DR. FREDERICK DEAN POAGE (NPI# 1720407125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720407125 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK DEAN POAGE |
| Credential | D.O. |
| Practice Address |
5220 Capulin Ln Amarillo TX 79110-3564 |
| Practice Telephone | 9364656800 |
| Mailing Telephone | 9364656800 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2017-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Q6086 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5220 CAPULIN LN |
| City | AMARILLO |
| State | TX |
| Zip Code | 79110-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060234 | Brenda Carole Hoot | Dietitian, Registered | 5111 Canyon Drive, Amarillo, TX 79110 | 2019-02-22 |
| 1861856288 | Andrea Walker | Contractor | 4004 Business Park Dr, Amarillo, TX 79110 | 2016-04-12 |
| 1801181508 | Kendra Mclaughlin | Counselor | 7601 S Western St, Amarillo, TX 79110 | 2011-06-10 |
| 1780620674 | Mobile Xray of Amarillo | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4303 South Fannin, Amarillo, TX 79110-0000 | 2006-06-21 |
| 1649373861 | Daniel M Novak | Internal Medicine | 3108 S. Fillmore St., Amarillo, TX 79110-1026 | 2006-09-06 |
| 1356397301 | Amarillo Multiservice Center for The Aging, Inc. | Clinic/Center | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2006-05-25 |
| 1992256887 | Angelica Sanchez Lopez | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2016-10-17 |
| 1891109773 | Breezi Leeann Wilson | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-18 |
| 1619380516 | Christel Holt | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-09 |
| 1417207408 | Petra Lashun Telford | Licensed Vocational Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| Find all providers in zip 79110 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1487295259 | Exceptional Physicians Group Amarillo South Pllc | Emergency Medicine | 5800 S Coulter St, Amarillo, TX 79119-6203 | 2019-10-03 |
| 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.