| Anesthesiologists For Children | |
|
1935 Medical District Dr Dallas TX 75235-7701 | |
| (214) 456-6921 | |
| Not Available |
| Full Name | Anesthesiologists For Children |
|---|---|
| Speciality | Anesthesiology |
| Location | 1935 Medical District Dr, Dallas, Texas |
| Authorized Official Name and Position | Stephen Kimatian (PRESIDENT) |
| Authorized Official Contact | 2144566393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anesthesiologists For Children 1935 Medical District Dr St9.08 Dallas TX 75235-7701 Ph: () - | Anesthesiologists For Children 1935 Medical District Dr Dallas TX 75235-7701 Ph: (214) 456-6921 |
| NPI Number | 1700837408 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Medicare PECOS PAC ID | 7911990965 |
|---|---|
| Medicare Enrollment ID | O20040406000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700837408 | NPI | - | NPPES |
| TXB147969 | Other | TX | MEDICARE ID-TYPE UNSPECIFIED |
| 147587302 | Medicaid | TX | |
| 147587304 | Medicaid | TX |
| Provider Name | Galit Kastner-ungar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912090002 PECOS PAC ID: 3870585011 Enrollment ID: I20040330001575 |
| Provider Name | Matthew J Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235182551 PECOS PAC ID: 2769475722 Enrollment ID: I20040406000364 |
| Provider Name | David Bui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881647964 PECOS PAC ID: 6800877093 Enrollment ID: I20040525000680 |
| Provider Name | Alan Cooke Farrow Gillespie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407809817 PECOS PAC ID: 6002890340 Enrollment ID: I20040615001109 |
| Provider Name | Hadi Sakhai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962440024 PECOS PAC ID: 3274595780 Enrollment ID: I20041027001040 |
| Provider Name | Joyce Faye Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164534442 PECOS PAC ID: 4789632134 Enrollment ID: I20050112000341 |
| Provider Name | Patrick N Olomu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275590002 PECOS PAC ID: 8022059450 Enrollment ID: I20050517000122 |
| Provider Name | John Zhong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043281538 PECOS PAC ID: 8123088366 Enrollment ID: I20050527000159 |
| Provider Name | Thomas Spain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053355321 PECOS PAC ID: 3072530526 Enrollment ID: I20051025000262 |
| Provider Name | Stephen Hoang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073566493 PECOS PAC ID: 2769400720 Enrollment ID: I20051108000648 |
| Provider Name | Peter Szmuk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023107620 PECOS PAC ID: 5890796296 Enrollment ID: I20070129000213 |
| Provider Name | Brian Kravitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811099773 PECOS PAC ID: 2365539418 Enrollment ID: I20071106000476 |
| Provider Name | Shannon L Ternan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598969602 PECOS PAC ID: 9537256680 Enrollment ID: I20071106000485 |
| Provider Name | Kelly C Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669578001 PECOS PAC ID: 4981781820 Enrollment ID: I20080402000916 |
| Provider Name | Amy J Hogge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427124437 PECOS PAC ID: 4082792296 Enrollment ID: I20080428000600 |
| Provider Name | William H Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285666875 PECOS PAC ID: 8224107701 Enrollment ID: I20080523000367 |
| Provider Name | Huy Do |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568486330 PECOS PAC ID: 6800957127 Enrollment ID: I20081205000057 |
| Provider Name | Deryk L Walsh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982828505 PECOS PAC ID: 8426119744 Enrollment ID: I20081205000079 |
| Provider Name | Osama Aboul-fettouh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376634741 PECOS PAC ID: 7911930870 Enrollment ID: I20081211000358 |
| Provider Name | Wei Wei Boone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063469021 PECOS PAC ID: 7416010368 Enrollment ID: I20090120000543 |
| Provider Name | Virginia Anne Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396990040 PECOS PAC ID: 3375691454 Enrollment ID: I20090429000159 |
| Provider Name | Shahid Hussain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659461127 PECOS PAC ID: 1355336355 Enrollment ID: I20090430000274 |
| Provider Name | Jeffrey Steiner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154522845 PECOS PAC ID: 1951447762 Enrollment ID: I20091008000414 |
