Emergency Associates of Central Texas PA
Organization Active NPI Emergency Medicine Physician · Killeen, TX
NPI 1215418280 · NPPES record last updated Feb 20, 2020
Key facts
- NPI
- 1215418280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EMERGENCY ASSOCIATES OF CENTRAL TEXAS PA
- Practice address
- 2201 S Clear Creek Rd
Killeen, TX 76549-4110 - Phone
- (865) 693-1000
- NPI assigned
- Aug 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Sharon Hardy
- Title
- Director Provider Enrollment
- Phone
- (925) 251-6901
Practitioners 289
-
Daniel Ray Baxter, FNP-C
-
Kelly Casey, D.O.
-
Laura Castillo Cole, FNP-C
-
Kelly Corley, NP
-
Kristin Marie Cummings, APRN, FNP-C
-
Philip M Davis, D.O.
-
Natasha Rustom Demehri, M.D.
-
Brian Hawkins, MD
-
Harmeet Kaur, DO
-
Leopoldo Neria, FNP
-
Joshua Jerome Strommen, M.D.
-
Damalia Wilson, M.D.
-
Jon Wolfshohl, M.D.
-
Jack Anderson, MD
-
Eric B Herbert, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180925001294 | TX | Part B Supplier - Clinic/Group Practice | 6800147216 |
Receives reassigned benefits from 290 practitioners Practice locations: Lampasas, TX; Harker Heights, TX; Killeen, TX |
National Provider Directory
Locations
265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
2201 S Clear Creek Rd
Killeen, TX 76549-4110
Mailing address
265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052
Other practice location 1
608 N Key Ave
Lampasas, TX 76550-1106
Phone (865) 693-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390309802 | Medicaid | TX |
Other providers in Killeen, TX
- Aubrey Elmore
- Omega Elmore
- Elysium TMS of Killeen LLC
- Embrace Home Attendant Services
- Judy Embry
- Keasha Emilson
- Stephanie Emmons
- Empower Wellness Clinic, PLLC
- Breanne Encalade
- Brittani Leann Encalade
All providers in Killeen, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.