Etmc EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

212002 Issued in TX

Legal business name

ETMC EMS

Practice address

352 S Glenwood
Tyler, TX 75702-6936

Phone

(903) 535-5800

Fax

(903) 590-5810

NPI assigned

Mar 4, 2016

Organization subpart

Yes

Parent organization

EAST TEXAS MEDICAL CENTER REGIONAs reported in NPPES

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

Authorized official

Name

Mr. Charles Anthony Farmer

Title

C.F.O.

Phone

(903) 535-5809

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Aaron D Simms

Locations

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1104286087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 S GLENWOOD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757026936",
            "telephone_number": "903-535-5800",
            "fax_number": "903-590-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S GLENWOOD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757026936",
            "telephone_number": "903-535-5800",
            "fax_number": "903-590-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETMC EMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST TEXAS MEDICAL CENTER REGION",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "903-535-5809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "212002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Andrew Estep, DO
• Ross Estep, R.N.
• Karisma Estrada
• Mabel Estupinan
• Cynthia Ethridge
• Etmc First Physicians Clinic
• Etmc Physician Group Inc.
• Etmc Physician Group Inc.
• Etmc Physician Group Inc.
• Etmc Surgical First Assistants

• Land Ambulance in Tyler, TX
• Providers in Tyler, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.