Active NPI
Sterling Emergency Services, PA
- Emergency Medicine Physician
- La Grange, TX
National Provider Identifier
1073563904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- STERLING EMERGENCY SERVICES, PA
- Practice address
- 1 Saint Marks PL
La Grange, TX 78945-1250 - Phone
- (904) 805-1300
- Fax
- (904) 805-1302
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael C Pinell, MD
- Title
- President
- Phone
- (904) 805-1300
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Medical Physician Assistant | 363AM0700X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1 Saint Marks PL
La Grange, TX 78945-1250
Mailing address
PO Box 863534
Orlando, FL 32886-3534
Phone (904) 805-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005JV | Other | TX | BCBS |
| CI9509 | Other | TX | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1073563904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863534",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863534",
"telephone_number": "904-805-1300",
"fax_number": "904-805-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT MARKS PL",
"city": "LA GRANGE",
"state": "TX",
"postal_code": "789451250",
"telephone_number": "904-805-1300",
"fax_number": "904-805-1302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STERLING EMERGENCY SERVICES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "PINELL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-805-1300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0005JV",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI9509",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.