BSA PHYSICIANS GROUP INC (NPI# 1780799502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780799502 |
| Entity Type | Organization |
| Organization Name | BSA PHYSICIANS GROUP INC |
| Other Organization Name | AMARILLO SURGICAL GROUP |
| Practice Address |
6 Medical Dr Amarillo TX 79106 |
| Mailing Address |
6 Medical Dr Amarillo TX 79106-4136 |
| Practice Telephone | 8063536604 |
| Practice Fax Number | 8063590938 |
| Mailing Telephone | 8063536604 |
| Mailing Fax Number | 8063590938 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-05-17 |
| NPI Deactivation Date | 11/02/2017 |
| NPI Reactivation Date | 2018-03-15 |
| Authorized Official Name | EILEEN T HARPOLE (DIRECTOR) |
| Authorized Official Telephone | 8062126965 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS GROUP | 00000MT10 | 01 |
| Other Name | Type Code |
|---|---|
| Amarillo Surgical Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235185828 | Bsa Physicians Group Inc | Family Medicine | 4510 S Bell St, Urgent Care Center, Amarillo, TX 79109 | 2006-05-25 |
| 1346237955 | Bsa Physicians Group Inc | Family Medicine | 3501 S Soncy Rd Ste 148, Amarillo, TX 79119 | 2005-09-29 |
| 1144668765 | Bsa Physicians Group Inc | Family Medicine | 4510 Bell St, Amarillo, TX 79109-5714 | 2013-06-05 |
| 1457696916 | Bsa Physicians Group Inc | Internal Medicine | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2012-12-10 |
| 1467619965 | Bsa Physicians Group Inc | Clinic/Center | 4510 Bell St, Amarillo, TX 79109 | 2008-05-21 |
| 1245286855 | Bsa Physicians Group Inc | Family Medicine | 3501 S Soncy Rd Ste 150, Amarillo, TX 79119 | 2006-05-25 |
| Street Address |
6 MEDICAL DR |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083019962 | Julie Hampton | Nurse Practitioner | 6 Medical Dr, Amarillo, TX 79106-4136 | 2014-11-04 |
| 1073933297 | Erica Griffin Wheat | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2014-04-27 |
| 1912260209 | Christopher Thomas Kolze | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2012-06-21 |
| 1124317219 | Samuel E Kirkendall | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2011-03-30 |
| 1780888271 | Chance Loomis Irwin | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2007-06-11 |
| 1043319940 | Shane E. Holloway | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2006-09-21 |
| 1447236690 | David Langley | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2005-12-20 |
| 1558347799 | Michael Lary | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2005-12-20 |
| 1093798811 | John Mckinley | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2005-11-25 |
| 1427031251 | Robert Taylor | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2005-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712314 | Merten Gene Pearson | Surgery | 7306 Sw 34th Ave Ste 6, Amarillo, TX 79121-1446 | 2020-05-19 |
| 1295945152 | Matthew Bleu Schniederjan | Surgery | 1301 S Coulter St Ste 413, Amarillo, TX 79106-1763 | 2007-05-22 |
| 1801809439 | Douglas B Wyatt | Surgery | 3501 S Soncy Rd Ste 109, Amarillo, TX 79119-6405 | 2006-08-14 |
| 1790716348 | Dennis B Dove | Surgery | 1400 S Coulter, Amarillo, TX 79106-1786 | 2006-07-05 |
| 1518910512 | Jose Arias Md Pa | Surgery | 1911 Port Ln, Amarillo, TX 79106-2470 | 2006-05-18 |
| 1467439885 | Richard D Dillman Jr. | Surgery | 2 Care Cir, Amarillo, TX 79124-2118 | 2005-12-28 |
| 1104803527 | David G Mcneir | Surgery | 2 Care Circle, Amarillo, TX 79124 | 2005-12-28 |
| 1073510061 | Victor Vern Hands | Surgery | 2001 Julian Blvd., Amarillo, TX 79102 | 2005-07-05 |
| 1073933297 | Erica Griffin Wheat | Surgery | 6 Medical Dr, Amarillo, TX 79106-4136 | 2014-04-27 |
| 1902153661 | Yohey Hashimoto | Surgery | 1400 S Coulter St, Amarillo, TX 79106 | 2012-08-12 |
| 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.