EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES (NPI# 1952639452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952639452 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES |
| Other Organization Name | FIRST PHYSICIANS |
| Practice Address |
1123 S Palestine St Athens TX 75751-3646 |
| Mailing Address |
Po Box 9477 Tyler TX 75711-9477 |
| Practice Telephone | 9036759526 |
| Practice Fax Number | 9036771815 |
| Mailing Telephone | 9035942450 |
| Mailing Fax Number | 9039390610 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2010-04-19 |
| Authorized Official Name | MS. KIM PEARSON-WAHL (VICE PRESIDENT) |
| Authorized Official Telephone | 9035356890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| FIRST PHYSICIANS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518287499 | East Texas Medical Center Healthcare Associates | Durable Medical Equipment & Medical Supplies | 203 Nacogdoches St Ste 150, Jacksonville, TX 75766-2453 | 2010-06-02 |
| 1760710263 | East Texas Medical Center Healthcare Associates | Durable Medical Equipment & Medical Supplies | 108 Parker St Ste 400, Quitman, TX 75783-2103 | 2009-11-23 |
| 1528234721 | East Texas Medical Center Healthcare Associates | Durable Medical Equipment & Medical Supplies | 1028 E Idel St Ste A, Tyler, TX 75701-2024 | 2008-05-07 |
| 1699719872 | East Texas Medical Center Healthcare Associates | Emergency Medicine | 1000 S Beckham, Tyler, TX 75701 | 2006-06-16 |
| 1124062484 | East Texas Medical Center Healthcare Associates | Chiropractor | 901 Turtle Creek Dr, Tyler, TX 75701 | 2006-06-16 |
| 1326082892 | East Texas Medical Center Healthcare Associates | Emergency Medicine | 6210 S Broadway Ave, Tyler, TX 75703-4413 | 2006-06-15 |
| 1619917481 | East Texas Medical Center Healthcare Associates | Spec/Tech, Pathology | 904 S Beckham Ave, Tyler, TX 75701-1906 | 2006-06-08 |
| 1427366855 | East Texas Medical Center Healthcare Associates | Durable Medical Equipment & Medical Supplies | 1318 Clinic Dr, Tyler, TX 75701-2119 | 2010-09-20 |
| 1346560224 | East Texas Medical Center Healthcare Associates | Durable Medical Equipment & Medical Supplies | 612 N High St Ste A, Henderson, TX 75652-5914 | 2010-06-02 |
| 1013245414 | East Texas Medical Center Healthcare Associates | Durable Medical Equipment & Medical Supplies | 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701-1954 | 2009-11-23 |
| Street Address |
1123 S PALESTINE ST |
| City | ATHENS |
| State | TX |
| Zip Code | 75751-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763706 | David Lance Bowles | Orthopaedic Surgery | 1123 S Palestine St, Athens, TX 75751-3646 | 2005-10-12 |
| 1629200308 | Matthew Brian Rudolph | Orthopaedic Surgery | 1123 S Palestine St, Athens, TX 75751-3646 | 2009-08-14 |
| 1124155957 | Athens Foot and Ankle Health and Surgery, PC | Durable Medical Equipment & Medical Supplies | 1123 S Palestine St, Suite 200, Athens, TX 75751-3646 | 2007-02-28 |
| 1013957232 | David Matthew Allen | Podiatrist | 1123 S Palestine St, Suite 200, Athens, TX 75751-3646 | 2006-06-07 |
| 1154392082 | Robert Joseph Nettune | Ophthalmology | 1123 S Palestine St, Ste 100, Athens, TX 75751 | 2006-01-30 |
| 1396734224 | Athens Orthopedic and Physical Therapy Center Pa | Orthopaedic Surgery | 1123 S Palestine St, Athens, TX 75751-3646 | 2005-10-13 |
| 1174511281 | Kevin Lee Fain | Orthopaedic Surgery | 1123 S Palestine St, Athens, TX 75751-3646 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414810 | Morghan Jungman | Physical Therapy Assistant | 6444 South Palestine St, Athens, TX 75751 | 2020-04-01 |
| 1497313340 | Rebecca Lynne Moehlenbrock | Physical Therapy Assistant | 711 Lucas Dr., Athens, TX 75751 | 2019-06-04 |
| 1013487669 | Jammie Jae Chaney | Licensed Vocational Nurse | 207 Colonial Circle, Athens, TX 75751 | 2018-11-27 |
| 1215423397 | Valarie M Chambless | Registered Nurse | 1505 Hwy. 19 South, Athens, TX 75751 | 2018-07-02 |
| 1609378181 | Jennifer Lynn Griffith | Occupational Therapist | 907 S Palenstine St., Athens, TX 75751 | 2018-03-01 |
| 1285931832 | Leonard J Barbarisi | Surgery | 6444 S Palestine, Athens, TX 75751 | 2011-02-17 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| 1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
| 1306005798 | Shawn Tai | Internal Medicine | 115 Medical Cir Ste 106, Athens, TX 75751 | 2008-06-02 |
| 1083730683 | Assisted Living Concepts Inc | Assisted Living Facility | 213 Cayuga Drive, Athens, TX 75751 | 2007-03-22 |
| Find all providers in zip 75751 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881245926 | First Care Health Pllc | Durable Medical Equipment & Medical Supplies | 509c W Madison Ave, Athens, TN 37303-3489 | 2019-09-20 |
| 1588122394 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1101 Old Creek Rd Ste A1, Athens, GA 30607-1090 | 2019-03-11 |
| 1164883757 | Georgia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 170 West Broad St, Athens, GA 30601-2815 | 2016-03-10 |
| 1750747432 | Dme Assistance | Durable Medical Equipment & Medical Supplies | 355 Sarah Dr, Athens, GA 30606-1674 | 2016-01-11 |
| 1043681604 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3130 Atlanta Hwy, Athens, GA 30606-6977 | 2015-10-08 |
| 1467834119 | Aaa Medical Equipment & Supply, Inc | Durable Medical Equipment & Medical Supplies | 22923 Us Highway 72 Ste C, Athens, AL 35613 | 2015-06-18 |
| 1972984813 | Scooter Repair Center Plus | Durable Medical Equipment & Medical Supplies | 4719 Atlanta Hwy, Athens, GA 30606-0716 | 2015-06-16 |
| 1528448883 | Mobility Repair Medical | Durable Medical Equipment & Medical Supplies | 315 E Meadow Dr, Athens, GA 30605-6204 | 2015-06-02 |
| 1710392980 | Physicians American Medical | Durable Medical Equipment & Medical Supplies | 571 Whitehead Rd Unit 3, Athens, GA 30606 | 2014-06-26 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| Find all providers in ATHENS | ||||
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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.