Individual provider Active NPI

Paul Mishel Jimenez Stuart, DO

  • Emergency Medicine Physician
  • Erie, PA
National Provider Identifier
1932722725
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OT020178 Issued in PA
Practice address
311 W 24TH St FL 4
Erie, PA 16502-2665
Phone
(814) 452-5101
Fax
(814) 452-5097
NPI assigned
May 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X TP789 KY
Emergency Medicine Physician 207P00000X OT020178 PA Primary

Addresses

Primary practice location

311 W 24TH St FL 4
Erie, PA 16502-2665

Mailing address

311 W 24TH St FL 4
Erie, PA 16502-2665
Phone (814) 452-5101

Other practice location 1

1 Trillium Way
Corbin, KY 40701-8426
Phone (954) 939-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230519001253 TX Practitioner - Emergency Medicine 6608243845 Reassigns benefits to 2 organizations
I20240521001210 AZ Practitioner - Emergency Medicine 6608243845 Reassigns benefits to 4 organizations
I20260402002575 KY Practitioner - Emergency Medicine 6608243845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Fairview Emergency Physicians LLCGroup PAC ID 5799034799, 40 clinicians
Sierra Estrellas Emergency Physicians LLCGroup PAC ID 5193002954, 38 clinicians

Practice addresses (Care Compare)

1 Trillium Way
Corbin, KY 40701-8426
Phone (954) 939-5000

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (954) 939-5000

11351 E S Frontage Rd
Yuma, AZ 85367-7862
Phone (928) 336-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.66 of 100Reported as group
Quality
78.71
Improvement activities
40
Cost
77.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
TP789KYMDEmergency Medicine Physician
OT020178PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Emergency Medicine CurrentSince Apr 30, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Nov 17, 2024 Accepting new patients
Emcare - PNX Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Honorhealth CurrentSince Apr 30, 2024 Accepting new patients
Emergency Professional Services PC Emergency Medicine Current Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Jun 30, 2024 Accepting new patients
Sierra Estrellas Emergency Physicians LLC Emergency Medicine CurrentSince Apr 16, 2024 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Jun 30, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Yuma Regional Medical Center Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

11351 S Frontage Rd
Yuma, AZ 85367
Phone (928) 336-2000

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1932722725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST FL 4",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022665",
            "telephone_number": "814-452-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST FL 4",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022665",
            "telephone_number": "814-452-5101",
            "fax_number": "814-452-5097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Trillium Way",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407018426",
            "country_code": "US",
            "telephone_number": "954-939-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ STUART",
        "first_name": "PAUL",
        "middle_name": "MISHEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "TP789",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT020178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.