |
| Authorized Official Telephone | 9038316312 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 165546601 | 05 | |
| TX | RAILROAD MEDICARE | DC2163 | 01 |
| TX | BLUE CROSS | 0050LE | 01 |
| AR | 154345002 | 05 | |
| AR | BLUE CROSS | 9R062 | 01 |
| Street Address |
4110 RICHMOND PL |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053399584 | Puifun Lila Pappas | Family Medicine | 4110 Richmond Pl, Texarkana, TX 75503-0001 | 2006-01-04 |
| 1437455565 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 4110 Richmond Pl, Texarkana, TX 75503-0001 | 2011-02-08 |
| 1629378963 | Collom & Carney Clinic Association | Family Medicine | 4110 Richmond Pl, Texarkana, TX 75503-0001 | 2010-11-02 |
| 1356329825 | Paul H Pappas | Family Medicine | 4110 Richmond Pl, Texarkana, TX 75503-0001 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417415399 | Southwest Arkansas Medical Staffing Solutions, Pllc | Family Medicine | 4803 Jefferson Ave # 126, Texarkana, AR 71854-1143 | 2019-03-09 |
| 1780029892 | Healthcare Express, LLP | Family Medicine | 125 Arkansas Blvd, Texarkana, AR 71854-1963 | 2013-05-02 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| 1518273242 | Emmanuel E Chukwu | Family Medicine | 2604 Saint Michael Dr Ste 340, Texarkana, TX 75503-2378 | 2010-08-18 |
| 1558568253 | Matthew Hawthorne Ramage | Family Medicine | 3510 Richmond Rd Ste 100, Texarkana, TX 75503-0712 | 2007-06-27 |
| 1366583890 | Minor Care Clinic of Texarkana | Family Medicine | 2604 St Michael's Drive, Suite 238, Texarkana, TX 75503 | 2007-02-09 |
| 1134235146 | Sangeeth Jonathan Samuel | Family Medicine | 2109 White Oak Ln, Texarkana, AR 71854-8120 | 2006-08-22 |
| 1386622827 | Mark O Gabbie | Family Medicine | 401 East St, Texarkana, AR 71854 | 2006-01-05 |
| 1053399584 | Puifun Lila Pappas | Family Medicine | 4110 Richmond Pl, Texarkana, TX 75503-0001 | 2006-01-04 |
| 1669467056 | James Randall Sarrett | Family Medicine | 2101 Galleria Oaks Dr, Texarkana, TX 75503-4625 | 2005-09-13 |
| Find all providers in TEXARKANA | ||||
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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.