Allan Dean Packer, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

P5862 Issued in TX

Practice address

10309 Ashmont Dr
Frisco, TX 75035

Phone

(937) 508-9031

NPI assigned

Jun 11, 2006

Last updated

Aug 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ess of South Texas LLC

  • Emergency Medicine Physician
  • Liberty, TX
  • NPI 1295128247
  Medicare reassignment NPD
• Innovative Emergency Physicians of Frisco, PA

  • Emergency Medicine Physician
  • Frisco, TX
  • NPI 1871832188
  Medicare reassignment NPD
• Greenville Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Greenville, OH
  • NPI 1427146638
  NPD (past)
• Highland Emergency Physicians, Inc.

  dba Highland Emergency Physicians, Inc./Highland District Hospital-ER

  • Emergency Medicine Physician
  • Hillsboro, OH
  • NPI 1376542100
  NPD (past)
• Madison Emergency Physicians Inc

  • Emergency Medicine Physician
  • London, OH
  • NPI 1720089766
  NPD (past)
• Springfield Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Springfield, OH
  • NPI 1407810534
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1083656433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 ASHMONT DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355221",
            "telephone_number": "937-508-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10309 ASHMONT DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "937-508-9031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Pin Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Keyser",
            "state": "WV",
            "postal_code": "267265908",
            "country_code": "US",
            "telephone_number": "304-597-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACKER",
        "first_name": "ALLAN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "23885",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "P5862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P5 Performance PLLC
• Lata Pablani
• Britt Pace
• Selena Rosa Pacheco
• Pacific Medical Supply LLC
• Arun K Padala, MD
• Madelynn Padilla
• Mark Padilla, DDS, MS
• Padmaja Akkineni MD PA
• Kelly Page, IBCLC

• Emergency Medical Services (Emergency Medicine) Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.