Texas Em-I Medical Services PA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

TEXAS EM-I MEDICAL SERVICES PA

Practice address

104 7TH St
Bay City, TX 77414-4853

Phone

(979) 241-3319

Fax

(214) 712-2444

NPI assigned

Nov 24, 2006

Last updated

Sep 12, 2013By 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. William C Jernberg, M.D.

Title

President, General Partner

Phone

(214) 712-2448

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elliott Lee Cohen, MD

  • Emergency Medicine Physician
  • Cleburne, TX
  • NPI 1578590683
  NPD (past)
• Robert B. Curtis, MD

  • Emergency Medicine Physician
  • Anna, TX
  • NPI 1134179484
  NPD (past)
• Henry U Ogbogu, MD

  • Internal Medicine Physician
  • Lancaster, TX
  • NPI 1639126501

  Emergency Medicine

  NPD (past)
• Simon Studeny, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1265657506
  NPD (past)
• Prem C Shukla, MD

  • Emergency Medicine Physician
  • Knoxville, TN
  • NPI 1235172248
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1093881955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98698",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938698",
            "telephone_number": "214-712-2736",
            "fax_number": "214-712-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 7TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144853",
            "telephone_number": "979-241-3319",
            "fax_number": "214-712-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EM-I MEDICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "JERNBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT, GENERAL PARTNER",
        "authorized_official_telephone_number": "214-712-2448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144091922",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gary L Tilley, CRNA
• Travis Gregg Tomek, MD

• Emergency Medicine Physician in Bay City, TX
• Providers in Bay City, 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 12, 2013; 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.

Verify at the official NPI Registry.