| Medico Md | |
|
8150 Springwood Dr # 150b Irving TX 75063-5810 | |
| (469) 253-5834 | |
| (469) 253-5834 |
| Full Name | Medico Md |
|---|---|
| Speciality | Family Medicine |
| Location | 8150 Springwood Dr # 150b, Irving, Texas |
| Authorized Official Name and Position | Stephanie Piner (REGIONAL DIRECTOR) |
| Authorized Official Contact | 4692535834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medico Md 8150 Springwood Dr # 150b Irving TX 75063-5810 Ph: (469) 253-5834 | Medico Md 8150 Springwood Dr # 150b Irving TX 75063-5810 Ph: (469) 253-5834 |
| NPI Number | 1639656325 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 05/26/2022 |
| Medicare PECOS PAC ID | 9436400579 |
|---|---|
| Medicare Enrollment ID | O20180928000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639656325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M2606 (Texas) | Primary |
| Provider Name | Federico Maese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922123728 PECOS PAC ID: 8325952799 Enrollment ID: I20031119000086 |
| Provider Name | Kathleen E Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497748529 PECOS PAC ID: 7911991484 Enrollment ID: I20040408001388 |
| Provider Name | Lee W Haak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104803923 PECOS PAC ID: 3072596667 Enrollment ID: I20040612000789 |
| Provider Name | Lucina B Trevino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003981242 PECOS PAC ID: 1456323351 Enrollment ID: I20040811000422 |
| Provider Name | Stephanie E Stafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720031321 PECOS PAC ID: 6507820792 Enrollment ID: I20041117000574 |
| Provider Name | Margaret Walter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134157829 PECOS PAC ID: 8921039108 Enrollment ID: I20050826000840 |
| Provider Name | Concepcion Martinez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710973946 PECOS PAC ID: 5991721201 Enrollment ID: I20051017000374 |
| Provider Name | Timothy W Boersma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942244926 PECOS PAC ID: 9739101874 Enrollment ID: I20060103000669 |
| Provider Name | Snehal Kolhe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417984428 PECOS PAC ID: 2365466265 Enrollment ID: I20060118000781 |
| Provider Name | Ann Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750329801 PECOS PAC ID: 3476562257 Enrollment ID: I20060406000606 |
| Provider Name | Emily K Sloan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992806764 PECOS PAC ID: 9830291400 Enrollment ID: I20070228000337 |
| Provider Name | Donald C Dunlap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518995752 PECOS PAC ID: 6406940824 Enrollment ID: I20070917000265 |
| Provider Name | Agboola O Fatiregun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134128101 PECOS PAC ID: 5991751083 Enrollment ID: I20071116000499 |
| Provider Name | Binh D Ho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235178823 PECOS PAC ID: 4688744592 Enrollment ID: I20080604000648 |
| Provider Name | Jessie D Hicks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811994023 PECOS PAC ID: 5698843548 Enrollment ID: I20081006000549 |
| Provider Name | Hernan E Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477547339 PECOS PAC ID: 7719945633 Enrollment ID: I20081101000101 |
| Provider Name | Nathan Phuc Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821256942 PECOS PAC ID: 5890859870 Enrollment ID: I20090206000134 |
| Provider Name | Guy Grayson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598705030 PECOS PAC ID: 9335205657 Enrollment ID: I20090311000274 |
| Provider Name | Fernando S Gallegos Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770736191 PECOS PAC ID: 9032276639 Enrollment ID: I20090326000233 |
| Provider Name | Peter Goldstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154567980 PECOS PAC ID: 2365411600 Enrollment ID: I20090327000541 |
| Provider Name | Jill Saffran-sedacca |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225131089 PECOS PAC ID: 7113074949 Enrollment ID: I20090414000657 |
| Provider Name | Susan P Mangum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962657486 PECOS PAC ID: 7214114792 Enrollment ID: I20110609000464 |
| Provider Name | Cathy Lynn Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518963602 PECOS PAC ID: 9830364314 Enrollment ID: I20111212000563 |
| Provider Name | Leticia R Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174762934 PECOS PAC ID: 6204060015 Enrollment ID: I20131010001040 |
| Provider Name | Nadia Nisar Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497066724 PECOS PAC ID: 4183859028 Enrollment ID: I20131030000717 |
| Provider Name | Israel T Haile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922328335 PECOS PAC ID: 6901033802 Enrollment ID: I20131223000860 |
| Provider Name | Kaitleen Thuynhan Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043643778 PECOS PAC ID: 9537396270 Enrollment ID: I20131230000430 |
| Provider Name | Asma C Ashraf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639498371 PECOS PAC ID: 6507095650 Enrollment ID: I20140212001336 |
