Texas Scottish Rite Hospital For Children Professional | |
2222 Welborn St Dallas TX 75219-3924 | |
(214) 559-5000 | |
Not Available |
Full Name | Texas Scottish Rite Hospital For Children Professional |
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Speciality | Orthopaedic Surgery |
Location | 2222 Welborn St, Dallas, Texas |
Authorized Official Name and Position | Robert Walker (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
Authorized Official Contact | 2145597602 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Texas Scottish Rite Hospital For Children Professional 2222 Welborn St Dallas TX 75219-3924 Ph: () - | Texas Scottish Rite Hospital For Children Professional 2222 Welborn St Dallas TX 75219-3924 Ph: (214) 559-5000 |
NPI Number | 1598188948 |
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Provider Enumeration Date | 01/21/2014 |
Last Update Date | 05/02/2014 |
Medicare PECOS PAC ID | 0446422844 |
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Medicare Enrollment ID | O20140505001295 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598188948 | NPI | - | NPPES |
453314 | Other | MEDICARE | |
315440301 | Medicaid | TX |
Provider Name | Angela V. Price |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1407868896 PECOS PAC ID: 8527955210 Enrollment ID: I20040227000815 |
Provider Name | Pamela Nurenberg |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1659581734 PECOS PAC ID: 7810982873 Enrollment ID: I20040419001054 |
Provider Name | David A Podeszwa |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1053373829 PECOS PAC ID: 5193795516 Enrollment ID: I20040730000985 |
Provider Name | Charles W Wyatt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588811756 PECOS PAC ID: 5698734754 Enrollment ID: I20041005001168 |
Provider Name | Dekisha Jones |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1073673661 PECOS PAC ID: 7113971953 Enrollment ID: I20050304000326 |
Provider Name | Stephanie D Dejager |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790981470 PECOS PAC ID: 3971542119 Enrollment ID: I20050427001109 |
Provider Name | Althea K Jarrett |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1811996663 PECOS PAC ID: 2961441829 Enrollment ID: I20050429000261 |
Provider Name | Carrie Anne Seeley |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1639175722 PECOS PAC ID: 5890777882 Enrollment ID: I20050801000833 |
Provider Name | Tham Thi Trinh |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1780636134 PECOS PAC ID: 6002831609 Enrollment ID: I20051012001158 |
Provider Name | Ted S Wen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1982662623 PECOS PAC ID: 5799705695 Enrollment ID: I20051207000672 |
Provider Name | John Y Kim |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1376527382 PECOS PAC ID: 7113942582 Enrollment ID: I20070124000220 |
Provider Name | Mouin G Seikaly |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275595431 PECOS PAC ID: 6103828421 Enrollment ID: I20070215000172 |
Provider Name | Philip L Wilson |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1821050600 PECOS PAC ID: 2365543881 Enrollment ID: I20070726000829 |
Provider Name | Christine A Ho |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1356561229 PECOS PAC ID: 1658463674 Enrollment ID: I20070822001175 |
Provider Name | Tracey B Wright |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1710907969 PECOS PAC ID: 6204815491 Enrollment ID: I20080911000285 |
Provider Name | Robert L Wimberly |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1093895724 PECOS PAC ID: 3678543246 Enrollment ID: I20081008000599 |
Provider Name | Daniel J Sucato |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1285696344 PECOS PAC ID: 1850457698 Enrollment ID: I20090304000074 |
Provider Name | Lawson Ab Copley |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1184684086 PECOS PAC ID: 4183771157 Enrollment ID: I20090408000224 |
Provider Name | Gerad K Montgomery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144429275 PECOS PAC ID: 7517015621 Enrollment ID: I20090429000504 |
Provider Name | Diana Lynn Halback |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871772806 PECOS PAC ID: 7517015639 Enrollment ID: I20090429000586 |
Provider Name | Shane M Miller |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1487829719 PECOS PAC ID: 7810040557 Enrollment ID: I20090729000112 |
Provider Name | Lorien A Nassi |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1811187511 PECOS PAC ID: 2062565633 Enrollment ID: I20090729000410 |
Provider Name | Adam C Alder |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1831291541 PECOS PAC ID: 1557415429 Enrollment ID: I20090812000718 |
Provider Name | Charles E Johnston |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1386604288 PECOS PAC ID: 8123161288 Enrollment ID: I20100211000468 |
