| North Star Diagnostic Imaging | |
|
11970 N Central Expy Ste 100 Dallas TX 75243-3772 | |
| (972) 649-6460 | |
| Not Available |
| Full Name | North Star Diagnostic Imaging |
|---|---|
| Speciality | Clinic/Center |
| Location | 11970 N Central Expy Ste 100, Dallas, Texas |
| Authorized Official Name and Position | Kevin Saskiw (MANAGER) |
| Authorized Official Contact | 9726496460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Diagnostic Imaging 7600 Windrose Ave Ste G325 Plano TX 75024-0167 Ph: () - | North Star Diagnostic Imaging 11970 N Central Expy Ste 100 Dallas TX 75243-3772 Ph: (972) 649-6460 |
| NPI Number | 1033630835 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 09/24/2020 |
| Medicare PECOS PAC ID | 6800168576 |
|---|---|
| Medicare Enrollment ID | O20170816002017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033630835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR0200X | Clinic/center - Radiology | (* (Not Available)) | Primary |
| Provider Name | Ellis F Robertson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568465920 PECOS PAC ID: 9638082233 Enrollment ID: I20031110000593 |
| Provider Name | Kalpana Ramakrishna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689677049 PECOS PAC ID: 1254244874 Enrollment ID: I20031110000673 |
| Provider Name | Dana A Fuller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881697688 PECOS PAC ID: 8628981156 Enrollment ID: I20031110000705 |
| Provider Name | William C Sory |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003819426 PECOS PAC ID: 8325951858 Enrollment ID: I20031110000713 |
| Provider Name | Marcie D Coben |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821091646 PECOS PAC ID: 7517870322 Enrollment ID: I20031110000732 |
| Provider Name | Mitchell L Yount |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790788115 PECOS PAC ID: 1355254897 Enrollment ID: I20031110000741 |
| Provider Name | Richard S Rome |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295792034 PECOS PAC ID: 4082527569 Enrollment ID: I20031111000118 |
| Provider Name | Patrick W Barr |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1548269616 PECOS PAC ID: 0143134320 Enrollment ID: I20031113000295 |
| Provider Name | Sridhar Pudu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881697258 PECOS PAC ID: 3173437910 Enrollment ID: I20031117000531 |
| Provider Name | Clint Hamilton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164421095 PECOS PAC ID: 4789598103 Enrollment ID: I20031118001019 |
| Provider Name | William G Schucany |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114970910 PECOS PAC ID: 3678477916 Enrollment ID: I20031119001004 |
| Provider Name | Anthony Charles Toppins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427001395 PECOS PAC ID: 6800790171 Enrollment ID: I20031120000147 |
| Provider Name | Scott A Bundy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558360909 PECOS PAC ID: 4789580416 Enrollment ID: I20031211000826 |
| Provider Name | Lisa Martinez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255331120 PECOS PAC ID: 5890691547 Enrollment ID: I20031211000905 |
| Provider Name | James P Pak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831199686 PECOS PAC ID: 7012813611 Enrollment ID: I20031212000042 |
| Provider Name | Jeffrey S Wenzel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013917731 PECOS PAC ID: 3375449994 Enrollment ID: I20031212000128 |
| Provider Name | Katherine Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730189572 PECOS PAC ID: 9537065156 Enrollment ID: I20031212000141 |
| Provider Name | Warren D Whitlow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407894736 PECOS PAC ID: 2567369234 Enrollment ID: I20031219000028 |
| Provider Name | David Paul Kilgore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306883483 PECOS PAC ID: 2668379306 Enrollment ID: I20031219000139 |
| Provider Name | Kendall Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548240955 PECOS PAC ID: 9335039056 Enrollment ID: I20040317000666 |
| Provider Name | Scott F Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891798286 PECOS PAC ID: 4183616360 Enrollment ID: I20040330001185 |
| Provider Name | Keila M Garoutte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063411932 PECOS PAC ID: 0244225159 Enrollment ID: I20040427001472 |
| Provider Name | Ryomin N Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497709257 PECOS PAC ID: 7911994454 Enrollment ID: I20040427001605 |
| Provider Name | Melissa A Whitworth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720046212 PECOS PAC ID: 5597752618 Enrollment ID: I20040429000415 |
| Provider Name | Douglas E Hammons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477533404 PECOS PAC ID: 9032107453 Enrollment ID: I20040504001388 |
| Provider Name | Won S Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205816618 PECOS PAC ID: 6709874126 Enrollment ID: I20040504001430 |
| Provider Name | John R Wilcox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114920444 PECOS PAC ID: 1850389107 Enrollment ID: I20040504001671 |
| Provider Name | Gregory R Naugher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841257664 PECOS PAC ID: 5395639975 Enrollment ID: I20040607001288 |
