Patient Place P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PATIENT PLACE P.A.

Doing business as

Patient Place

Practice address

401 Hospital Dr Ste 140
Corsicana, TX 75110

Phone

(903) 201-6405

Fax

(903) 257-3800

NPI assigned

May 26, 2006

Last updated

May 25, 2021By 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

James W. Blamer

Title

Coo

Phone

(214) 333-7333

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Patient Place Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 10

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.

• Daniel Neil Metzger, D.O.

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1952348823
  Medicare reassignment NPD
• Vahe Robert Dayian, M.D.

  • General Practice Physician
  • Dallas, TX
  • NPI 1881631992
  Medicare reassignment
• Elizabeth Ann Hasten, PA

  • Physician Assistant
  • Paris, TX
  • NPI 1992038913
  Medicare reassignment
• Lori Ann Vicsek, FNP

  • Family Nurse Practitioner
  • Corsicana, TX
  • NPI 1982904876
  Medicare reassignment
• Andrea Y Dennis, F.N.P.

  • Nurse Practitioner
  • Carrollton, TX
  • NPI 1538106588

  Family

  NPD (past)
• Julie L Pearson, PA

  • Physician Assistant
  • Bedford, TX
  • NPI 1902950975
  NPD (past)
• Samuel Tedford Remer, D.O.

  • General Practice Physician
  • Dallas, TX
  • NPI 1760415780
  NPD (past)
• Tracey L West, D.C.

  • Chiropractor
  • Pilot Point, TX
  • NPI 1902814189
  NPD (past)
• Idalupe Wishon, PAC

  • Physician Assistant
  • Irving, TX
  • NPI 1710178017
  NPD (past)
• Pedro T Zevallos, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1891729091
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1891741922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14850 MONTFORT DR STE 181",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752541450",
            "telephone_number": "214-715-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HOSPITAL DR STE 140",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "75110",
            "telephone_number": "903-201-6405",
            "fax_number": "903-257-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT PLACE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "BLAMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "214-333-7333"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363170701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363170702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Pajouh, DPM
• Matthew David Parker, OD
• James Harris Parks II, CRNA
• Mary M Parks, LCDC
• Deepak C Patel, MD
• Dennisse Romero Pena, PT
• Jackeline Perez
• Anthony J Perri, MD
• Taylor Perry
• Jeffrey Scott Petty, DPM

• Family Medicine Physician in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.