NPIMap

Organization Active NPI

ER Addison LLC

  • Emergency Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1699239780
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
ER ADDISON LLC
Practice address
15240 Dallas Pkwy
Dallas, TX 75248-4610
Phone
(469) 577-9720
NPI assigned
Jan 23, 2019
Organization subpart
Yes
Parent organization
ER ADDISON LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
John Shero
Title
Chief Executive Officer
Phone
(817) 894-9436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

15240 Dallas Pkwy
Dallas, TX 75248-4610

Mailing address

15240 Dallas Pkwy
Dallas, TX 75248-4610
Phone (817) 894-9436

Other names 1

  • ER Near Me - Addison Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 670254

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ER NEAR ME ADDISON
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
May 11, 2020
Last certification
May 11, 2020
Beds
1
Ownership / control type
Private (not for profit)
Facility address
15240 Dallas Pkwy
Dallas, TX 75248

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1699239780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15240 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484610",
            "telephone_number": "817-894-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15240 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484610",
            "telephone_number": "469-577-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ER ADDISON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ER ADDISON LLC",
        "enumeration_date": "2019-01-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "SHERO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "817-894-9436"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ER Near Me - Addison",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ER Near Me - Addison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.