| Provider Name | Michael J Doiron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912961798 PECOS PAC ID: 3971586108 Enrollment ID: I20040609001174 |
| Provider Name | Buddy G Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952359119 PECOS PAC ID: 5890770598 Enrollment ID: I20040618000380 |
| Provider Name | John P Fitzsimons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780613240 PECOS PAC ID: 9537144860 Enrollment ID: I20040622000100 |
| Provider Name | Wesley E Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649279928 PECOS PAC ID: 2860472727 Enrollment ID: I20040721001285 |
| Provider Name | David T Larsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851390108 PECOS PAC ID: 8325028277 Enrollment ID: I20040722000184 |
| Provider Name | Sandeep Nirmal Amesur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144329848 PECOS PAC ID: 8921990870 Enrollment ID: I20040729001520 |
| Provider Name | Alex T Chuang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598764821 PECOS PAC ID: 3577533983 Enrollment ID: I20040730000962 |
| Provider Name | David A Fenyes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184627994 PECOS PAC ID: 2769453950 Enrollment ID: I20040802001588 |
| Provider Name | Rodolfo L Garcia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487736583 PECOS PAC ID: 7416928585 Enrollment ID: I20040803000549 |
| Provider Name | Sanjay R Khatti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538127196 PECOS PAC ID: 5799756391 Enrollment ID: I20040805000910 |
| Provider Name | Lucy M Dossett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730175126 PECOS PAC ID: 9436121399 Enrollment ID: I20040811000122 |
| Provider Name | Hsingyee Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043327364 PECOS PAC ID: 3678565066 Enrollment ID: I20040817000512 |
| Provider Name | Bradley J Casolo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316946726 PECOS PAC ID: 2668445792 Enrollment ID: I20040817000954 |
| Provider Name | Chien I Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609860279 PECOS PAC ID: 0143299842 Enrollment ID: I20040929000822 |
| Provider Name | Gustavo M Padron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417911090 PECOS PAC ID: 8729047667 Enrollment ID: I20041013000512 |
| Provider Name | Arthur L Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821052606 PECOS PAC ID: 2163482233 Enrollment ID: I20041013000530 |
| Provider Name | Joseph A Nightingale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073577656 PECOS PAC ID: 5597725663 Enrollment ID: I20041013000553 |
| Provider Name | Craig A Delord |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003870882 PECOS PAC ID: 0648230714 Enrollment ID: I20041013000585 |
| Provider Name | Robert J Nisbet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093764029 PECOS PAC ID: 3678535861 Enrollment ID: I20041030000099 |
| Provider Name | Parviz Neiman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205828928 PECOS PAC ID: 9032175138 Enrollment ID: I20041209000321 |
| Provider Name | Samir A Chhaya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972698793 PECOS PAC ID: 1052379245 Enrollment ID: I20041220000739 |
| Provider Name | Martin T Sigler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245299692 PECOS PAC ID: 8123086295 Enrollment ID: I20041221000954 |
| Provider Name | Allan Kapilivsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962512269 PECOS PAC ID: 1850349028 Enrollment ID: I20050105000414 |
| Provider Name | Ashish Monga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740283118 PECOS PAC ID: 9638083439 Enrollment ID: I20050331001219 |
| Provider Name | Rajiv P Thakur |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1316046006 PECOS PAC ID: 9931146651 Enrollment ID: I20050414000395 |
| Provider Name | David C Heasley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730127903 PECOS PAC ID: 6204871718 Enrollment ID: I20050624000819 |
| Provider Name | Michael B Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265431514 PECOS PAC ID: 8022071778 Enrollment ID: I20050628000566 |
| Provider Name | Jesse N Hochman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952359994 PECOS PAC ID: 2062442031 Enrollment ID: I20050818000980 |
| Provider Name | Jason Albert Conrad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730383829 PECOS PAC ID: 3375576010 Enrollment ID: I20050914000294 |
| Provider Name | Shannon L Amonette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871532465 PECOS PAC ID: 9537146972 Enrollment ID: I20051109000887 |
| Provider Name | Anupam K Singhal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659339398 PECOS PAC ID: 6709806607 Enrollment ID: I20051206000679 |
| Provider Name | David L Klamer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003874744 PECOS PAC ID: 7719907617 Enrollment ID: I20051206000728 |
| Provider Name | Edwin L Boren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598723231 PECOS PAC ID: 0446270441 Enrollment ID: I20051206000756 |
| Provider Name | Gail E Aznavorian Bentley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164461760 PECOS PAC ID: 2961422886 Enrollment ID: I20051206000828 |
