| |
5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001-4648 | |
(972) 364-8083 | |
(214) 775-4502 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 5080 Spectrum Drive, Addison, Texas |
Authorized Official Name and Position | Robert Hassett (SENIOR VP / CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 9723648000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
5080 Spectrum Drive Suite 1200 Addsion TX 75001-4648 Ph: (972) 364-8083 | 5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001-4648 Ph: (972) 364-8083 |
NPI Number | 1609044999 |
---|---|
Provider Enumeration Date | 02/20/2008 |
Last Update Date | 06/25/2024 |
Medicare PECOS PAC ID | 1153461264 |
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Medicare Enrollment ID | O20091222000279 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609044999 | NPI | - | NPPES |
Provider Name | Lisa M Campanella-coppo |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1720180623 PECOS PAC ID: 8628059045 Enrollment ID: I20040716000005 |
Provider Name | Kerry R Mcmahon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497847339 PECOS PAC ID: 1850353251 Enrollment ID: I20041028000509 |
Provider Name | George Dixon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548341464 PECOS PAC ID: 3274598719 Enrollment ID: I20041124000294 |
Provider Name | Pejman Lavian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871565432 PECOS PAC ID: 5698767911 Enrollment ID: I20050216000295 |
Provider Name | Minh N Huynh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669567343 PECOS PAC ID: 0345294237 Enrollment ID: I20050303000242 |
Provider Name | Sarla R Chhabria |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982731071 PECOS PAC ID: 6406882729 Enrollment ID: I20050708000677 |
Provider Name | David Chen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437120961 PECOS PAC ID: 0547285728 Enrollment ID: I20051006000638 |
Provider Name | Luminita Fulop |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720037609 PECOS PAC ID: 8921024217 Enrollment ID: I20051017000239 |
Provider Name | Mitaec Suh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508813353 PECOS PAC ID: 0446254965 Enrollment ID: I20060925000027 |
Provider Name | Jhibu Thomas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659578797 PECOS PAC ID: 8022199587 Enrollment ID: I20080123000017 |
Provider Name | Lulu A Jimma |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669428793 PECOS PAC ID: 9234111402 Enrollment ID: I20080204000414 |
Provider Name | Evangeline Appiah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306037791 PECOS PAC ID: 8628130812 Enrollment ID: I20081223000093 |
Provider Name | Sheryl Timpanelli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225260680 PECOS PAC ID: 6305985094 Enrollment ID: I20091210000056 |
Provider Name | Panchali Ganguly |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407805914 PECOS PAC ID: 5799829750 Enrollment ID: I20100215000691 |
Provider Name | Ashwin M Kansagra |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1508984519 PECOS PAC ID: 2961546676 Enrollment ID: I20100218000804 |
Provider Name | Eugene Fulop |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1558489716 PECOS PAC ID: 3577607860 Enrollment ID: I20100224000904 |
Provider Name | Tony J Tarasenko |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548462377 PECOS PAC ID: 3870638315 Enrollment ID: I20100308000803 |
Provider Name | Mohammad D Daftani |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720316367 PECOS PAC ID: 0345425377 Enrollment ID: I20110506000072 |
Provider Name | Pritesh B Parmar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154519403 PECOS PAC ID: 5799961678 Enrollment ID: I20110510000362 |
Provider Name | Shilpa M Saxena |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023291333 PECOS PAC ID: 8022286871 Enrollment ID: I20110721000302 |
Provider Name | Oksana B Luke |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639385800 PECOS PAC ID: 1254402969 Enrollment ID: I20120413000024 |
Provider Name | Robert J Smick |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720013196 PECOS PAC ID: 0547423121 Enrollment ID: I20120517000420 |
Provider Name | Brian Weingart |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871826784 PECOS PAC ID: 3375799521 Enrollment ID: I20120803000630 |
Provider Name | Melissa Rusli |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1558554253 PECOS PAC ID: 7113173097 Enrollment ID: I20120808000680 |
Provider Name | Purvee Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730310509 PECOS PAC ID: 9335399625 Enrollment ID: I20121023000125 |
Provider Name | Genevieve Nwigwe |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881968261 PECOS PAC ID: 4486895687 Enrollment ID: I20130731000444 |
