California Emergency Physc Med GRP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

CALIFORNIA EMERGENCY PHYSC MED GRP

Doing business as

CEPAmerica

Practice address

2600 Saint Michael Dr
Texarkana, TX 75503-5220

Phone

(903) 614-5090

NPI assigned

Aug 1, 2007

Last updated

Apr 24, 2008By 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

Mark Spiro, M.D

Title

MD/Vpo

Phone

(510) 350-2770

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• CEPAmerica Doing business as

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1881884120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SAINT MICHAEL DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035220",
            "telephone_number": "903-614-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA EMERGENCY PHYSC MED GRP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "SPIRO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MD/VPO",
        "authorized_official_telephone_number": "510-350-2770",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190656201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166614002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200130910A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CEPAmerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• C H Wilkinson Physician Network (Christus Physician Group)
• Caleb Cain, APRN, FNP-C
• Kaylee Marie Cain, M.S., CCCC-SLP
• Christine Ann Caldwell, PTA
• Lance Raymond Calhoon, RPH
• Tracie Shenelle Calloway-Lawson, DO
• Garrett W Camp, FNP-C
• D Scott Campanini, M.D.
• Yesenia Canciobello, CRNA
• Amy M Cannon, APRN, FNP-C

• Emergency Medicine Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.