Provider Name | John A Herring |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1134210735 PECOS PAC ID: 3173666252 Enrollment ID: I20100211000738 |
Provider Name | John G Birch |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1831287788 PECOS PAC ID: 5890838973 Enrollment ID: I20100211000754 |
Provider Name | Benjamin S Richards |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1275624876 PECOS PAC ID: 6002950144 Enrollment ID: I20100212000552 |
Provider Name | Kimberly K Mezera |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1689636748 PECOS PAC ID: 7416091558 Enrollment ID: I20100212000592 |
Provider Name | Karl E Rathjen |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1336101492 PECOS PAC ID: 8224172374 Enrollment ID: I20100212000617 |
Provider Name | Peter N Schochet |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1578593190 PECOS PAC ID: 4789728700 Enrollment ID: I20100215000375 |
Provider Name | Joseph J Emerson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1972739100 PECOS PAC ID: 6204968647 Enrollment ID: I20100720000690 |
Provider Name | Anthony I Riccio |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1902969264 PECOS PAC ID: 1254529167 Enrollment ID: I20101220000431 |
Provider Name | David C Wilkes |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1336457985 PECOS PAC ID: 0143418400 Enrollment ID: I20101230000747 |
Provider Name | Christina Renee Sherrod |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1932422383 PECOS PAC ID: 1850560061 Enrollment ID: I20110804000324 |
Provider Name | Micah A Jacobs |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1639118631 PECOS PAC ID: 4789735242 Enrollment ID: I20110920000554 |
Provider Name | Katie G. Stewart |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1316159841 PECOS PAC ID: 3173796851 Enrollment ID: I20111024000800 |
Provider Name | Mohammed A Khaleel |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1356541296 PECOS PAC ID: 0941477681 Enrollment ID: I20120119000840 |
Provider Name | Carole M.r. Deally |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1578850392 PECOS PAC ID: 9133388374 Enrollment ID: I20120308000102 |
Provider Name | Donna L Hastings |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1073883096 PECOS PAC ID: 9234398066 Enrollment ID: I20120313000975 |
Provider Name | Shandel A Molinar |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1275794505 PECOS PAC ID: 3072774454 Enrollment ID: I20120411000487 |
Provider Name | Henry B Ellis |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1821200494 PECOS PAC ID: 0042404691 Enrollment ID: I20120416000627 |
Provider Name | Julie M Fuller |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1518158112 PECOS PAC ID: 9830345370 Enrollment ID: I20120815000676 |
Provider Name | Brandon A Ramo |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1588711394 PECOS PAC ID: 8628249182 Enrollment ID: I20120821001038 |
Provider Name | Christine Renee Cappel Murphy |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1285878504 PECOS PAC ID: 8628225604 Enrollment ID: I20120827000372 |
Provider Name | Diana P Castro |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1750554689 PECOS PAC ID: 0345490769 Enrollment ID: I20121022000082 |
Provider Name | Bruce Schlomer |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1013111806 PECOS PAC ID: 3971758350 Enrollment ID: I20130311000323 |
Provider Name | Matthew C Gummerson |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1457474892 PECOS PAC ID: 6103060009 Enrollment ID: I20130916000241 |
Provider Name | Melissa Clift |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639505688 PECOS PAC ID: 1557597911 Enrollment ID: I20131114000101 |
Provider Name | Jacob R Zide |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1114127164 PECOS PAC ID: 8628204831 Enrollment ID: I20131118001294 |
Provider Name | Bruno P Braga |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1184974230 PECOS PAC ID: 4789813726 Enrollment ID: I20140214001248 |
Provider Name | Aditee P Ambardekar |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1184784761 PECOS PAC ID: 4385797109 Enrollment ID: I20140221000456 |
Provider Name | Richard C Adams |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1518174416 PECOS PAC ID: 6406089929 Enrollment ID: I20140507000499 |
Provider Name | Heather M. Richard |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1669744330 PECOS PAC ID: 5294968616 Enrollment ID: I20140508001743 |
Provider Name | Scott N Oishi |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1174531941 PECOS PAC ID: 8820909161 Enrollment ID: I20140509000864 |
Provider Name | Mauricio R Delgado-ayala |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1417163627 PECOS PAC ID: 9335372713 Enrollment ID: I20140509001441 |
