Emcc Stephenville LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EMCC STEPHENVILLE LLC

Doing business as

Surepoint Emergency Center Stephenville

Practice address

2108 W Washington St
Stephenville, TX 76401-3928

Phone

(254) 434-2093

Fax

(254) 434-2974

NPI assigned

Nov 13, 2018

Organization subpart

No

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

Authorized official

Name

Michelle Newsom

Title

President

Phone

(469) 830-8200

Specialties & licenses 1

Addresses

Other names 1

• Surepoint Emergency Center Stephenville Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1336618966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MATLOCK RD STE 35",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635018",
            "telephone_number": "469-830-8200",
            "fax_number": "469-830-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 W WASHINGTON ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013928",
            "telephone_number": "254-434-2093",
            "fax_number": "254-434-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMCC STEPHENVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-830-8200"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surepoint Emergency Center Stephenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allyson Elkins, SLP
• Miranda Ellis
• Meagan Ellner, OTR, OTD
• Peyton Elmore
• Emcc Stephenville Family Practice (Surepoint Family Practice Stephenville)
• Emcc Stephenville Physicians PLLC
• Erath Clinic, PLLC (Stephenville Health Clinic)
• Erath County Senior Citizens, Inc (Meals on Wheels of Erath County)
• Erath Nursing Home Limited Partnership (Community Nursing and Rehabilitation Center)
• Charles S Erck, M.D.

• Emergency Medicine Physician in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.