Teena Tambunga Dotson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA02850 Issued in TX

Practice address

35 E 31St St
San Angelo, TX 76903-2207

Phone

(325) 658-5339

Fax

(325) 659-8695

NPI assigned

Oct 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Esperanza Clinic IncGroup PAC ID 7416942933, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shannon Medical Center Hospital, San Angelo, TX, CCN 450571

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• La Esperanza Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • San Angelo, TX
  • NPI 1770584187
  Medicare reassignment Care Compare group NPD (past)
• Pecos County Memorial Hospital District

  • Family Medicine Physician
  • Fort Stockton, TX
  • NPI 1386400232
  Medicare reassignment NPD
• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984
  Medicare reassignment
• La Esperanza Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Angelo, TX
  • NPI 1043489347
  NPD
• La Esperanza Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Angelo, TX
  • NPI 1487424602
  NPD
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD
• Regional Employee Assistance Program Inc

  • General Practice Physician
  • San Angelo, TX
  • NPI 1750302923
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shannon Medical Center

  • General Acute Care Hospital
  • San Angelo, TX
  • NPI 1992707228
  Care Compare affiliation

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1063400737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 W BEAUREGARD AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013812",
            "telephone_number": "325-658-5339",
            "fax_number": "325-947-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 31ST ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769032207",
            "telephone_number": "325-658-5339",
            "fax_number": "325-659-8695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3123 Green Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769046977",
            "country_code": "US",
            "telephone_number": "325-944-3376",
            "fax_number": "325-944-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "TEENA",
        "middle_name": "TAMBUNGA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111604802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don M. Lewis, MD
• Sara Donley, NP-C
• Brent James Dooley, LPC
• Brian Francis Dooley, MB BCH BAO
• Michael Jay Dotson, L.P.A., L.P.A.
• Larry Doty, LCDC
• Joseph Cole Dougan, RPH
• Khristina Michelle Douglas, M.S., CCC-SLP
• Shannon Dowell
• Dr Sylvia Ana Soto, PC

• Medical Physician Assistant in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.