STAT MED P.A. (NPI# 1932116027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932116027 |
| Entity Type | Organization |
| Organization Name | STAT MED P.A. |
| Practice Address |
902b N Austin Ave Georgetown TX 78626-4333 |
| Mailing Address |
Po Box 9150 Paducah KY 42002-9150 |
| Practice Telephone | 5219307828 |
| Mailing Telephone | 2707449600 |
| Mailing Fax Number | 2707448642 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | DANA L EVANS III (PROVIDER ENROLLMENT REP) |
| Authorized Official Telephone | 2707449600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0029NV | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497893531 | Stat Med P.a. | Clinic/Center | 902 N Austin Ave, Suite 102, Georgetown, TX 78626-4333 | 2007-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STAT MED PC A CA MEDICAL PROFESSIONAL CO | 970 Dewing Ave, Lafayette, CA 94549-4291 |
| Street Address |
902B N AUSTIN AVE |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-4333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| 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 |
|---|---|---|---|---|
| 1336589308 | Jon C Thompson | Emergency Medicine | 232 Harmony Ridge Dr, Georgetown, KY 40324-9688 | 2013-07-05 |
| 1497073209 | Jeremy Alan Padalecki | Emergency Medicine | 1100 Teravista Xing, Georgetown, TX 78626-7704 | 2010-05-05 |
| 1528229432 | Rohit S Patel | Emergency Medicine | 4506 Williams Dr Ste 120, Georgetown, TX 78633-1306 | 2008-06-23 |
| 1740483122 | Ryan Sanford Prudoff | Emergency Medicine | 1210 W University Ave, Georgetown, TX 78628-5333 | 2007-06-06 |
| 1144313982 | Ann Louise Nolen | Emergency Medicine | 7600 Highway 29 W, Suite 5, Georgetown, TX 78628-6937 | 2006-10-02 |
| 1194768044 | Scott Harrison | Emergency Medicine | 122 Cherry Hill Dr, Georgetown, KY 40324-9654 | 2006-06-14 |
| 1093765935 | Michael Miller | Emergency Medicine | 360 Westbury Ln, Georgetown, TX 78628-4374 | 2006-05-11 |
| 1588191134 | Michael Patrick Stribos | Emergency Medicine | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-05-15 |
| 1831519826 | Candice Weiner-johnson | Emergency Medicine | 908 Rockmoor Dr, Georgetown, TX 78628-8966 | 2014-04-17 |
| 1356680334 | Doctors Care Sc, Pa | Emergency Medicine | 1068 N Fraser St, Georgetown, SC 29440-2849 | 2013-02-11 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
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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.