Active NPI
Emcc Weatherford ER Physicians, PLLC
- Emergency Medicine Physician
- Weatherford, TX
National Provider Identifier
1720643653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EMCC WEATHERFORD ER PHYSICIANS, PLLC
- Practice address
- 730 Adams Dr
Weatherford, TX 76086-6266 - Phone
- (817) 594-0911
- Fax
- (817) 594-7724
- NPI assigned
- May 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Newsom
- Title
- President
- Phone
- (469) 830-8200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X |
Addresses
Primary practice location
730 Adams Dr
Weatherford, TX 76086-6266
Mailing address
2300 Matlock Rd Ste 35
Mansfield, TX 76063-5018
Phone (469) 830-8200
National Provider Directory
National Provider DirectoryLocations
960 Ridgeview Dr
Ste 140119
Allen, TX 75013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673222400000",
"number": "1720643653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 MATLOCK RD STE 35",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635018",
"telephone_number": "469-830-8200",
"fax_number": "469-830-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 ADAMS DR",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760866266",
"telephone_number": "817-594-0911",
"fax_number": "817-594-7724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMCC WEATHERFORD ER PHYSICIANS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-06",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A",
"authorized_official_last_name": "NEWSOM",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-830-8200"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.