Emcc Stephenville Family Practice

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EMCC STEPHENVILLE FAMILY PRACTICE

Doing business as

Surepoint Family Practice Stephenville
Surepoint Urgent Care Stephenville

Practice address

2108 W Washington St Ste 100
Stephenville, TX 76401-3928

Phone

(254) 587-3848

NPI assigned

Feb 12, 2019

Last updated

May 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Newsom

Title

President

Phone

(817) 271-2583

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Surepoint Family Practice Stephenville Doing business as
• Surepoint Urgent Care Stephenville Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eleanor Herpeche

  • Family Nurse Practitioner
  • Hudson Oaks, TX
  • NPI 1255991089
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1841756087",
    "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": "2108 W WASHINGTON ST STE 100",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013928",
            "telephone_number": "254-587-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMCC STEPHENVILLE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-271-2583"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surepoint Family Practice Stephenville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surepoint Urgent Care Stephenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Denise Edwards, OTR
• Allyson Elkins, SLP
• Miranda Ellis
• Meagan Ellner, OTR, OTD
• Peyton Elmore
• Emcc Stephenville LLC (Surepoint Emergency Center Stephenville)
• Emcc Stephenville Physicians PLLC
• Erath Clinic, PLLC (Stephenville Health Clinic)
• Erath County Senior Citizens, Inc (Meals on Wheels of Erath County)
• Erath Nursing Home Limited Partnership (Community Nursing and Rehabilitation Center)

• Urgent Care Clinic/Center in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.