Tracey A Antill, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

K2308 Issued in TX

Practice address

301 Medic LN
Alvin, TX 77511-5542

Phone

(281) 331-6141

Fax

(281) 331-3316

NPI assigned

Dec 13, 2005

Last updated

Nov 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texana Physicians, PLLC

  • Emergency Medicine Physician
  • Webster, TX
  • NPI 1306202098
  Medicare reassignment NPD Authorized official
• Aic Urgent Care. PLLC

  • Urgent Care Clinic/Center
  • La Marque, TX
  • NPI 1962788125

  Emergency Medicine

  Medicare reassignment NPD
• Brazos Valley Emergency Physicians PA

  • Emergency Medicine Physician
  • Navasota, TX
  • NPI 1982642955
  Medicare reassignment NPD
• Bryan Emergency Physicians PA

  • Emergency Medicine Physician
  • Bryan, TX
  • NPI 1417995481
  Medicare reassignment NPD
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment NPD
• Erlc Physician Staffing Company LLC

  • Emergency Medicine Physician
  • League City, TX
  • NPI 1396260543
  NPD (past) Authorized official
• Greater Houston Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1316363336
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1497730303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200993",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772160993",
            "telephone_number": "281-784-1111",
            "fax_number": "281-784-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEDIC LN",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775115542",
            "telephone_number": "281-331-6141",
            "fax_number": "281-331-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTILL",
        "first_name": "TRACEY",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K2308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Care EMS Inc
• Amplifon Hearing Aid Centers
• Omegie Linda Anabor, MD
• Angela Marteeny PLLC (Magnolia Family Dental)
• Angels Quality Care, Inc.
• Apexcore Clinical Labs LLC
• Olga Alicia Arias, RN
• Erin Arvie, FNP
• Angela Renee Attaway, PNP
• Moustafa Tarek Badawi, DDS

• Emergency Medicine Physician in Alvin, TX
• Providers in Alvin, 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 Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.