Providence Health Services of Waco

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

PROVIDENCE HEALTH SERVICES OF WACO

Doing business as

Emergency Room Physician Group

Practice address

6901 Medical Pkwy
Waco, TX 76712-7910

Phone

(254) 751-4146

Fax

(254) 751-4283

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Barcus

Title

Director, Business Services

Phone

(254) 751-4161

Specialties & licenses 1

Addresses

Other names 1

• Emergency Room Physician Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry Shefa, MD

  • Hospitalist Physician
  • Tyler, TX
  • NPI 1710194220
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1386605749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2589",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767022589",
            "telephone_number": "254-751-4146",
            "fax_number": "254-751-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MEDICAL PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127910",
            "telephone_number": "254-751-4146",
            "fax_number": "254-751-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH SERVICES OF WACO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "BARCUS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS SERVICES",
        "authorized_official_telephone_number": "254-751-4161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Room Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Health Alliance
• Providence Health Alliance
• Providence Health Alliance
• Providence Health Services of Waco
• Providence Health Services of Waco
• Providence Health Services of Waco
• Providence Health Services of Waco
• Providence Health Services of Waco
• Providence Health Services of Waco
• Providence Health Services of Waco, Inc

• Emergency Medicine Physician in Waco, TX
• Providers in Waco, 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 Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.