Provider Name | Neola K Gushway Henry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386888766 PECOS PAC ID: 8820232051 Enrollment ID: I20130910000232 |
Provider Name | Jessica A Timmerman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225477904 PECOS PAC ID: 4587899562 Enrollment ID: I20131029000540 |
Provider Name | James E Bellamy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962477828 PECOS PAC ID: 9234450636 Enrollment ID: I20150611000200 |
Provider Name | Hongsun Choi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982665592 PECOS PAC ID: 9537340997 Enrollment ID: I20160520001322 |
Provider Name | Wendy J Jacobi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639414220 PECOS PAC ID: 3779753868 Enrollment ID: I20160922001364 |
Provider Name | Shanthi Reddy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194047860 PECOS PAC ID: 3870563166 Enrollment ID: I20170109001312 |
Provider Name | Michelle D Quash |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497947972 PECOS PAC ID: 3678666773 Enrollment ID: I20170511000488 |
Provider Name | Christopher Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851767420 PECOS PAC ID: 0648565671 Enrollment ID: I20170831002759 |
Provider Name | Sheryl Cekot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093228363 PECOS PAC ID: 0345276333 Enrollment ID: I20180214000464 |
Provider Name | Rhodora M Arcilla |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942606074 PECOS PAC ID: 6103121751 Enrollment ID: I20180418002709 |
Provider Name | Bridget A Carroll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467955351 PECOS PAC ID: 5395009526 Enrollment ID: I20180516000028 |
Provider Name | Ani Veleva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366918294 PECOS PAC ID: 3971847716 Enrollment ID: I20181204003526 |
Provider Name | Thaddeus Ritch De Herrera |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1801063714 PECOS PAC ID: 2062687254 Enrollment ID: I20190912000127 |
Provider Name | Robin C Moore |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306141585 PECOS PAC ID: 3072753219 Enrollment ID: I20200728002156 |
Provider Name | Lindsey Mara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861062473 PECOS PAC ID: 7315345303 Enrollment ID: I20211122001845 |
Provider Name | Nirali Bhavsar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003573221 PECOS PAC ID: 6305237603 Enrollment ID: I20211221001870 |
Provider Name | Brad Gurney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740221050 PECOS PAC ID: 3577460203 Enrollment ID: I20220203000847 |
Provider Name | Rachel Canseco-berbano |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174598965 PECOS PAC ID: 5294727285 Enrollment ID: I20220329001136 |
Provider Name | Deborah L Macy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811559875 PECOS PAC ID: 3870960404 Enrollment ID: I20221110000969 |
Provider Name | John Riance Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558848549 PECOS PAC ID: 7315317542 Enrollment ID: I20230105000511 |
Provider Name | Lucian J Introcaso |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1386795680 PECOS PAC ID: 1052782448 Enrollment ID: I20230123001247 |
Provider Name | Tarquin Oliver Moore |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992838387 PECOS PAC ID: 2466824115 Enrollment ID: I20230207001959 |
Provider Name | Rhoneise Yvonne Barnett Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871573469 PECOS PAC ID: 2668401712 Enrollment ID: I20230607002099 |
Provider Name | Varsha N Shah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144884156 PECOS PAC ID: 1759743149 Enrollment ID: I20230816004321 |
Provider Name | Debora Gildin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871886549 PECOS PAC ID: 0042557142 Enrollment ID: I20240806001826 |
Provider Name | Craig Stefan Sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922845742 PECOS PAC ID: 8921545054 Enrollment ID: I20240807001176 |
American Current Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr, Suite 1200 West Tower, Addison, TX 75001 Phone: 972-364-8083 Fax: 214-775-4502 | |
Virtual Health Provider Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5057 Keller Springs Rd Ste 300, Addison, TX 75001 Phone: 877-345-3992 | |
Concentra Health Serivces, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr Ste 1200w, Addison, TX 75001 Phone: 972-364-3000 | |
Occupational Health Centers Of The Southwest P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr, Suite 1200w, Addison, TX 75001 Phone: 972-720-7768 Fax: 214-775-4502 | |
Neuropathy Healers, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16300 Addison Rd Ste 300, Addison, TX 75001 Phone: 972-920-6898 |