Galveston County Emergency Services District -2

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

GALVESTON COUNTY EMERGENCY SERVICES DISTRICT -2

Practice address

930 Noble Carl Drive
Crystal Beach, TX 77650

Phone

(409) 684-2016

NPI assigned

Jan 31, 2019

Last updated

Jun 4, 2019By 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

Mr. James Douglas Saunders, EMT

Title

District Manager

Phone

(409) 684-2016

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1245795590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1575",
            "city": "CRYSTAL BEACH",
            "state": "TX",
            "postal_code": "776501575",
            "telephone_number": "409-684-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 NOBLE CARL DRIVE",
            "city": "CRYSTAL BEACH",
            "state": "TX",
            "postal_code": "77650",
            "telephone_number": "409-684-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALVESTON COUNTY EMERGENCY SERVICES DISTRICT -2",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "409-684-2016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Bestani, LIC.AC
• Cindy Y Cavazos
• Crystal Beach Medical Clinic LLC
• Crystal Beach Volunteer Fire
• J & J Pharmacy
• Shelly M. Leitch, RN, MSN, CPNP
• Michael F Rodgers, LVN
• St. Christopher Medical Clinic, Inc.

• Emergency Medical Services (Emergency Medicine) Physician in Crystal Beach, TX
• Providers in Crystal Beach, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.