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EMERGENCY MEDICINE DOCTOR OF WACO, PA
NPI 1548466766
Emergency Medicine in Waco, TX

Active since June 25, 2007
3721 HERWOL AVE, WACO, TX 76710(254) 493-8337 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emergency Medicine Doctor Of Waco, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERGENCY MEDICINE DOCTOR OF WACO, PA (NPI 1548466766) is a healthcare organization registered as an emergency medicine in Waco, Texas and active in the NPI registry since June 2007. The organization lists James Pettit, Owner-president, as its authorized official.

NPPES Registry Identity

NPI1548466766
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameEMERGENCY MEDICINE DOCTOR OF WACO, PA
Location Address3721 HERWOL AVEWaco, TX 76710-7218
Mailing Address3721 Herwol AveWaco, TX 76710-7218 · (254) 493-8337
Phone(254) 493-8337
Organization SubpartNo
Authorized OfficialJames PettitOwner-president · (254) 752-9821
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 29, 2014
✔ NPI 1548466766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · F9947
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3721 HERWOL AVE, Waco, TX 76710
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Other Identifiers 2

Medicare PIN00435WTX
Medicaid167263601TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emergency Medicine Doctor Of Waco, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Emergency Medicine Doctor Of Waco, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Pettit, DO
Family Practice
NPI 1265450175
1700 BRAZOS AVE
Rockdale, TX 76567
(512) 446-4500
✔ PECOS61 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emergency Medicine Doctor Of Waco, PA's NPI number?

The NPI number for Emergency Medicine Doctor Of Waco, PA is 1548466766. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is Emergency Medicine Doctor Of Waco, PA located?

Emergency Medicine Doctor Of Waco, PA is located at 3721 Herwol Ave, Waco, TX 76710. The listed phone number is (254) 493-8337.

What is Emergency Medicine Doctor Of Waco, PA's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Emergency Medicine Doctor Of Waco, PA enrolled in Medicare?

Yes. Emergency Medicine Doctor Of Waco, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emergency Medicine Doctor Of Waco, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Emergency Medicine Doctor Of Waco, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Emergency Medicine Doctor Of Waco, PA was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.