Active NPI
CC EMS, PLLC
- Emergency Medical Services (Emergency Medicine) Physician
- College Station, TX
National Provider Identifier
1972083509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- CC EMS, PLLC
- Practice address
- 1604 Rock Prairie Rd
College Station, TX 77845-8345 - Phone
- (979) 764-5100
- NPI assigned
- Aug 14, 2018
- Last updated
- Aug 14, 2018
- 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
- Dr. Eugene K Gicheru, MD
- Title
- Managing Member
- Phone
- (214) 893-8619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | Primary |
Addresses
Primary practice location
1604 Rock Prairie Rd
College Station, TX 77845-8345
Mailing address
700 Central Expy S Ste 400
Allen, TX 75013-8113
Phone (866) 225-0350
National Provider Directory
National Provider DirectoryPractitioners & 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
- Dallas, TX
- NPI 1134144132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534204800000",
"number": "1972083509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CENTRAL EXPY S STE 400",
"city": "ALLEN",
"state": "TX",
"postal_code": "750138113",
"telephone_number": "866-225-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 ROCK PRAIRIE RD",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458345",
"telephone_number": "979-764-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CC EMS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-14",
"last_updated": "2018-08-14",
"status": "A",
"authorized_official_last_name": "GICHERU",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "214-893-8619",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.