THIRD COAST EMERGENCY PHYSICIANS SID PETERSON PA - NPI 1972541423

Q: What is Third Coast Emergency Physicians Sid Peterson PA's specialty?

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

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About Third Coast Emergency Physicians Sid Peterson Pa NPPES

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

THIRD COAST EMERGENCY PHYSICIANS SID PETERSON PA (NPI 1972541423) is a healthcare organization registered as an emergency medicine in Kerrville, Texas and active in the NPI registry since June 2006. The organization lists Sam Roberts, President, as its authorized official.

NPPES Registry Identity

NPI1972541423

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameTHIRD COAST EMERGENCY PHYSICIANS SID PETERSON PA

Location Address551 HILL COUNTRY DRKerrville, TX 78028-6085

Mailing Address6300 La Calma Dr, Suite 200Austin, TX 78752-3843 · (512) 452-8533 · Fax (512) 452-9306

Phone(830) 896-4200

Organization SubpartNo

Authorized OfficialSam RobertsPresident · (512) 452-8533

Enumeration DateJune 4, 2006

Last NPPES UpdateApril 27, 2010

✔ NPI 1972541423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

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.

551 HILL COUNTRY DR, Kerrville, TX 78028

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Other Identifiers 6

Other0070BDTX · Bcbs

Other081037604TX · Cshcn

Other0012NJTX · Bcbs

Medicare PIN0070BDTX

Medicaid081037603TX

Medicare PINCD4084TX

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY GERY

Physician Assistant