Texas Em-1 Medical Services, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

TEXAS EM-1 MEDICAL SERVICES, PA

Practice address

3201 W Highway 22
Corsicana, TX 75110-2450

Phone

(903) 654-6821

Fax

(214) 712-2487

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

William C. Jernberg, M.D.

Title

President

Phone

(214) 712-2000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Alan Andrews, M.D.

  • General Practice Physician
  • Friendswood, TX
  • NPI 1821184482
  NPD (past)
• Marc Gary Bauer, DO

  • Family Medicine Physician
  • Prosper, TX
  • NPI 1861422685
  NPD (past)
• Patricia Gail Brackeen, PA

  • Physician Assistant
  • Dallas, TX
  • NPI 1588735641
  NPD (past)
• Patrick Michael Brown, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1184670978
  NPD (past)
• Tracy Lynn Brown, ACNP

  • Acute Care Nurse Practitioner
  • Carrollton, TX
  • NPI 1881818854
  NPD (past)
• Alan G Burton, M.D.

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1124132345
  NPD (past)
• Gregory J Byrne, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1043269384
  NPD (past)
• Jason Stephen Caldwell, MPAS, PA-C

  • Physician Assistant
  • Fort Cavazos, TX
  • NPI 1609886829
  NPD (past)
• Robert Campbell, MD

  • Emergency Medicine Physician
  • Corsicana, TX
  • NPI 1588763221
  NPD (past)
• Elliott Lee Cohen, MD

  • Emergency Medicine Physician
  • Cleburne, TX
  • NPI 1578590683
  NPD (past)
• Byron F Conner, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1669412243
  NPD (past)
• Larry S. Dencklau, DO

  • Emergency Medicine Physician
  • Rowlett, TX
  • NPI 1497736375
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1124065735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41536",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191011536",
            "telephone_number": "800-355-3818",
            "fax_number": "214-712-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W HIGHWAY 22",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102450",
            "telephone_number": "903-654-6821",
            "fax_number": "214-712-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EM-1 MEDICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "JERNBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-712-2000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Taylor, RN, BSN
• Bridget Teal-Gates
• Imelda Pradil Tejada, P.T.
• Terry D Williams Dba Ahealthyu
• Texas -Waverley Group, Inc.
• Texas Emergency Rooms Services, PA
• The Four Five
• Madison Thelen, PHARMD
• Therapist Approved Medical Equipment Inc
• Thomas H Sheriff PHD PC

• Physician Assistant in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.