Active NPI
Emer Plano, LLC
- Emergency Medicine Physician
- Plano, TX
National Provider Identifier
1881325355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EMER PLANO, LLC
- Practice address
- 1905 Preston Rd
Plano, TX 75093-5102 - Phone
- (214) 390-7697
- Fax
- (972) 432-6692
- NPI assigned
- Jun 23, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1905 Preston Rd
Plano, TX 75093-5102
Mailing address
2300 Matlock Rd Ste 35
Mansfield, TX 76063-5018
Phone (469) 830-8200
Other names 1
- Surepoint Emergency Center Plano
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1881325355",
"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": "1905 PRESTON RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750935102",
"telephone_number": "214-390-7697",
"fax_number": "972-432-6692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMER PLANO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-23",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"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
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Surepoint Emergency Center Plano",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Surepoint Emergency Center Plano",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.