| Provider Name | John D Bondy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861440802 PECOS PAC ID: 2365462363 Enrollment ID: I20051206000886 |
| Provider Name | John Patrick Mulloy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093763062 PECOS PAC ID: 2264452168 Enrollment ID: I20051206000916 |
| Provider Name | Mark Alan Spivey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043268204 PECOS PAC ID: 9234161076 Enrollment ID: I20051206000959 |
| Provider Name | Nam T Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568410157 PECOS PAC ID: 4981624889 Enrollment ID: I20051206000974 |
| Provider Name | Todd B Guinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851359525 PECOS PAC ID: 1355361353 Enrollment ID: I20051207000686 |
| Provider Name | Rodney R Bowman |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1326098476 PECOS PAC ID: 5294748232 Enrollment ID: I20060717000262 |
| Provider Name | Kan Ying |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497781900 PECOS PAC ID: 4688679723 Enrollment ID: I20060925000387 |
| Provider Name | Thomas J Cornell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740271881 PECOS PAC ID: 7517901846 Enrollment ID: I20070630000096 |
| Provider Name | Brian R Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164464376 PECOS PAC ID: 6507878873 Enrollment ID: I20070730000176 |
| Provider Name | Jason J Ma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336161959 PECOS PAC ID: 1254337132 Enrollment ID: I20070801000253 |
| Provider Name | Clayton James Sanders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962546309 PECOS PAC ID: 1355438532 Enrollment ID: I20071105000407 |
| Provider Name | Daniel F. Felter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780894147 PECOS PAC ID: 0345321618 Enrollment ID: I20080114000224 |
| Provider Name | Matthew R Hyde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467474189 PECOS PAC ID: 1557365459 Enrollment ID: I20080123000267 |
| Provider Name | Christopher P Goscin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225243355 PECOS PAC ID: 4789761206 Enrollment ID: I20080408000890 |
| Provider Name | Edward W Wooten |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144217373 PECOS PAC ID: 7416027107 Enrollment ID: I20080606000609 |
| Provider Name | Sanjay K Narotam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306966007 PECOS PAC ID: 3971676750 Enrollment ID: I20080728000163 |
| Provider Name | Steven R Reiman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003018276 PECOS PAC ID: 3072603968 Enrollment ID: I20080806000475 |
| Provider Name | Vaibhav Khasgiwala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730218413 PECOS PAC ID: 4981797008 Enrollment ID: I20080827000718 |
| Provider Name | Luis A Jancowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649312935 PECOS PAC ID: 6305945940 Enrollment ID: I20080924000483 |
| Provider Name | Mark Edward Herrera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629059209 PECOS PAC ID: 8325115546 Enrollment ID: I20080930000140 |
| Provider Name | Jeffrey W Carenza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205937547 PECOS PAC ID: 2466544309 Enrollment ID: I20081027000421 |
| Provider Name | Chand Mathur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710904370 PECOS PAC ID: 1153397435 Enrollment ID: I20090107000416 |
| Provider Name | Michael F Duffy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497878060 PECOS PAC ID: 0749344612 Enrollment ID: I20090122000174 |
| Provider Name | Victor Shin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821118811 PECOS PAC ID: 7618076282 Enrollment ID: I20090420000471 |
| Provider Name | Nooruddin S Punjwani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053367649 PECOS PAC ID: 5991787194 Enrollment ID: I20090615000635 |
| Provider Name | James Wolff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134268006 PECOS PAC ID: 0749369577 Enrollment ID: I20090616000254 |
| Provider Name | Lulu Liu Tenorio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033313093 PECOS PAC ID: 1658421565 Enrollment ID: I20090616000368 |
| Provider Name | Matthew W Kirby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508037102 PECOS PAC ID: 1153492798 Enrollment ID: I20090730000200 |
| Provider Name | Henry Tsai Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851563068 PECOS PAC ID: 7416002332 Enrollment ID: I20090828000341 |
| Provider Name | Justin Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821040866 PECOS PAC ID: 0042104754 Enrollment ID: I20100512000449 |
| Provider Name | Viren Balsara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194715383 PECOS PAC ID: 4880628676 Enrollment ID: I20100713000146 |
| Provider Name | Christopher T Sherman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689719338 PECOS PAC ID: 3173656287 Enrollment ID: I20100726000840 |
| Provider Name | Ramon J Garcia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255396065 PECOS PAC ID: 1254242555 Enrollment ID: I20100824000830 |
| Provider Name | Angelena M Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255408308 PECOS PAC ID: 6406971027 Enrollment ID: I20100920000077 |