Provider Name | Steven P Sparagana |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1487869624 PECOS PAC ID: 8729211065 Enrollment ID: I20140512001459 |
Provider Name | Cynthia A Woerz |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1689959926 PECOS PAC ID: 5193958445 Enrollment ID: I20140512001885 |
Provider Name | Harry K.w. Kim |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1346204765 PECOS PAC ID: 0840423133 Enrollment ID: I20140513001056 |
Provider Name | Molly Dempsey |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1942578125 PECOS PAC ID: 8527281757 Enrollment ID: I20140515001763 |
Provider Name | Jean A Oldham Wall |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1710982988 PECOS PAC ID: 2163413386 Enrollment ID: I20140528000684 |
Provider Name | Roni Stern |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780005009 PECOS PAC ID: 4587887047 Enrollment ID: I20140602001176 |
Provider Name | Leigha M Eldridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578833380 PECOS PAC ID: 1557584034 Enrollment ID: I20140602001854 |
Provider Name | Yassine Kanaan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1285758219 PECOS PAC ID: 8325217854 Enrollment ID: I20140604001363 |
Provider Name | Heather M Benham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255604922 PECOS PAC ID: 8426272642 Enrollment ID: I20140610000393 |
Provider Name | Andrea Diane Pendleton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073884888 PECOS PAC ID: 1254555329 Enrollment ID: I20140610002283 |
Provider Name | Rebecca L Neander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689937419 PECOS PAC ID: 5799900106 Enrollment ID: I20140626002598 |
Provider Name | Amy L Mcintosh |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1225018120 PECOS PAC ID: 3274629050 Enrollment ID: I20140811000625 |
Provider Name | Bradley E Weprin |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1417063777 PECOS PAC ID: 7214155282 Enrollment ID: I20140904001730 |
Provider Name | Dale M Swift |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1447366794 PECOS PAC ID: 8224257514 Enrollment ID: I20140918001611 |
Provider Name | Corey Scott Gill |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1164630224 PECOS PAC ID: 9335318625 Enrollment ID: I20140918002472 |
Provider Name | Veronica Marie Meneses |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1326129859 PECOS PAC ID: 7012937055 Enrollment ID: I20141023001980 |
Provider Name | Shawne Theresea Barron |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1740550300 PECOS PAC ID: 1658695150 Enrollment ID: I20150109001018 |
Provider Name | Christopher Michael Stutz |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1407903297 PECOS PAC ID: 8325205966 Enrollment ID: I20150526000327 |
Provider Name | Ashley N Carroll-brown |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1982983961 PECOS PAC ID: 6507097177 Enrollment ID: I20150710000388 |
Provider Name | Angelica Torres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073912143 PECOS PAC ID: 6305150889 Enrollment ID: I20150828000294 |
Provider Name | Heather Pepper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063841617 PECOS PAC ID: 7517276470 Enrollment ID: I20151016000810 |
Provider Name | Lindsey M Bussey |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1881071660 PECOS PAC ID: 3678873601 Enrollment ID: I20151124001332 |
Provider Name | Raymond Kleposki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003863911 PECOS PAC ID: 3577687284 Enrollment ID: I20151202001054 |
Provider Name | Jane Soyeun Chung |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1871753665 PECOS PAC ID: 3678714359 Enrollment ID: I20160215000423 |
Provider Name | Christopher B Mcleod |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1568723682 PECOS PAC ID: 1355630534 Enrollment ID: I20160511000248 |
Provider Name | Sarah Tariq |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1073732319 PECOS PAC ID: 6507991239 Enrollment ID: I20160512000654 |
Provider Name | I-yuan Joseph Chang |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1386945921 PECOS PAC ID: 3678867611 Enrollment ID: I20160813000092 |
Provider Name | Bryce Chatham Foster |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1578858221 PECOS PAC ID: 6103112149 Enrollment ID: I20160831000701 |
Provider Name | Jason R Petrasic |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1740623388 PECOS PAC ID: 4981992815 Enrollment ID: I20161010001627 |
Provider Name | Laura Quinn Mcauley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235262197 PECOS PAC ID: 7911285010 Enrollment ID: I20161025000127 |
Provider Name | Emily P Holmes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528514916 PECOS PAC ID: 7012296692 Enrollment ID: I20161123000385 |
