Individual provider Active NPI

Jerome Allen Lindsay II, M.D.

  • Emergency Medicine Physician
  • Denison, TX
National Provider Identifier
1649485434
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N3839 Issued in TX
Practice address
5016 South US Hwy 75
Denison, TX 75020
Phone
(903) 416-4000
NPI assigned
May 14, 2007
Last updated
Oct 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT187207 PA
Emergency Medicine Physician 207P00000X N3839 TX Primary

Addresses

Primary practice location

5016 South US Hwy 75
Denison, TX 75020

Mailing address

5016 South US Hwy 75
Denison, TX 75020
Phone (903) 416-4000

Other identifiers 1

IdentifierTypeStateIssuer
206358806MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091028000512 TX Practitioner - Emergency Medicine 5698812329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Pennsylvania State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Central Texas PLLCGroup PAC ID 3476922576, 33 clinicians
Level One Emergency Physicians LLCGroup PAC ID 7810371044, 29 clinicians

Practice addresses (Care Compare)

2710 W Hackberry LN
Anna, TX 75409-2573
Phone (214) 831-2600

5016 S US Hwy 75
Denison, TX 75020-4584
Phone (903) 416-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.95 of 100Reported as individual
Quality
90.67
Improvement activities
0
Cost
78.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT187207PAMDEmergency Medicine Physician
N3839TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Level One Emergency Specialists LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Level One Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Innovative Emergency Physicians of Sunnyvale PA Emergency Medicine Past Accepting new patients
Uhs of Texoma, Inc Past Accepting new patients

Locations

2710 W Hackberry Ln
Anna, TX 75409
Phone (214) 831-2600

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

4226 N US Highway 75
Sherman, TX 75090
Phone (903) 487-0857

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1649485434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 SOUTH US HWY 75",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "903-416-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 SOUTH US HWY 75",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "903-416-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "JEROME",
        "middle_name": "ALLEN",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT187207",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N3839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206358806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.