Texas Em-1Medical Services, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

TEXAS EM-1MEDICAL SERVICES, PA

Practice address

801 N Bedell Ave
Emergency Department
Del Rio, TX 78840-4112

Phone

(830) 703-1702

NPI assigned

May 11, 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 A Jernberg, M.D.

Title

President

Phone

(800) 444-7009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1831149012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13972",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191013972",
            "telephone_number": "800-444-7009",
            "fax_number": "800-305-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N BEDELL AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404112",
            "telephone_number": "830-703-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EM-1MEDICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "JERNBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-444-7009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Max Taylor, D.M.D.
• Team Cardiovascular Consultants
• Team Physicians of Texas PA
• Tserha Tekeste
• Terry M. Lindsey, M.D. P.a.
• Texas Emergency Room Services PA
• Deborah Ann Thomson, PA-C
• TLC Adult Day Care Centers, Inc.
• Angela Torres Ortiz
• Natalia Trevino, M.S. CF-SLP

• Physician Assistant in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.