Provider Name | Carolyn Kerins |
---|---|
Provider Type | Practitioner - Other (physician) |
Provider Identifiers | NPI Number: 1457407181 PECOS PAC ID: 2062792930 Enrollment ID: I20161212000514 |
Provider Name | Marianela Gonzalez |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1316138803 PECOS PAC ID: 9436439270 Enrollment ID: I20161213001076 |
Provider Name | Dan Burch |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1154758597 PECOS PAC ID: 3375823909 Enrollment ID: I20161216001229 |
Provider Name | Alton Mcwhorter |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1245381862 PECOS PAC ID: 4587944137 Enrollment ID: I20161216001982 |
Provider Name | Lolo Wong |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1073506960 PECOS PAC ID: 7315228814 Enrollment ID: I20161221000314 |
Provider Name | Harold Von Simpson |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1063744050 PECOS PAC ID: 1759662257 Enrollment ID: I20161221000421 |
Provider Name | Arturo Corrales |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174712020 PECOS PAC ID: 3779864830 Enrollment ID: I20170103001462 |
Provider Name | Susan Mcguire |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1356466452 PECOS PAC ID: 6800178443 Enrollment ID: I20170117000546 |
Provider Name | Shawn Hai Nguyen |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1659696946 PECOS PAC ID: 9931401999 Enrollment ID: I20170124001142 |
Provider Name | Joel E Wells |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1316268659 PECOS PAC ID: 2860650561 Enrollment ID: I20170501001272 |
Provider Name | Brett A Whittemore |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1780814137 PECOS PAC ID: 2365729738 Enrollment ID: I20170512000743 |
Provider Name | Michelle Rose Christie |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912252388 PECOS PAC ID: 9638447386 Enrollment ID: I20170621001176 |
Provider Name | Samir R Pandya |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1255575122 PECOS PAC ID: 4688846454 Enrollment ID: I20170807001027 |
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 | Alexandra K Callan |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1922398312 PECOS PAC ID: 4981907839 Enrollment ID: I20171016000592 |
Provider Name | Ashley M Joseph |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1073801791 PECOS PAC ID: 7810263274 Enrollment ID: I20171030003057 |
Provider Name | Stephanie Michelle Armendariz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114400306 PECOS PAC ID: 8729331749 Enrollment ID: I20181022000980 |
Provider Name | Whitney Meghan Herge |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851781231 PECOS PAC ID: 7416293931 Enrollment ID: I20190103003042 |
Provider Name | Jennifer Gladney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225486558 PECOS PAC ID: 8123365707 Enrollment ID: I20190122001225 |
Provider Name | Chelsea Barela |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1669953121 PECOS PAC ID: 3678812484 Enrollment ID: I20190221002724 |
Provider Name | Matthew Gerald Ditzler |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326395112 PECOS PAC ID: 3779823448 Enrollment ID: I20190314002647 |
Provider Name | Noelle Venett |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1639641871 PECOS PAC ID: 9234479395 Enrollment ID: I20190327002670 |
Provider Name | Emily Gale |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1316374390 PECOS PAC ID: 0244503696 Enrollment ID: I20190417001937 |
Provider Name | Fabiola Iris Reyes |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1497199962 PECOS PAC ID: 7618202920 Enrollment ID: I20190709002084 |
Provider Name | Mathew A Stokes |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1205178035 PECOS PAC ID: 1658606231 Enrollment ID: I20190718002728 |
Provider Name | Hamza Alizai |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1932468519 PECOS PAC ID: 3971894619 Enrollment ID: I20190731003331 |
Provider Name | Kristen Anne Lord |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669026050 PECOS PAC ID: 4880922996 Enrollment ID: I20190828001179 |
Provider Name | Erik Hansen |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1952458838 PECOS PAC ID: 1456483387 Enrollment ID: I20190912000512 |
Provider Name | Christine Grohs Agerlid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033767611 PECOS PAC ID: 1557693249 Enrollment ID: I20191030000689 |
Provider Name | William Zachary Morris |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1194081646 PECOS PAC ID: 0143552869 Enrollment ID: I20191030001846 |
Provider Name | Stephanie A Stutz |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1629444880 PECOS PAC ID: 4486950250 Enrollment ID: I20200218001689 |
Provider Name | John E Arvesen |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1013354307 PECOS PAC ID: 0244533651 Enrollment ID: I20200402001154 |