| Provider Name | Jennifer D Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982656898 PECOS PAC ID: 9537148192 Enrollment ID: I20101221001181 |
| Provider Name | Thomas Walkiewicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912057183 PECOS PAC ID: 1355432949 Enrollment ID: I20110125001259 |
| Provider Name | Michael E. Patyrak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588868517 PECOS PAC ID: 7012187511 Enrollment ID: I20110818000693 |
| Provider Name | Stacy L Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225232309 PECOS PAC ID: 0749450930 Enrollment ID: I20110825000397 |
| Provider Name | Scott D. Prater |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497951719 PECOS PAC ID: 2264605534 Enrollment ID: I20111101000741 |
| Provider Name | Christopher Brett Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700096435 PECOS PAC ID: 8729266424 Enrollment ID: I20111230000142 |
| Provider Name | Victor Ramon Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295982452 PECOS PAC ID: 6709924350 Enrollment ID: I20120117000335 |
| Provider Name | Peter Sedrak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649573163 PECOS PAC ID: 0143489872 Enrollment ID: I20120315000313 |
| Provider Name | Matthew G Strange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174516165 PECOS PAC ID: 6002846391 Enrollment ID: I20120511000043 |
| Provider Name | Julia Grossman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285917195 PECOS PAC ID: 1557527009 Enrollment ID: I20120727000119 |
| Provider Name | Jason L Wolf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497952808 PECOS PAC ID: 5294981106 Enrollment ID: I20120808000925 |
| Provider Name | Uday S Kanamalla |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1043208978 PECOS PAC ID: 7012811821 Enrollment ID: I20120830000517 |
| Provider Name | Thomas S Griggs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891743373 PECOS PAC ID: 7012042229 Enrollment ID: I20121207000344 |
| Provider Name | Heng-hsiao Edward Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518284926 PECOS PAC ID: 6103066592 Enrollment ID: I20130708000600 |
| Provider Name | Michael Joseph Maiers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528234127 PECOS PAC ID: 7618145939 Enrollment ID: I20130828000061 |
| Provider Name | Cuong Tri Vuong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164637682 PECOS PAC ID: 7416080346 Enrollment ID: I20130909000644 |
| Provider Name | Rishi Seth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053529883 PECOS PAC ID: 1254582265 Enrollment ID: I20131122001410 |
| Provider Name | Margaret Grant Mckernan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275595076 PECOS PAC ID: 6002720596 Enrollment ID: I20131231001598 |
| Provider Name | Ramandeep Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962603191 PECOS PAC ID: 8426172859 Enrollment ID: I20140218001275 |
| Provider Name | Conor B Reilly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508094640 PECOS PAC ID: 8729203229 Enrollment ID: I20140625000593 |
| Provider Name | Lori Ann Sedrak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942557616 PECOS PAC ID: 2264754126 Enrollment ID: I20141203001196 |
| Provider Name | Girish M Gidwani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710148622 PECOS PAC ID: 3072837954 Enrollment ID: I20150126000014 |
| Provider Name | Francis Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285769059 PECOS PAC ID: 8123046034 Enrollment ID: I20150416001653 |
| Provider Name | Bryant C Boren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649595091 PECOS PAC ID: 7911227608 Enrollment ID: I20150520001617 |
| Provider Name | Pranav Chitkara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831351113 PECOS PAC ID: 1153548854 Enrollment ID: I20150708000652 |
| Provider Name | Murthy Chamarthy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376854752 PECOS PAC ID: 0143536458 Enrollment ID: I20150901002810 |
| Provider Name | Jason R May |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053622373 PECOS PAC ID: 4981910148 Enrollment ID: I20150902001520 |
| Provider Name | James Frederick Wiedenhoefer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144209743 PECOS PAC ID: 2567770258 Enrollment ID: I20150929002976 |
| Provider Name | Nicholas Galante |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710121041 PECOS PAC ID: 7315257722 Enrollment ID: I20151113000888 |
| Provider Name | Benjamin Crandall |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255306312 PECOS PAC ID: 3274534797 Enrollment ID: I20151114000004 |
| Provider Name | John A Bardini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780669986 PECOS PAC ID: 8426077546 Enrollment ID: I20151204000038 |
| Provider Name | Dustin Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346474582 PECOS PAC ID: 2466696075 Enrollment ID: I20151230002046 |
| Provider Name | Jeffrey Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841498821 PECOS PAC ID: 9335240217 Enrollment ID: I20160125000145 |
| Provider Name | Brian B Griffith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578853438 PECOS PAC ID: 7315236627 Enrollment ID: I20160510000583 |
