Active NPI
Texas Em-I Medical Services, P.a.
- Emergency Medicine Physician
- Mount Pleasant, TX
National Provider Identifier
1275709057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- TEXAS EM-I MEDICAL SERVICES, P.A.
- Practice address
- 2001 N Jefferson Ave
Mt Pleasant, TX 75455-2386 - Phone
- (469) 401-2386
- NPI assigned
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
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
- Pres. TX Em-1 Medical Services, PA
- Phone
- (469) 401-2386
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
2001 N Jefferson Ave
Mt Pleasant, TX 75455-2386
Mailing address
13737 Noel Rd
1600
Dallas, TX 75240-1331
Phone (469) 401-2386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031201000296 | TX | Part B Supplier - Clinic/Group Practice | 6507760543 |
Receives reassigned benefits from 96 practitioners This NPI is an additional NPI on the enrollment Practice locations: League City, TX; Webster, TX; McKinney, TX; Galveston, TX; Angleton, TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Emergency Medicine Physician
- Garland, TX
- NPI 1679530786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483401600000",
"number": "1275709057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331",
"telephone_number": "469-401-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N JEFFERSON AVE",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "754552386",
"telephone_number": "469-401-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS EM-I MEDICAL SERVICES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-01",
"last_updated": "2017-01-03",
"status": "A",
"authorized_official_last_name": "JERNBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRES. TX EM-1 MEDICAL SERVICES, PA",
"authorized_official_telephone_number": "469-401-2386",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, TX
- Asma Tahir
- Taylor Beach Club (The Mount Pleasant Dentist)
- Garry Bill Taylor, D.O.
- Stephanie Judith Taylor, FNP
- Texarkana Eye Associates (Mt. Pleasant Eye Associates)
- Texas Helping Hands, Inc
- The Covenant House
- The Lodge at Mt Pleasant LLC (The Lodge Assisted Living & Memory Care)
- The Pediatric Clinic, P.a. (Pediatric Clinic Mount Pleasant)
- The Pediatric Clinic, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.