DR. M JEANINE TREVILLYAN (NPI# 1801958145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801958145 |
| Entity Type | Individual |
| Full Name | DR. M JEANINE TREVILLYAN |
| Credential | MD |
| Practice Address |
501 Walnut Street Correctional Medical Services Texarkana AR 71854-0809 |
| Mailing Address |
Pob 809 Texarkana AR 71854-0809 |
| Practice Telephone | 8702161256 |
| Mailing Telephone | 8702161256 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | E-0884 | AR | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | E-0884 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
501 WALNUT STREET CORRECTIONAL MEDICAL SERVICES |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-0809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| 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 |
|---|---|---|---|---|
| 1376018382 | Texarkana Emergency Center, LLC | Emergency Medicine | 2001 Mall Dr, Texarkana, TX 75503-2560 | 2018-10-05 |
| 1689101099 | Sterling Thornton Brown | Emergency Medicine | 4803 Jefferson Ave, # 126, Texarkana, AR 71854-1143 | 2017-05-16 |
| 1881923282 | Morgen Melinda Rozenboom | Emergency Medicine | 6342 Fm 1397, Texarkana, TX 75503-6362 | 2009-12-14 |
| 1790911139 | Glen Owen Monk | Emergency Medicine | 2400 Sugar Hill Rd, Texarkana, AR 71854-9264 | 2009-05-29 |
| 1407956733 | Rodney Ray Chandler | Emergency Medicine | 2100 N State Line Ave, Texarkana, AR 71854-3583 | 2006-09-25 |
| 1063467074 | Roberto Seidner | Emergency Medicine | 333 Links Dr Apt 1512, Texarkana, AR 71854-8523 | 2006-05-24 |
| 1699739334 | Karl F. Wagenhauser | Emergency Medicine | 2602 Saint Michael Dr Ste 204, Texarkana, TX 75503-2378 | 2006-04-12 |
| 1811998453 | John Frey | Emergency Medicine | 2801 Richmond Rd, #31, Texarkana, TX 75503-2123 | 2005-08-04 |
| 1316948003 | Henry J Platt | Emergency Medicine | 3515 Richmond Rd, Texarkana, TX 75503-0711 | 2005-08-03 |
| 1083618953 | Clayton H Nash | Emergency Medicine | 5483 Summerhill Rd, Texarkana, TX 75503-4608 | 2005-06-09 |
| 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.