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MEDSUR ONE TELEMEDICINE LLC
NPI 1568098937
Nurse Practitioner in Georgetown, TX

Active since March 18, 2020
110 EISENHOWER COURT (ADMINISTRATIVE OFFICE LOCATION), 1309 COFFEEN AVE STE 1200 SHERIDAN WY 82801, GEORGETOWN, TX 78633(307) 655-1666(512) 651-4666 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medsur One Telemedicine Llc NPPES

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

MEDSUR ONE TELEMEDICINE LLC (NPI 1568098937) is a healthcare organization registered as a nurse practitioner in Georgetown, Texas and active in the NPI registry since March 2020. The organization lists Kathleen Mccoy, Manager, as its authorized official.

NPPES Registry Identity

NPI1568098937
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMEDSUR ONE TELEMEDICINE LLC
Location Address110 EISENHOWER COURT (ADMINISTRATIVE OFFICE LOCATION), 1309 COFFEEN AVE STE 1200 SHERIDAN WY 82801Georgetown, TX 78633
Mailing Address1309 Coffeen Avenue Ste 1200Sheridan, WY 82801 · (307) 655-1666 · Fax (512) 651-4666
Phone(307) 655-1666
Fax(512) 651-4666
Organization SubpartNo
Authorized OfficialKathleen MccoyManager · (512) 364-2151
Enumeration DateMarch 18, 2020
NPPES CertifiedMarch 18, 2020
✔ NPI 1568098937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
110 EISENHOWER COURT (ADMINISTRATIVE OFFICE LOCATION), Georgetown, TX 78633
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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

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 Medsur One Telemedicine LLC's NPI number?

The NPI number for Medsur One Telemedicine LLC is 1568098937. It was assigned to this organization in the NPPES registry on March 18, 2020.

Where is Medsur One Telemedicine LLC located?

Medsur One Telemedicine LLC is located at 110 Eisenhower Court (administrative Office Location) 1309 Coffeen Ave Ste 1200 Sheridan Wy 82801, Georgetown, TX 78633. The listed phone number is (307) 655-1666.

What is Medsur One Telemedicine LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Medsur One Telemedicine LLC was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.