Individual provider Active NPI

Phillip L Admire III, MD

  • Emergency Medicine Physician
  • Canton, TX
National Provider Identifier
1700828118
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L-7635 Issued in TX
Practice address
18780 Interstate 20
Canton, TX 75103-3593
Phone
(903) 567-7748
NPI assigned
Jun 11, 2006
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L-7635 TX Primary

Addresses

Primary practice location

18780 Interstate 20
Canton, TX 75103-3593

Mailing address

4700 Alliance Blvd
Plano, TX 75093-5323

Other practice location 1

4700 Alliance Blvd
Plano, TX 75093-5323
Phone (214) 712-2000

Other practice location 2

1509 S Palestine St
Athens, TX 75751-8950
Phone (903) 606-4262

Other practice location 3

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

Other practice location 4

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-5000

Other identifiers 3

IdentifierTypeStateIssuer
180634104MedicaidTX
P00853231OtherTXRRMCARE THRU IEPOS
1N4519OtherTXMEDICARE RAILROAD

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
I20040609000616 TX Practitioner - Emergency Medicine 8022091289 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northwestern University Feinberg Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians
Innovative Emergency Physicians of UptownGroup PAC ID 8921444514, 23 clinicians
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians
Innovative Emergency Physicians of Frisco, PAGroup PAC ID 1456590371, 9 clinicians

Practice addresses (Care Compare)

1509 S Palestine St
Athens, TX 75751-8950
Phone (903) 675-6909

2727 E Lemmon Ave
Dallas, TX 75204-2833
Phone (214) 443-3000

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

5601 Warren Pkwy
Frisco, TX 75034-4069
Phone (214) 407-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-7635TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Innovative Emergency Physicians of Uptown Emergency Medicine CurrentSince Feb 12, 2024 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Dec 15, 2021 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jun 26, 2020 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Apr 1, 2021 Accepting new patients
Innovative Emergency Physicians of Frisco, PA Emergency Medicine CurrentSince Apr 1, 2013 Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Collin Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Mother Frances Hospital Past Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

1509 State Highway 19 S
Athens, TX 75751
Phone (903) 606-4262

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

18780 Interstate 20 N Access Rd
Canton, TX 75103
Phone (903) 567-4841

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

3500 Gaston Ave
Dallas, TX 75246

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

6800 Scenic Dr
#1550
Rowlett, TX 75088
Phone (972) 412-2273

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Organizations & group practices 9

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 5

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1700828118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ALLIANCE BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18780 INTERSTATE 20",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751033593",
            "telephone_number": "903-567-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Alliance Blvd",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935323",
            "country_code": "US",
            "telephone_number": "214-712-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 S Palestine St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757518950",
            "country_code": "US",
            "telephone_number": "903-606-4262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822105",
            "country_code": "US",
            "telephone_number": "903-885-7671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADMIRE",
        "first_name": "PHILLIP",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L-7635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180634104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE THRU IEPOS",
            "identifier": "P00853231",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "1N4519",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, TX

Sources for this page

Verify at the official NPI Registry.