Active NPI
Stat Med P.a.
- Emergency Medicine Physician
- Georgetown, TX
National Provider Identifier
1932116027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- STAT MED P.A.
- Practice address
- 902B N Austin Ave
Georgetown, TX 78626-4333 - Phone
- (521) 930-7828
- NPI assigned
- Aug 1, 2006
- Last updated
- Feb 26, 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
- Dana L Evans III
- Title
- Provider Enrollment Rep
- Phone
- (270) 744-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
902B N Austin Ave
Georgetown, TX 78626-4333
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0029NV | Other | TX | BCBS |
National Provider Directory
National Provider Directory- Tax ID family
- Stat Med Emergent Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
902 N Austin Ave Ste 102
Georgetown, TX 78626
Phone (521) 930-7828
902B N Austin Ave
Georgetown, TX 78626
Phone (512) 930-4275
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Emergency Medicine Physician
- Waco, TX
- NPI 1205840238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1932116027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-9600",
"fax_number": "270-744-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902B N AUSTIN AVE",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786264333",
"telephone_number": "521-930-7828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAT MED P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PROVIDER ENROLLMENT REP",
"authorized_official_telephone_number": "270-744-9600",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0029NV",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
- St. Davids OB and GYN Services, PLLC
- Craig Allen Staebel, M.D.
- Eugen Stancut, MD
- Starry
- Stat Med P.a. (Stat Med Emergent Care)
- Staywell Therapy
- Steigerwalt Psychiatric Services, PLLC
- Stephen D. Schaefer, O.D., P.a. (San Gabriel Eye Center)
- Stephen Hyle O D P C
- Stephen Tranter DC and Patricia Felder DC PA (Georgetown Family Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.