| American Visiting Doctors Llc | |
|
5050 Quorum Dr Ste 700 Dallas TX 75254-1410 | |
| (832) 398-6786 | |
| (800) 878-3830 |
| Full Name | American Visiting Doctors Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5050 Quorum Dr Ste 700, Dallas, Texas |
| Authorized Official Name and Position | Marilou Oro (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8004091920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Visiting Doctors Llc 11200 Broadway St Ste 2743 Pearland TX 77584-9787 Ph: (800) 409-1920 | American Visiting Doctors Llc 5050 Quorum Dr Ste 700 Dallas TX 75254-1410 Ph: (832) 398-6786 |
| NPI Number | 1710268305 |
|---|---|
| Provider Enumeration Date | 09/09/2011 |
| Last Update Date | 01/05/2022 |
| Medicare PECOS PAC ID | 5698922110 |
|---|---|
| Medicare Enrollment ID | O20120905000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710268305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H5039 (Texas) | Primary |
| 208D00000X | General Practice | H5039 (Texas) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Dale J Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588607428 PECOS PAC ID: 6608789250 Enrollment ID: I20031110000378 |
| Provider Name | Tina L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689698243 PECOS PAC ID: 3577546852 Enrollment ID: I20040608001329 |
| Provider Name | Russell N Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669451266 PECOS PAC ID: 0749251841 Enrollment ID: I20040803000735 |
| Provider Name | Marilou O Oro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841307030 PECOS PAC ID: 9234198201 Enrollment ID: I20041005001319 |
| Provider Name | James Race |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942268586 PECOS PAC ID: 8325943798 Enrollment ID: I20041022000181 |
| Provider Name | Lisa L Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922087139 PECOS PAC ID: 3476515933 Enrollment ID: I20041028000132 |
| Provider Name | Gloria Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548368236 PECOS PAC ID: 2860430899 Enrollment ID: I20050420001045 |
| Provider Name | Aries P Bajoyo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770519878 PECOS PAC ID: 6204893613 Enrollment ID: I20060303000186 |
| Provider Name | Florence N Ojih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851549117 PECOS PAC ID: 1052471612 Enrollment ID: I20081201000100 |
| Provider Name | Paul J Goldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053430975 PECOS PAC ID: 1052475761 Enrollment ID: I20090126000025 |
| Provider Name | Gayle Ann Balmaceda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902987746 PECOS PAC ID: 5991860991 Enrollment ID: I20090206000351 |
| Provider Name | John S Townsend |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811948979 PECOS PAC ID: 1850443110 Enrollment ID: I20090716000662 |
| Provider Name | Mark A Yeoman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376545491 PECOS PAC ID: 8224139019 Enrollment ID: I20100921000231 |
| Provider Name | Rosie Lee Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669694469 PECOS PAC ID: 1355333261 Enrollment ID: I20120917000630 |
| Provider Name | Beauford Basped |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851431035 PECOS PAC ID: 7214187525 Enrollment ID: I20121023000304 |
| Provider Name | Veronica Dike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164723102 PECOS PAC ID: 2466606546 Enrollment ID: I20130128000251 |
| Provider Name | Annelise N Ribeiro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861671281 PECOS PAC ID: 2769624402 Enrollment ID: I20130809000189 |
| Provider Name | Tuyet H Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740521723 PECOS PAC ID: 3274775770 Enrollment ID: I20130813000590 |
| Provider Name | Jacqueline A Balarbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639418239 PECOS PAC ID: 2163651407 Enrollment ID: I20140206001097 |
| Provider Name | Kate Nwike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548607146 PECOS PAC ID: 6204069586 Enrollment ID: I20140513000655 |
| Provider Name | Amanda D Madison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548661556 PECOS PAC ID: 2062634298 Enrollment ID: I20141104000338 |
| Provider Name | Hassanatu Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861892333 PECOS PAC ID: 3971690694 Enrollment ID: I20150108002284 |
| Provider Name | Dennis Ratemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538566708 PECOS PAC ID: 1355666777 Enrollment ID: I20150206000091 |
| Provider Name | Amber D Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003216755 PECOS PAC ID: 8729306816 Enrollment ID: I20150422000802 |
| Provider Name | Sylvain Nitcheu Tientcheu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346632239 PECOS PAC ID: 8729306733 Enrollment ID: I20150422001623 |
| Provider Name | Jessica D Opoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356737449 PECOS PAC ID: 8628383585 Enrollment ID: I20150820012152 |
| Provider Name | Donna Shanks |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033207196 PECOS PAC ID: 6406858539 Enrollment ID: I20151006002216 |
| Provider Name | Humani A Oladapo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659741270 PECOS PAC ID: 1052473089 Enrollment ID: I20151211002205 |
| Provider Name | Oyinlola Oludiran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063882306 PECOS PAC ID: 2466755962 Enrollment ID: I20160115001157 |
| Provider Name | Kariri Obonyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699137133 PECOS PAC ID: 1850563735 Enrollment ID: I20160525000396 |
| Provider Name | Zeeshan M Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598940595 PECOS PAC ID: 9436338290 Enrollment ID: I20160715000667 |
| Provider Name | Olasimbo I Odutayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376994566 PECOS PAC ID: 2567757495 Enrollment ID: I20160817000585 |
| Provider Name | Cyprine K Manduku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881060093 PECOS PAC ID: 8123313574 Enrollment ID: I20160824000599 |
| Provider Name | Marykutty Kuriakose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346792694 PECOS PAC ID: 2567743933 Enrollment ID: I20161222000711 |
| Provider Name | Joshua M Chouteau |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174615066 PECOS PAC ID: 9234374364 Enrollment ID: I20170906000155 |
| Provider Name | Fely Ong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710403894 PECOS PAC ID: 9931465184 Enrollment ID: I20171104000103 |
| Provider Name | Tearra Salter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093291999 PECOS PAC ID: 1850632225 Enrollment ID: I20190411002548 |
| Provider Name | Naphpa Boonpanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558830992 PECOS PAC ID: 5890033377 Enrollment ID: I20200327001295 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 | |
Family Practice House Calls Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11882 Greenville Ave, Suite B100, Dallas, TX 75243 Phone: 214-865-7331 Fax: 855-237-5132 |