| Provider Name | Kristin J Royal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275710105 PECOS PAC ID: 7315013604 Enrollment ID: I20091008000428 |
| Provider Name | Julie Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194934158 PECOS PAC ID: 5890833198 Enrollment ID: I20091106000121 |
| Provider Name | Kristen M Ogg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144431644 PECOS PAC ID: 4486792710 Enrollment ID: I20091106000336 |
| Provider Name | Katherine L Moorehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235183120 PECOS PAC ID: 3779621883 Enrollment ID: I20091110000688 |
| Provider Name | Bonita W Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871663419 PECOS PAC ID: 9537207436 Enrollment ID: I20091113000361 |
| Provider Name | Umar H Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194739391 PECOS PAC ID: 9830289313 Enrollment ID: I20100507000734 |
| Provider Name | Cynthia Gonzales |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073559787 PECOS PAC ID: 7618981614 Enrollment ID: I20110131000981 |
| Provider Name | Lyndsey A Grover |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144366717 PECOS PAC ID: 6800076738 Enrollment ID: I20110210000422 |
| Provider Name | Andrea M Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912208687 PECOS PAC ID: 2961685110 Enrollment ID: I20110324000761 |
| Provider Name | Lee M Clintsman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538468756 PECOS PAC ID: 1759565005 Enrollment ID: I20110411000496 |
| Provider Name | Merin M Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033431408 PECOS PAC ID: 8022295112 Enrollment ID: I20110526000337 |
| Provider Name | Jennifer Lauren Pittmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871809244 PECOS PAC ID: 1658558903 Enrollment ID: I20110614000277 |
| Provider Name | Kevin M Rivera Vazquez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205011103 PECOS PAC ID: 0749458974 Enrollment ID: I20110714000196 |
| Provider Name | Adolfo Gonzalez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013163633 PECOS PAC ID: 0941368799 Enrollment ID: I20110718000615 |
| Provider Name | Luis Zabala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982794459 PECOS PAC ID: 5799774147 Enrollment ID: I20110808000023 |
| Provider Name | Jana J Mcalister |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346400454 PECOS PAC ID: 0446429575 Enrollment ID: I20110808000197 |
| Provider Name | David Stevenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982880282 PECOS PAC ID: 2567546633 Enrollment ID: I20120629000373 |
| Provider Name | Anu A Cherian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417216706 PECOS PAC ID: 6709032998 Enrollment ID: I20120802000698 |
| Provider Name | Jenna B Cavazos |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1255612701 PECOS PAC ID: 3779739578 Enrollment ID: I20120810000082 |
| Provider Name | Courtney Kowalczyk Derderian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699978346 PECOS PAC ID: 9830346154 Enrollment ID: I20120821000978 |
| Provider Name | Edgar E Kiss |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194917591 PECOS PAC ID: 7113175639 Enrollment ID: I20120907000086 |
| Provider Name | Christopher T Setiawan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487801858 PECOS PAC ID: 6204951114 Enrollment ID: I20120907000387 |
| Provider Name | Sana Ullah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356431829 PECOS PAC ID: 0840351292 Enrollment ID: I20121016000011 |
| Provider Name | Cassi R Glandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164786901 PECOS PAC ID: 3274785829 Enrollment ID: I20121206000473 |
| Provider Name | Jami M Eidem |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750538823 PECOS PAC ID: 6406099100 Enrollment ID: I20130828000537 |
| Provider Name | Peter H Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1215375605 PECOS PAC ID: 5193951341 Enrollment ID: I20131119000543 |
| Provider Name | Gary R Turner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871665703 PECOS PAC ID: 9638339864 Enrollment ID: I20131206000678 |
| Provider Name | Aditee P Ambardekar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184784761 PECOS PAC ID: 4385797109 Enrollment ID: I20140221000456 |
| Provider Name | Saad Hussain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801062062 PECOS PAC ID: 9537316781 Enrollment ID: I20140305001084 |
| Provider Name | Long Ngoc Van |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1477967800 PECOS PAC ID: 8628296795 Enrollment ID: I20140903000235 |
