Active NPI
Texas Em-1 Medical Services, PA
- Nurse Practitioner
- Cypress, TX
National Provider Identifier
1851565345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- TEXAS EM-1 MEDICAL SERVICES, PA
- Practice address
- 9110 Barker Cypress Ste 100
Cypress, TX 77433 - Phone
- (281) 890-4285
- NPI assigned
- Apr 16, 2008
- Last updated
- Apr 16, 2008
- 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
- Dr. William C Jernberg, M.D.
- Title
- President, General Partner
- Phone
- (214) 712-2000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
9110 Barker Cypress Ste 100
Cypress, TX 77433
Mailing address
1717 Main St Ste 5200
Dallas, TX 75201-7365
Phone (214) 712-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031201000296 | TX | Part B Supplier - Clinic/Group Practice | 6507760543 |
Receives reassigned benefits from 96 practitioners This NPI is an additional NPI on the enrollment Practice locations: League City, TX; Webster, TX; McKinney, TX; Galveston, TX; Angleton, TX |
National Provider Directory
National Provider DirectoryLocations
9110 Barker Cypress Rd
Ste 100
Cypress, TX 77433
Phone (281) 517-9900
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Nurse Practitioner
- Houston, TX
- NPI 1598782054
-
- Internal Medicine Physician
- Greenville, TX
- NPI 1245256635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1851565345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 MAIN ST STE 5200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752017365",
"telephone_number": "214-712-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9110 BARKER CYPRESS STE 100",
"city": "CYPRESS",
"state": "TX",
"postal_code": "77433",
"telephone_number": "281-890-4285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS EM-1 MEDICAL SERVICES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "JERNBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT, GENERAL PARTNER",
"authorized_official_telephone_number": "214-712-2000",
"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": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.