Back Office Management Services Llc | |
4200 Shepherd Ln, Balch Springs, TX 75180-3423 | |
(718) 972-5000 | |
(718) 972-3774 |
Full Name | Back Office Management Services Llc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 4200 Shepherd Ln, Balch Springs, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265739973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Dustin W Smith |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1164468344 PECOS PAC ID: 4688636111 Enrollment ID: I20041027001243 |
Provider Name | Micaela V Dartson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1760565329 PECOS PAC ID: 1850202698 Enrollment ID: I20080424000154 |
Provider Name | Mitchell N Williams |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1194990077 PECOS PAC ID: 6709958648 Enrollment ID: I20100217000121 |
Provider Name | Shae M Williams |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1588993505 PECOS PAC ID: 8628103371 Enrollment ID: I20100319000117 |
Provider Name | Baha Atway |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1215168521 PECOS PAC ID: 8123216686 Enrollment ID: I20120307000714 |
Provider Name | Eideh D Atway |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1922367663 PECOS PAC ID: 1153587365 Enrollment ID: I20120716000286 |
Provider Name | Thomas George |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1457334583 PECOS PAC ID: 0840296547 Enrollment ID: I20130409000208 |
Provider Name | Analiza Mitchell |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1083040141 PECOS PAC ID: 0143457010 Enrollment ID: I20131221000074 |
Provider Name | Neeta Hasmukh |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1922431188 PECOS PAC ID: 0143447219 Enrollment ID: I20140813001822 |
Provider Name | Benjamin Cohen |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1497947733 PECOS PAC ID: 7810065364 Enrollment ID: I20150106001965 |
Provider Name | Shannon L Cairns |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1649537036 PECOS PAC ID: 7810203379 Enrollment ID: I20150828000309 |
Provider Name | Jennifer T Maungu |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1023430121 PECOS PAC ID: 7012227531 Enrollment ID: I20151112000489 |
Provider Name | Yermesha L Kyle |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1649681537 PECOS PAC ID: 5890084925 Enrollment ID: I20170809000068 |
Provider Name | Sadaf M Assani |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1902212509 PECOS PAC ID: 8628335015 Enrollment ID: I20171120000361 |
Provider Name | Hemali Haresh Patel |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1316392400 PECOS PAC ID: 5991030546 Enrollment ID: I20190718001483 |
Provider Name | Kalyan C Danneeru |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1831531136 PECOS PAC ID: 3577843143 Enrollment ID: I20200122002904 |
Provider Name | Jinsung J Yoon |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1396212247 PECOS PAC ID: 5496125882 Enrollment ID: I20221229000983 |
Provider Name | Porsha Melcher |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1437568136 PECOS PAC ID: 3577825991 Enrollment ID: I20230413003026 |
Provider Name | Jossy V Paschal |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1962635276 PECOS PAC ID: 8921147000 Enrollment ID: I20230609000688 |
Provider Name | Matthew T Vu |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1295350254 PECOS PAC ID: 7012353048 Enrollment ID: I20240322000312 |
Mailing Address | Practice Location Address |
---|---|
Back Office Management Services Llc 2802 Avenue P, Brooklyn, NY 11229-1810 Ph: (718) 972-5000 | Back Office Management Services Llc 4200 Shepherd Ln, Balch Springs, TX 75180-3423 Ph: (718) 972-5000 |