Emcc Chisholm Trail, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EMCC CHISHOLM TRAIL, LLC

Doing business as

Surepoint Emergency Center Chisholm Trail

Practice address

7445 Oakmont Blvd
Fort Worth, TX 76132-3905

Phone

(469) 830-8200

NPI assigned

Nov 12, 2018

Last updated

Sep 27, 2024By 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

Michelle Newsom

Title

President

Phone

(469) 830-8200

Specialties & licenses 1

Addresses

Other names 1

• Surepoint Emergency Center Chisholm Trail Doing business as

Locations

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1992273544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MATLOCK RD STE 35",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635018",
            "telephone_number": "469-830-8200",
            "fax_number": "469-830-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 OAKMONT BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323905",
            "telephone_number": "469-830-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMCC CHISHOLM TRAIL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-830-8200"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surepoint Emergency Center Chisholm Trail",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mona Eltiar, APRN, FNP
• Cassandra Elvira, MS, RDN, LD
• Emason Incorporated (Doctors Pharmacy)
• Emcare DFW Emergency Physicians PLLC
• Emcc Chisholm Trail Physicians PLLC
• Chioma Emecheta, NURSE PRACTITIONER
• Chinyere Chioma Emeh, NP
• Emer Hulen Physicians PLLC
• Emer Hulen, LLC
• Emer North Fort Worth Beach Physicians, PLLC

• Emergency Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.