| Provider Name | Sharon Koruthu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033524020 PECOS PAC ID: 6305066010 Enrollment ID: I20141001000570 |
| Provider Name | Ashkan Shawn Sharifi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1083034433 PECOS PAC ID: 7517187123 Enrollment ID: I20141002001827 |
| Provider Name | Tally Goldfarb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952531675 PECOS PAC ID: 5698097194 Enrollment ID: I20141212000875 |
| Provider Name | Gwen N Hughes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417346024 PECOS PAC ID: 9537487061 Enrollment ID: I20150414001307 |
| Provider Name | Ashley D Bocanegra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407173420 PECOS PAC ID: 9931413069 Enrollment ID: I20150804003660 |
| Provider Name | Deepa A Mohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336537083 PECOS PAC ID: 7416263116 Enrollment ID: I20150826000184 |
| Provider Name | Megha Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710111604 PECOS PAC ID: 0446491096 Enrollment ID: I20150930000462 |
| Provider Name | Mohammed I Ahmed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578510863 PECOS PAC ID: 8426210063 Enrollment ID: I20151211002254 |
| Provider Name | Itzel A Zambrano |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1558718569 PECOS PAC ID: 9436449998 Enrollment ID: I20160613000940 |
| Provider Name | Christine H Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1649627639 PECOS PAC ID: 2365733722 Enrollment ID: I20160615002389 |
| Provider Name | Katherine G Maddox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023350857 PECOS PAC ID: 2567753320 Enrollment ID: I20160624001856 |
| Provider Name | Rita Saynhalath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205127933 PECOS PAC ID: 3779875216 Enrollment ID: I20160701001428 |
| Provider Name | Patrice Suzanne Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114213550 PECOS PAC ID: 5092963306 Enrollment ID: I20160812001040 |
| Provider Name | Katie Amy Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376833582 PECOS PAC ID: 3870887714 Enrollment ID: I20160816000354 |
| Provider Name | Alissa D Z Doll |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154612414 PECOS PAC ID: 1759676661 Enrollment ID: I20160817000118 |
| Provider Name | Gijo A Alex |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265675110 PECOS PAC ID: 0941420848 Enrollment ID: I20160914000626 |
| Provider Name | Christopher Ryan Powers |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1730637141 PECOS PAC ID: 0941588743 Enrollment ID: I20161029000203 |
| Provider Name | James Demasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568542645 PECOS PAC ID: 9133116585 Enrollment ID: I20170223001590 |
| Provider Name | Neethu Kumar Chandran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639468374 PECOS PAC ID: 1850675166 Enrollment ID: I20170306002013 |
| Provider Name | Stephen J Kimatian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407807555 PECOS PAC ID: 9638226863 Enrollment ID: I20170721002530 |
| Provider Name | Jessica N Sabers |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1467981092 PECOS PAC ID: 3476824053 Enrollment ID: I20170731002386 |
| Provider Name | Jacqueline M Abraham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407378433 PECOS PAC ID: 0941571053 Enrollment ID: I20170808003503 |
| Provider Name | Shayla L Derousseau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275891988 PECOS PAC ID: 1456624071 Enrollment ID: I20170901002499 |
| Provider Name | Danielle Duhon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619492741 PECOS PAC ID: 8921368085 Enrollment ID: I20180209000773 |
| Provider Name | Jennifer Lauren Styers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396055323 PECOS PAC ID: 3870854714 Enrollment ID: I20180309001559 |
| Provider Name | Alicia Nicole Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336384528 PECOS PAC ID: 7214290436 Enrollment ID: I20180420000971 |
| Provider Name | Proshad Nemati Efune |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104056423 PECOS PAC ID: 6002163649 Enrollment ID: I20180727000851 |
| Provider Name | Roby Sebastian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235306093 PECOS PAC ID: 8820234743 Enrollment ID: I20180816002565 |
| Provider Name | Reana Joyce Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952859696 PECOS PAC ID: 6204175953 Enrollment ID: I20190225002428 |
| Provider Name | Melissa Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487884151 PECOS PAC ID: 5294076154 Enrollment ID: I20190403001452 |
