Active NPI
Stephens Memorial Hospital
- Emergency Medical Services (Emergency Medicine) Physician
- Breckenridge, TX
National Provider Identifier
1346293172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- STEPHENS MEMORIAL HOSPITAL
- Practice address
- 200 S Geneva St
Breckenridge, TX 76424-4702 - Phone
- (254) 559-2241
- Fax
- (254) 559-6536
- NPI assigned
- May 19, 2006
- 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
- Mr. Ernest R Parisi
- Title
- Ceo
- Phone
- (254) 559-2241
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | Primary |
Addresses
Primary practice location
200 S Geneva St
Breckenridge, TX 76424-4702
Mailing address
200 S Geneva St
Breckenridge, TX 76424-4702
Phone (254) 559-2241
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00JS82 | Other | TX | BCBS |
| 083383202 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379980800000",
"number": "1346293172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S GENEVA ST",
"city": "BRECKENRIDGE",
"state": "TX",
"postal_code": "764244702",
"telephone_number": "254-559-2241",
"fax_number": "254-559-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S GENEVA ST",
"city": "BRECKENRIDGE",
"state": "TX",
"postal_code": "764244702",
"telephone_number": "254-559-2241",
"fax_number": "254-559-6536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHENS MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2013-09-24",
"status": "A",
"authorized_official_last_name": "PARISI",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "254-559-2241",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00JS82",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083383202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Breckenridge, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.