Associated Geriatric Services, PA

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

J6641 Issued in TX

Legal business name

ASSOCIATED GERIATRIC SERVICES, PA

Doing business as

HomeCare Doctors of America - Deep East Texas

Practice address

1865 Worth St
Hemphill, TX 75948-7201

Phone

(409) 787-1945

Fax

(409) 787-4593

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By 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

Dr. Stanton C Packard, M.D.NPI 1902902257

Title

President

Phone

(409) 787-1945

Specialties & licenses 1

Addresses

Other names 1

• HomeCare Doctors of America - Deep East Texas Doing business as

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.

• Stanton C. Packard, M.D.

  • Family Medicine Physician
  • Pasadena, TX
  • NPI 1902902257
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457564882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 WORTH ST",
            "city": "HEMPHILL",
            "state": "TX",
            "postal_code": "759487201",
            "telephone_number": "409-787-1945",
            "fax_number": "409-787-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 WORTH ST",
            "city": "HEMPHILL",
            "state": "TX",
            "postal_code": "759487201",
            "telephone_number": "409-787-1945",
            "fax_number": "409-787-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED GERIATRIC SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-787-1945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "J6641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeCare Doctors of America - Deep East Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita Thedford LLC
• Melody Averett
• Terri L. Barnhart, FNP-BC
• Christina F Bearden
• John Berlin, PTA
• Talina Michelle Bobbitt

• Geriatric Medicine (Family Medicine) Physician in Hemphill, TX
• Providers in Hemphill, TX by specialty
• Geriatric Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.