TEXAS EM-I MEDICAL SERVICES, PA (NPI# 1881646701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881646701 |
| Entity Type | Organization |
| Organization Name | TEXAS EM-I MEDICAL SERVICES, PA |
| Practice Address |
100 Medical Dr Lake Jackson TX 77566-5674 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1374 |
| Practice Telephone | 9792974411 |
| Practice Fax Number | 2147122487 |
| Mailing Telephone | 9732511132 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9732511132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SE0003X |
Clinical Nurse Specialist Specialization: Emergency |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 152242708 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326391939 | Texas Em-i Medical Services, Pa | Physician Assistant | 608 Strickland Dr, Orange, TX 77630-4717 | 2012-10-19 |
| 1164694915 | Texas Em-i Medical Services, Pa | Emergency Medicine | 1551 Highway 34 S, Terrell, TX 75160-4833 | 2008-04-01 |
| 1093987844 | Texas Em-i Medical Services, Pa | Emergency Medicine | 5314 Dashwood Dr, Houston, TX 77081-4603 | 2008-04-01 |
| 1447422399 | Texas Em-i Medical Services, Pa | Emergency Medicine | 2101 Pease St, Harlingen, TX 78550-8307 | 2008-04-01 |
| 1376715268 | Texas Em-i Medical Services, Pa | Emergency Medicine | 820 Clarksville St, Paris, TX 75460-6027 | 2008-03-31 |
| 1699981720 | Texas Em-i Medical Services, Pa | Internal Medicine | 4215 Joe Ramsey Blvd, Greenville, TX 75401 | 2007-05-15 |
| 1457428849 | Texas Em-i Medical Services, Pa | Physician Assistant | 1625 Medical Center St, El Paso, TX 79902-5005 | 2006-11-29 |
| 1548336332 | Texas Em-i Medical Services, Pa | Physician Assistant | 3080 College St, Beaumont, TX 77701-4606 | 2006-11-26 |
| 1356412423 | Texas Em-i Medical Services, Pa | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2006-11-12 |
| 1104915917 | Texas Em-i Medical Services, Pa | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2006-10-11 |
| Street Address |
100 MEDICAL DR |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316497381 | U S Anesthesia Partners of Texas | Anesthesiology | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2016-10-13 |
| 1588118194 | Brian Chang | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2016-08-11 |
| 1720441561 | Anthonia Ada Abanobi | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2016-03-30 |
| 1366814089 | Astral Emergency Physicians, Pllc | Physician Assistant | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-21 |
| 1215308143 | Kristin Bravenec Jackson | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-19 |
| 1295106201 | Rhapsody Emergency Physicians, Pplc | Physician Assistant | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-16 |
| 1336520113 | Tasha Chaoman | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-06-17 |
| 1457757890 | Joshua Roszak | Physician Assistant | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2014-11-12 |
| 1013321819 | Laura Day Ellender | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2014-06-19 |
| 1083034771 | Ruchita Patel | Family Medicine | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2014-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912609 | Jacalyn C Siver | Physician Assistant | 219 Oak Dr S Ste A, Lake Jackson, TX 77566-5675 | 2005-06-20 |
| 1750805628 | Texas Em-i Medical Services Pa | Physician Assistant | 200 Oak Dr S, Lake Jackson, TX 77566-5628 | 2017-08-01 |
| 1366814089 | Astral Emergency Physicians, Pllc | Physician Assistant | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-21 |
| 1295106201 | Rhapsody Emergency Physicians, Pplc | Physician Assistant | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-16 |
| 1891184610 | Kasey Atnip | Physician Assistant | 54 Flag Lake Plz, Lake Jackson, TX 77566-6263 | 2015-01-16 |
| 1457757890 | Joshua Roszak | Physician Assistant | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2014-11-12 |
| 1568870848 | Primary Care Associates of Lake Jackson,pllc | Physician Assistant | 219 Oak Dr S Ste A, Lake Jackson, TX 77566-5675 | 2014-07-30 |
| 1164742946 | Joel Mickail | Physician Assistant | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2010-06-03 |
| 1598922973 | Amy Catherine Laird-payne | Physician Assistant | 54 Flag Lake Plz, Lake Jackson, TX 77566-6263 | 2008-05-21 |
| 1811168677 | Joshua A Asper | Physician Assistant | 100b Medical Dr, Lake Jackson, TX 77566-5674 | 2008-03-19 |
| Find all providers in LAKE JACKSON | ||||
| City | LAKE JACKSON |
| Zip Code | 77566 |
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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.