| Provider Name | Ann Simon Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427315183 PECOS PAC ID: 9335481548 Enrollment ID: I20190508000809 |
| Provider Name | Suji Ann John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265786271 PECOS PAC ID: 0547502734 Enrollment ID: I20190509001048 |
| Provider Name | Ashley Eunice Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154707909 PECOS PAC ID: 0547503765 Enrollment ID: I20190509002442 |
| Provider Name | Brenda Joyce Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427143320 PECOS PAC ID: 4880937853 Enrollment ID: I20190514001575 |
| Provider Name | Robyn Joy Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821357088 PECOS PAC ID: 1254674252 Enrollment ID: I20190514003018 |
| Provider Name | Heather Lochry Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295834000 PECOS PAC ID: 2264775147 Enrollment ID: I20190516000272 |
| Provider Name | Amy L Marable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467784694 PECOS PAC ID: 3870836620 Enrollment ID: I20190517000323 |
| Provider Name | Ann H Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699877738 PECOS PAC ID: 1052654530 Enrollment ID: I20190524001544 |
| Provider Name | Sarah E Rebstock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205058765 PECOS PAC ID: 1456426477 Enrollment ID: I20190820002123 |
| Provider Name | Elizabeth Thuy-an Hong |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1639737497 PECOS PAC ID: 2567791809 Enrollment ID: I20190911001715 |
| Provider Name | Shelly Ann Ragsdale |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326459405 PECOS PAC ID: 3274815535 Enrollment ID: I20191004000774 |
| Provider Name | John M Mcgrimley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619388071 PECOS PAC ID: 8921330051 Enrollment ID: I20191023000147 |
| Provider Name | Elizabeth M Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134786288 PECOS PAC ID: 5991137291 Enrollment ID: I20191106003109 |
| Provider Name | Amy Suresh Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1982073375 PECOS PAC ID: 8729389960 Enrollment ID: I20200312000360 |
| Provider Name | Aveline Pascual Jerome |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932529104 PECOS PAC ID: 2466880539 Enrollment ID: I20200324001429 |
| Provider Name | Kelly Rose Featherston |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1932738812 PECOS PAC ID: 5991127011 Enrollment ID: I20200618002213 |
| Provider Name | Ethan Lance Sanford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306112321 PECOS PAC ID: 8729402045 Enrollment ID: I20200721000079 |
| Provider Name | Mikel Salvador Gorbea |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588071773 PECOS PAC ID: 4183049232 Enrollment ID: I20200806000332 |
| Provider Name | Mihir Parikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346636958 PECOS PAC ID: 1951726017 Enrollment ID: I20200806000929 |
| Provider Name | Clay William Yaklin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740522937 PECOS PAC ID: 1254633571 Enrollment ID: I20200826000549 |
| Provider Name | Luana Oliveira Melo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316351059 PECOS PAC ID: 3779901186 Enrollment ID: I20200917000738 |
| Provider Name | Zehneel Nizar Jiwani |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1811509474 PECOS PAC ID: 1355760307 Enrollment ID: I20200924003178 |
| Provider Name | Rhae Ellen Battles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447630132 PECOS PAC ID: 3375857584 Enrollment ID: I20201221000747 |
| Provider Name | Robert Humphreys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164044996 PECOS PAC ID: 6406268002 Enrollment ID: I20201223000274 |
| Provider Name | Chaitanya Reddy Konda |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881088052 PECOS PAC ID: 0042515850 Enrollment ID: I20210218001910 |
| Provider Name | Casey Amber Escobar-flores |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194142117 PECOS PAC ID: 9638571896 Enrollment ID: I20210709001622 |
| Provider Name | Arul M. Lingappan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083885255 PECOS PAC ID: 0143398347 Enrollment ID: I20211018002937 |
| Provider Name | Hailee Alyssa Scoggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275292526 PECOS PAC ID: 6709279391 Enrollment ID: I20220202002745 |
| Provider Name | Christina Marie Haefeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942879077 PECOS PAC ID: 9638562119 Enrollment ID: I20220204000646 |
