Texas Trail Emergency Physicians LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

TEXAS TRAIL EMERGENCY PHYSICIANS LLC

Practice address

1 Saint Mary PL
Shreveport, LA 71101-4343

Phone

(318) 681-4500

Fax

(214) 712-2487

NPI assigned

Aug 18, 2008

Last updated

Jun 18, 2014By 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

Mr. Ross R. Ronan

Title

Vice President

Phone

(469) 401-2386

Specialties & licenses 1

Addresses

Practitioners 29

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.

• Craig Andrews, M.D.

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1639495385
  NPD (past)
• Amanda Turchi Barnes, PA-C

  • Medical Physician Assistant
  • Shreveport, LA
  • NPI 1497139695
  NPD (past)
• Kristen Ruth Bass, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1093015885
  NPD (past)
• Mollie Berg, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1558666073
  NPD (past)
• Dewayne Bricker, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1790870897
  NPD (past)
• Aaron Dean Chauvin, PAC

  • Physician Assistant
  • Shreveport, LA
  • NPI 1689629909
  NPD (past)
• Angela Pettit Cornelius, MD

  • Emergency Medicine Physician
  • Shreveport, LA
  • NPI 1730383316
  NPD (past)
• Michael Cotugno

  • Emergency Medicine Physician
  • New Iberia, LA
  • NPI 1730274200
  NPD (past)
• Douglas Council, FNPC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marion, LA
  • NPI 1144250606
  NPD (past)
• Deborah Fletcher, MD

  • Emergency Medicine Physician
  • Shreveport, LA
  • NPI 1699777011
  NPD (past)
• Dustin Wayne Howell, P.A.

  • Medical Physician Assistant
  • West Monroe, LA
  • NPI 1649423658

  Emergency Medicine

  NPD (past)
• Brenda A Jarrett, NP

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1083896385
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1902052301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "469-401-2386",
            "fax_number": "214-712-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT MARY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014343",
            "telephone_number": "318-681-4500",
            "fax_number": "214-712-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS TRAIL EMERGENCY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "RONAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "469-401-2386",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Alyce Terrell, APRN, FNP-C
• Ashley Michelle Terry, MHP
• Donna Terry, PA-C
• Lataneil Terry, PLPC
• Robert Terry, M.A.
• Lucian Thacker, PTA
• Keval Thakkar
• Sirisha Reddy Thambuluru, MD
• The Arc Caddo Bossier
• The Arc of Caddo Bossie

• Emergency Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.