Active NPI
Third Coast Emergency Physicians Burnet PA
- Emergency Medicine Physician
- Burnet, TX
National Provider Identifier
1982642435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- THIRD COAST EMERGENCY PHYSICIANS BURNET PA
- Practice address
- 3201 S Highway 281
Burnet, TX 78611-4510 - Phone
- (512) 756-6000
- NPI assigned
- Jun 4, 2006
- 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
- Sam Roberts, MD
- Title
- President
- Phone
- (512) 452-8533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
3201 S Highway 281
Burnet, TX 78611-4510
Mailing address
6300 La Calma Dr
Suite 200
Austin, TX 78752-3843
Phone (512) 452-8533
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015DQ | Other | TX | BCBS |
| 0083QQ | Other | TX | BCBS |
| 079914004 | Medicaid | TX | |
| 079914005 | Other | TX | CSHCN |
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.
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1679522742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245110400000",
"number": "1982642435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 LA CALMA DR",
"address_2": "SUITE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787523843",
"telephone_number": "512-452-8533",
"fax_number": "512-452-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 S HIGHWAY 281",
"city": "BURNET",
"state": "TX",
"postal_code": "786114510",
"telephone_number": "512-756-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THIRD COAST EMERGENCY PHYSICIANS BURNET PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2009-06-16",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-452-8533",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0015DQ",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0083QQ",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079914004",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "079914005",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burnet, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.