| Provider Name | Brittney Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376202622 PECOS PAC ID: 0446643506 Enrollment ID: I20220214000339 |
| Provider Name | Angela Kay Shields |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891216826 PECOS PAC ID: 4385917442 Enrollment ID: I20220629001355 |
| Provider Name | Ingrid Moreno Duarte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295149128 PECOS PAC ID: 4385942119 Enrollment ID: I20220827000070 |
| Provider Name | Alex Younghoon Chung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457715336 PECOS PAC ID: 1355637190 Enrollment ID: I20220905000001 |
| Provider Name | Grace Slater |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942662994 PECOS PAC ID: 1153685524 Enrollment ID: I20220907000089 |
| Provider Name | Judy Kiarie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629661442 PECOS PAC ID: 2567848161 Enrollment ID: I20221005002380 |
| Provider Name | Sapan Jayendra Amin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053522755 PECOS PAC ID: 0547316655 Enrollment ID: I20221007002342 |
| Provider Name | Lauren Michelle Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649697665 PECOS PAC ID: 0042696379 Enrollment ID: I20221010002552 |
| Provider Name | Ashley Taylor Wood |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1598487639 PECOS PAC ID: 6507233749 Enrollment ID: I20221101002153 |
| Provider Name | Taylor Lott Poole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427778760 PECOS PAC ID: 6305213141 Enrollment ID: I20221107003410 |
| Provider Name | Sarah Grace Pennant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396341392 PECOS PAC ID: 8224406574 Enrollment ID: I20221117003029 |
| Provider Name | Diana Early |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710607726 PECOS PAC ID: 7012388853 Enrollment ID: I20230113001832 |
| Provider Name | Hadley Lewis Waters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841845823 PECOS PAC ID: 0345612867 Enrollment ID: I20230209003139 |
| Provider Name | Amelia Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1205531449 PECOS PAC ID: 7315300084 Enrollment ID: I20230828004108 |
| Provider Name | Morgan Coleman Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679936397 PECOS PAC ID: 6901198381 Enrollment ID: I20230911000284 |
| Provider Name | Selby Chu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528420023 PECOS PAC ID: 6800189531 Enrollment ID: I20230911001668 |
| Provider Name | Madeline Cullins Vernon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023515459 PECOS PAC ID: 6800250788 Enrollment ID: I20230911002794 |
| Provider Name | Amanda Motomochi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750887998 PECOS PAC ID: 9830553726 Enrollment ID: I20230911003203 |
| Provider Name | Zhaohui Hu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396237491 PECOS PAC ID: 4688924400 Enrollment ID: I20231002002534 |
| Provider Name | Pauline Karen Wong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497282628 PECOS PAC ID: 2163870387 Enrollment ID: I20231129001650 |
| Provider Name | Diane Dunkin Rosics |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669193421 PECOS PAC ID: 2567832454 Enrollment ID: I20231219000577 |
| Provider Name | Madeleine Larue Alvin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144614199 PECOS PAC ID: 1759693922 Enrollment ID: I20240404002442 |
| Provider Name | Cassidy Eastburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013696939 PECOS PAC ID: 1052753431 Enrollment ID: I20240530002959 |
Metrocare Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 River Bend Dr, Dallas, TX 75247 Phone: 214-743-6159 | |
Lifenet Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9708 Skillman St, Dallas, TX 75243 Phone: 214-221-5433 Fax: 214-932-1977 | |
Eric B. Williams, Md, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12801 N Central Expy Ste 350, Dallas, TX 75243 Phone: 214-702-5336 Fax: 972-773-9843 | |
Bienstar Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13140 Coit Rd Ste 326, Dallas, TX 75240 Phone: 214-682-7842 | |
Howdy Pediatrics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 539 W Commerce St Ste 608, Dallas, TX 75208 Phone: 214-494-0448 Fax: 210-547-2046 | |
Lucienne Cohen Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4007 Bowser Ave Apt E, Dallas, TX 75219 Phone: 617-823-3007 | |
Developmental Pathways Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 N Saint Paul St Ste 3100, Dallas, TX 75201 Phone: 214-432-3777 Fax: 800-434-3012 |