NORTHWEST TEXAS PHYSICIAN GROUP (NPI# 1841629573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841629573 |
| Entity Type | Organization |
| Organization Name | NORTHWEST TEXAS PHYSICIAN GROUP |
| Practice Address |
1501 S Coulter St Amarillo TX 79106-1770 |
| Mailing Address |
367 S Gulph Rd King of Prussia PA 19406-3121 |
| Practice Telephone | 6107683300 |
| Mailing Telephone | 6107683300 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Authorized Official Name | JOHN JOHANNESSEN (VICE PRESIDENT) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1501 S COULTER ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467442418 | Northwest Texas Healthcare System Inc | Clinic/Center | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2005-10-21 |
| 1104431576 | Gregory Allan Fenchel Jr. | Nurse Anesthetist, Certified Registered | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-09-12 |
| 1457962888 | Mercedes Ontiveros | Respiratory Therapist, Certified | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-08-10 |
| 1780209627 | Connie Lea Clement | Counselor | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-06-16 |
| 1215552336 | Simon Salazar Camarillo IIi | Counselor | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-06-15 |
| 1063049245 | Joshua Michael Pritchet | Nurse Anesthetist, Certified Registered | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-03-26 |
| 1093367419 | Emily Marie Buatois | Pharmacist | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2019-07-15 |
| 1336622042 | Katharine Ruth Diaz | Physical Medicine & Rehabilitation | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2018-09-09 |
| 1619454394 | Shayne R Teichelman | Nurse Practitioner | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2018-07-25 |
| 1114435922 | Matthew Alan Manley | Nurse Anesthetist, Certified Registered | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2018-01-15 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427303973 | City of Amarillo | Clinic/Center | 1000 Martin Rd, Amarillo, TX 79107-6850 | 2012-07-20 |
| 1558522284 | Seven Star Horse and Family Center | Clinic/Center | 1300 Se 46th Ave, Amarillo, TX 79118-7707 | 2008-06-25 |
| 1881219079 | Here Not There Healthcare | Clinic/Center | 600 S Tyler St, Suite 2100 #105, Amarillo, TX 79101 | 2020-06-12 |
| 1063940476 | Yellow City Speech | Clinic/Center | 2102 Se 41st Ave, Amarillo, TX 79118-7773 | 2017-05-30 |
| 1447628862 | Tina Spohn-ledford Family Practice Clinic | Clinic/Center | 713 N Taylor St, Amarillo, TX 79107-5279 | 2015-09-02 |
| 1992133961 | Advanced Vitality Chiropractic & Wellness LLC | Clinic/Center | 3 Medical Dr Ste B, Amarillo, TX 79106-4167 | 2013-10-29 |
| 1336411578 | Matthew Bleu Schniederjan Md Pllc | Clinic/Center | 1301 S Coulter St Ste 413, Amarillo, TX 79106-1763 | 2012-02-03 |
| 1104092527 | Haven Health Clinics | Clinic/Center | 1 Medical Dr, Amarillo, TX 79106-4137 | 2008-05-06 |
| 1861698136 | Coby Perkins Pa | Clinic/Center | 4104 W 33rd Ave, Ste 200, Amarillo, TX 79109-1203 | 2007-06-25 |
| 1770509507 | Northwest Texas Healthcare System Inc | Clinic/Center | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2006-07-14 |
| 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.