Texas Regional Anesthesia Medical Group, P.a
Organization Active NPI Anesthesiology Physician · Sulphur Springs, TX
NPI 1457702201 · NPPES record last updated Aug 16, 2016
Key facts
- NPI
- 1457702201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- TEXAS REGIONAL ANESTHESIA MEDICAL GROUP, P.A
- Practice address
- 115 Airport Rd
Sulphur Springs, TX 75482-2105 - Phone
- (865) 293-5676
- Fax
- (865) 291-3239
- NPI assigned
- Jun 23, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. David Samanie, M.D.
- Title
- President
- Phone
- (865) 293-5676
Practitioners 20
-
Aleina Dee Barnard, CRNA
-
Dashielle Reddell Floyd, CRNA
-
Amy M Green, CRNA
-
Yannick Macaulay, CRNA
-
Luke Benjamin McBride, M.D.
-
Jack McCallion, MD
-
David C. Powell, M.D.
-
Felix Savellano, CRNA
-
Lauren A Brown, CRNA
-
Chiawan Fu, MD
-
Pia Lippincott, M.D.
-
Jose M. Goldar, MD
-
Susan N Moruri, MD
-
Waylan Wong, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161202000581 | TX | Part B Supplier - Clinic/Group Practice | 8325328628 |
Receives reassigned benefits from 19 practitioners Practice locations: Paris, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X | |||
| Anesthesiologist Assistant |
367H00000X |
Addresses
Primary practice location
115 Airport Rd
Sulphur Springs, TX 75482-2105
Mailing address
1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984
Phone (865) 293-5676
Other providers in Sulphur Springs, TX
- Courtney R Tennent
- Wineshet Teshome
- Texas Em-1 Medical Services, PA
- Texas Modern Gastroenterology
- Texas Pelvic Health LLC
- The Patient'S Choice
- Ashlei Thomas
- Kaleigh A Thompson
- Didi K Thurman
- Zachary Alan Tiemeyer
All providers in Sulphur Springs, TX · Anesthesiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.