CHISHOLM TRAIL URGENT CARE PLLC (NPI# 1790396984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790396984 |
| Entity Type | Organization |
| Organization Name | CHISHOLM TRAIL URGENT CARE PLLC |
| Practice Address |
11 Tsys Way Columbus GA 31901 |
| Mailing Address |
Po Box 722676 Norman OK 73070-9033 |
| Practice Telephone | 8774854474 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | SHANE PARKER COLE (MEMBER) |
| Authorized Official Telephone | 4057055977 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CHISHOLM TRAIL URGENT CARE PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306387188 | Chisholm Trail Urgent Care Pllc | Clinic/Center | 7214 Crawford Road, Suite 150, Argyle, TX 76226 | 2017-03-14 |
| Street Address |
11 TSYS WAY |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770040099 | Columbus Ga Homecare, LLC | In Home Supportive Care | 1501 13th Street., Suite G, Columbus, GA 31901 | 2019-02-22 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
| 1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
| 1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
| 1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
| 1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
| 1235450040 | Richelle Angela Gonzalez | Pediatrics | 2000 10th Ave., Suite 400, Columbus, GA 31901 | 2010-06-15 |
| Find all providers in zip 31901 | ||||
| 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 |
|---|---|---|---|---|
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1265895262 | Andrew Vang | Emergency Medicine | 4503 Glenhaven Dr, Columbus, OH 43231-5987 | 2016-03-29 |
| 1982065777 | Jack D Sherrer Jr. | Emergency Medicine | 7301 Northlake Drive, Columbus, GA 31909 | 2016-03-08 |
| 1477935393 | Chloe Sidley | Emergency Medicine | 376 W 10th Ave., 760 Prior Hall, Columbus, OH 43210 | 2015-06-27 |
| 1871975755 | Jennifer Cotton | Emergency Medicine | W 10th Ave, 760 Prior Hall, Columbus, OH 43214 | 2015-06-26 |
| 1831584606 | Chase Foy | Emergency Medicine | 376 W. 10th Ave, 774 Prior Hall, Columbus, OH 43210-1280 | 2015-03-30 |
| 1215342506 | George Edward Ashby | Emergency Medicine | 760 Prior Hall 376 W 10th Ave, Columbus, OH 43210-1240 | 2014-06-25 |
| 1376953463 | Matthew Pitzer | Emergency Medicine | 3525 Olentangy River Rd Ste 5320, Columbus, OH 43214 | 2014-04-29 |
| 1275950651 | Julia Elisabeth Ojcius | Emergency Medicine | 1447 Highland St Apt A, Columbus, OH 43201-2741 | 2014-03-24 |
| 1811312564 | Christopher Frederick Tanga | Emergency Medicine | 5100 W. Broad St, Doctors Hospital, Columbus, OH 43228 | 2014-03-04 |
| Find all providers in COLUMBUS | ||||
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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.