Texas Em-I Medical Services, P.a.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

TEXAS EM-I MEDICAL SERVICES, P.A.

Practice address

3500 Gaston Ave
Dallas, TX 75246-2096

Phone

(214) 820-2501

Fax

(214) 820-4618

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William C. Jernberg, M.D.

Title

President/Owner

Phone

(214) 712-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Pierre D'Etienne, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1003834714
  NPD (past)
• Richard Lee Johnson, PAC

  • Physician Assistant
  • Dallas, TX
  • NPI 1104848555
  NPD (past)
• David James Mendelson, M.D.

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1295793610
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1720045818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41633",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191011633",
            "telephone_number": "800-355-0808",
            "fax_number": "214-712-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462096",
            "telephone_number": "214-820-2501",
            "fax_number": "214-820-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EM-I MEDICAL SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "JERNBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-712-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA7043",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Em-1 Medical Services PA
• Texas Em-1 Medical Services, PA
• Texas Em-1 Medical Services, PA
• Texas Em-1 Medical Services, PA
• Texas Em-1 Medical Services, PA
• Texas Em-I Medical Services, PA
• Texas Em-I Medical Services, PC
• Texas ER Solutions PLLC
• Texas Family Dental
• Texas Family Healthcare,P.a.

• Emergency Medicine Physician in Dallas, TX
• Providers in Dallas, 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 Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.