Provider Name | Grace Hsieh |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1497078141 PECOS PAC ID: 2567697105 Enrollment ID: I20200803000880 |
Provider Name | Yvonne Yuh-ru Chan |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1326301102 PECOS PAC ID: 6204252141 Enrollment ID: I20200821001934 |
Provider Name | Jacob Creed Jones |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1912391152 PECOS PAC ID: 2163765231 Enrollment ID: I20200826002814 |
Provider Name | Lauren Ann Gillory |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1871754135 PECOS PAC ID: 0042637142 Enrollment ID: I20200903002758 |
Provider Name | Megan Elizabeth Johnson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1699918342 PECOS PAC ID: 2769796994 Enrollment ID: I20200929003432 |
Provider Name | Emily Jabour Stapleton |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1316344997 PECOS PAC ID: 9739590829 Enrollment ID: I20201120001286 |
Provider Name | Stephanie Tow |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1760725576 PECOS PAC ID: 6406132331 Enrollment ID: I20201222001168 |
Provider Name | Cherlyn Caneda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326192824 PECOS PAC ID: 4688816796 Enrollment ID: I20210119000406 |
Provider Name | Tanvi J Shah |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1285951269 PECOS PAC ID: 7719296821 Enrollment ID: I20210503001798 |
Provider Name | Emily Lauren Chapman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285212852 PECOS PAC ID: 8820407356 Enrollment ID: I20210512002634 |
Provider Name | Jaysson Brooks |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1194014258 PECOS PAC ID: 8224287743 Enrollment ID: I20210709000127 |
Provider Name | Elizabeth Elsie Sloan |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1942694054 PECOS PAC ID: 2365840717 Enrollment ID: I20211014003229 |
Provider Name | Sharon Denise Hill |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1609023506 PECOS PAC ID: 7719378843 Enrollment ID: I20211229000742 |
Provider Name | Vivek Kalia |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1912291642 PECOS PAC ID: 8123329372 Enrollment ID: I20220520000391 |
Provider Name | Heather Colleen Barnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942432430 PECOS PAC ID: 9638558885 Enrollment ID: I20220620000886 |
Provider Name | Andrea Alison Wierzchowski |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1114573466 PECOS PAC ID: 0749665883 Enrollment ID: I20220909002794 |
Provider Name | Tiffany Mei-fei Jonasson |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1730610098 PECOS PAC ID: 3274918354 Enrollment ID: I20220912000788 |
Provider Name | Elizabeth W Hubbard |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1952627226 PECOS PAC ID: 7719275718 Enrollment ID: I20220920001694 |
Provider Name | Zachary C Lamb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528665841 PECOS PAC ID: 3072925825 Enrollment ID: I20220922001803 |
Provider Name | Jill Mary West |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1285035816 PECOS PAC ID: 7012233430 Enrollment ID: I20220929003238 |
Provider Name | Melinda Powell |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1013115443 PECOS PAC ID: 5698144947 Enrollment ID: I20221208003046 |
Provider Name | Marida S Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740633478 PECOS PAC ID: 0941674006 Enrollment ID: I20230313002836 |
Provider Name | Simrat Kaur Morris |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1518227065 PECOS PAC ID: 3274999834 Enrollment ID: I20230524000965 |
Provider Name | Shane Batie |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1518320449 PECOS PAC ID: 3173803392 Enrollment ID: I20230623000634 |
Provider Name | Tyler Alexander Terrill |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1376076356 PECOS PAC ID: 5698120988 Enrollment ID: I20231005002697 |
Provider Name | Caroline Roberts |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1043884422 PECOS PAC ID: 3072969989 Enrollment ID: I20231030002004 |
Provider Name | Elizabeth Vattammakkel Alam |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1699903385 PECOS PAC ID: 1355798976 Enrollment ID: I20231103000670 |
Provider Name | Michelle Maldonado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861274912 PECOS PAC ID: 8426407370 Enrollment ID: I20231218001960 |
Provider Name | Haley Joane Tomlin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801572219 PECOS PAC ID: 3072966225 Enrollment ID: I20240124002981 |
Provider Name | Janetci Liliana Dominguez Arevalo Palacios |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699544007 PECOS PAC ID: 0446603542 Enrollment ID: I20240124004834 |
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 |