Active NPI
MRMC Emergency Physicians
- Emergency Medicine Physician
- Marshall, TX
National Provider Identifier
1093733842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- MRMC EMERGENCY PHYSICIANS
- Practice address
- 811 S Washington Ave
Marshall, TX 75670-5336 - Phone
- (903) 927-6079
- Fax
- (903) 927-6230
- NPI assigned
- Jul 18, 2006
- Last updated
- Aug 30, 2007
- 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
- Morgan Hay
- Title
- Cfo
- Phone
- (903) 927-6703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
811 S Washington Ave
Marshall, TX 75670-5336
Mailing address
PO Box 1325
Marshall, TX 75671-1325
Phone (903) 927-6079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040604000400 | TX | Part B Supplier - Clinic/Group Practice | 3779565544 |
Receives reassigned benefits from 106 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Marshall, TX; Longview, TX; Kilgore, TX |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
O20040604000400
-
- Anesthesiology Physician
- Marshall, TX
- NPI 1760908404
O20040604000400
-
- Anatomic Pathology & Clinical Pathology Physician
- Marshall, TX
- NPI 1699850719
O20040604000400
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188432000000",
"number": "1093733842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1325",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756711325",
"telephone_number": "903-927-6079",
"fax_number": "903-927-6230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 S WASHINGTON AVE",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756705336",
"telephone_number": "903-927-6079",
"fax_number": "903-927-6230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRMC EMERGENCY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2007-08-30",
"status": "A",
"authorized_official_last_name": "HAY",
"authorized_official_first_name": "MORGAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "903-927-6703"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, TX
- Morning Light, Inc., of Texas
- Jennifer Morris, COTA/L
- Sheila Morris I
- Nancy Anne Mosby, FNP-C
- Dennis Mosley Jr., PHARMD
- MRMC Pathology Associates
- MSHC Reunion Inn of Marshall LLC
- Nacogdoches County Hospital District (Heritage House of Marshall Health & Rehabilitation Center)
- Amy M Nail
- Darrell Mark Neel, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.