Code 3 Emergency Physicians, PA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

CODE 3 EMERGENCY PHYSICIANS, PA

Practice address

400 Enterprise Blvd Ste A100
Rockport, TX 78382

Phone

(361) 529-9400

Fax

(361) 529-9402

NPI assigned

Jun 24, 2014

Last updated

Sep 8, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carrie E De Moor, MD

Title

Ceo

Phone

(469) 320-9820

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1013322510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 PAXTON LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750342209",
            "telephone_number": "469-815-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE BLVD STE A100",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "78382",
            "telephone_number": "361-529-9400",
            "fax_number": "361-529-9402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 E Cartwright Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751496621",
            "country_code": "US",
            "telephone_number": "214-275-9234",
            "fax_number": "214-275-9236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6045 Alma Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750702190",
            "country_code": "US",
            "telephone_number": "972-549-2040",
            "fax_number": "972-549-2041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3111 Teasley Lane",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762058024",
            "country_code": "US",
            "telephone_number": "940-514-8120",
            "fax_number": "940-514-8123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4228 N Josey Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104600",
            "country_code": "US",
            "telephone_number": "469-320-9821",
            "fax_number": "972-394-7626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2390 Innovation Drive",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "DFW Airport",
            "state": "TX",
            "postal_code": "752619428",
            "country_code": "US",
            "telephone_number": "214-997-1940",
            "fax_number": "214-997-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CODE 3 EMERGENCY PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "DE MOOR",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-320-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00G6G8",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi L. Chapman, PHYSICAL THERAPIST
• Mahan Chimanji, M.D.
• Cindi L Maddalone Ma LPC
• Coastal Medical Suites
• Rebecca Coats, M.D.
• Codorniz Billing, LLC (Family Medicine of Rockport)
• Irvin Corre, PMHNP
• Lincoln Wayne Davis, PTA
• Miguel L Desocarraz Jr., PHD
• Erlinda Devera, MD

• Emergency Medicine Physician in Rockport, TX
• Providers in Rockport, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.