| Provider Name | Kenny Newgene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376861906 PECOS PAC ID: 6406091230 Enrollment ID: I20140228001191 |
| Provider Name | Syed K Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144485640 PECOS PAC ID: 4486879798 Enrollment ID: I20140630001108 |
| Provider Name | Sarosh Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295994606 PECOS PAC ID: 1052452620 Enrollment ID: I20140710002439 |
| Provider Name | Van T Ton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801195391 PECOS PAC ID: 8022241603 Enrollment ID: I20140815001214 |
| Provider Name | Scott J Spear |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346225190 PECOS PAC ID: 6103913116 Enrollment ID: I20141230001670 |
| Provider Name | Aiman Shokr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164748810 PECOS PAC ID: 1951545219 Enrollment ID: I20150728004786 |
| Provider Name | Zahoor Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548548019 PECOS PAC ID: 1658686852 Enrollment ID: I20150818003469 |
| Provider Name | Nadia Nicole Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679973077 PECOS PAC ID: 8426359910 Enrollment ID: I20160419001981 |
| Provider Name | Sadaf Saghier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346404159 PECOS PAC ID: 5890080030 Enrollment ID: I20160826000411 |
| Provider Name | Joann Bolude |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255666335 PECOS PAC ID: 8022399013 Enrollment ID: I20170105002124 |
| Provider Name | Terata Kanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376842591 PECOS PAC ID: 0143501205 Enrollment ID: I20170119000005 |
| Provider Name | Emad Lawendy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619139847 PECOS PAC ID: 4385818251 Enrollment ID: I20170518002230 |
| Provider Name | Gabriel J Okpagu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669890315 PECOS PAC ID: 1850516881 Enrollment ID: I20171025002047 |
| Provider Name | Eberechi Agbara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790135838 PECOS PAC ID: 8325336696 Enrollment ID: I20171218000766 |
| Provider Name | Joseph H Zadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750672523 PECOS PAC ID: 9133103765 Enrollment ID: I20180522000358 |
| Provider Name | Yvonne M Gasigwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154837029 PECOS PAC ID: 5395090344 Enrollment ID: I20180615002156 |
| Provider Name | Muhammad Ali Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437125481 PECOS PAC ID: 6406898956 Enrollment ID: I20190131001882 |
| Provider Name | Ebrahim Ghazali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194110379 PECOS PAC ID: 0244579985 Enrollment ID: I20190225002239 |
| Provider Name | Bachar Elsaadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326421918 PECOS PAC ID: 9931448685 Enrollment ID: I20190225002405 |
| Provider Name | Vidhi S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750693859 PECOS PAC ID: 9032345269 Enrollment ID: I20190312002270 |
| Provider Name | Elizabeth Rachel Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386835569 PECOS PAC ID: 3274873120 Enrollment ID: I20190313000508 |
| Provider Name | Danielle Grigsby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205125929 PECOS PAC ID: 0446592992 Enrollment ID: I20190502000432 |
| Provider Name | Dragon Do |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548550601 PECOS PAC ID: 3072832666 Enrollment ID: I20190508000140 |
| Provider Name | Afser Tasneem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770664948 PECOS PAC ID: 1355387424 Enrollment ID: I20190517000672 |
| Provider Name | Sindhu E Philip |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740264894 PECOS PAC ID: 9032135918 Enrollment ID: I20190517001431 |
| Provider Name | Hani Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962661033 PECOS PAC ID: 2163581836 Enrollment ID: I20190517001707 |
| Provider Name | Karla Higginbotham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366884926 PECOS PAC ID: 1456584804 Enrollment ID: I20190520002117 |
| Provider Name | Natalie N Fontenot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508467515 PECOS PAC ID: 0446661946 Enrollment ID: I20201203002310 |
| Provider Name | Amanda Razo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588270623 PECOS PAC ID: 2961813464 Enrollment ID: I20201203002420 |
| Provider Name | Linnet Nandwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215536131 PECOS PAC ID: 6406267905 Enrollment ID: I20201203002483 |
| Provider Name | Duy H Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407425333 PECOS PAC ID: 8426454893 Enrollment ID: I20210909003327 |
| Provider Name | Stelle Darelle Fopa Yemeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790390300 PECOS PAC ID: 0042617045 Enrollment ID: I20210917000852 |
| Provider Name | Obioma Anyogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104454602 PECOS PAC ID: 1355748112 Enrollment ID: I20210921001401 |
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