| Provider Name | David Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295020758 PECOS PAC ID: 8921329772 Enrollment ID: I20160602002385 |
| Provider Name | Jeremy Clark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902122443 PECOS PAC ID: 2062685548 Enrollment ID: I20160620001218 |
| Provider Name | Michael A Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235441627 PECOS PAC ID: 1850606583 Enrollment ID: I20160701000219 |
| Provider Name | Jason Caldwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760709182 PECOS PAC ID: 0244476927 Enrollment ID: I20160728002081 |
| Provider Name | Edwin Chu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447577713 PECOS PAC ID: 7719299858 Enrollment ID: I20160804002518 |
| Provider Name | Sindhura Alapati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528370319 PECOS PAC ID: 7012220189 Enrollment ID: I20170315001813 |
| Provider Name | Ashkahn Golshani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598059628 PECOS PAC ID: 4587956628 Enrollment ID: I20170327002764 |
| Provider Name | Jayant Boolchand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871823039 PECOS PAC ID: 8921316001 Enrollment ID: I20170607000560 |
| Provider Name | Michael Ghazarian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376835371 PECOS PAC ID: 6901174259 Enrollment ID: I20170610000009 |
| Provider Name | Archana Siddalingappa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154632859 PECOS PAC ID: 9537473939 Enrollment ID: I20170815001354 |
| Provider Name | Blake Nolan Staub |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851525943 PECOS PAC ID: 5092000869 Enrollment ID: I20170906001294 |
| Provider Name | Samer Harmoush |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447561683 PECOS PAC ID: 4880968882 Enrollment ID: I20170914000812 |
| Provider Name | George Paul Hobbs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801920350 PECOS PAC ID: 1052462264 Enrollment ID: I20171128001278 |
| Provider Name | Rohan Samir Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003101130 PECOS PAC ID: 0941505416 Enrollment ID: I20171219002855 |
| Provider Name | Nathan D Cecava |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235194168 PECOS PAC ID: 5991937260 Enrollment ID: I20180410001195 |
| Provider Name | Mumtaz B Syed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396004859 PECOS PAC ID: 0345489118 Enrollment ID: I20180517001209 |
| Provider Name | Magda Rizer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427482280 PECOS PAC ID: 3678844230 Enrollment ID: I20180522001502 |
| Provider Name | Peter Brett Derman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942567961 PECOS PAC ID: 7214229640 Enrollment ID: I20180827001924 |
| Provider Name | David Pilkinton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164869525 PECOS PAC ID: 4385994664 Enrollment ID: I20180906003260 |
| Provider Name | Feng Jiang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558603803 PECOS PAC ID: 4082993548 Enrollment ID: I20190204001287 |
| Provider Name | Kwabena Yeboah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215284898 PECOS PAC ID: 1850608696 Enrollment ID: I20190814003448 |
| Provider Name | Luke A Chambless |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982048948 PECOS PAC ID: 1850672841 Enrollment ID: I20191015003090 |
| Provider Name | John Tien Doan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164684130 PECOS PAC ID: 0648575092 Enrollment ID: I20200116001831 |
| Provider Name | Bryan Peck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114361953 PECOS PAC ID: 5193022531 Enrollment ID: I20200121001711 |
| Provider Name | Joshua Jansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952539629 PECOS PAC ID: 2668691494 Enrollment ID: I20200124000622 |
| Provider Name | Winslett M Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376987362 PECOS PAC ID: 8820379795 Enrollment ID: I20200211002524 |
| Provider Name | Samantha Michelle Castillo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326433095 PECOS PAC ID: 4789006552 Enrollment ID: I20200624001315 |
| Provider Name | Lauren Martinez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184043424 PECOS PAC ID: 0446474324 Enrollment ID: I20201030000502 |
| Provider Name | Dennis Son |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619198272 PECOS PAC ID: 2668567728 Enrollment ID: I20210528000618 |
| Provider Name | Anthony F Leblanc |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356799068 PECOS PAC ID: 1254734098 Enrollment ID: I20210730001389 |
| Provider Name | Amr Soliman Moustafa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629431895 PECOS PAC ID: 6002108347 Enrollment ID: I20220628002180 |
| Provider Name | Yan Cao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134588072 PECOS PAC ID: 3173892338 Enrollment ID: I20230111003124 |
| Provider Name | Joel Richard Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275675092 PECOS PAC ID: 9133360803 Enrollment ID: I20230116000327 |
| Provider Name | Jamil Muasher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992913586 PECOS PAC ID: 2769648138 Enrollment ID: I20230616001951 |
| Provider Name | Benjamin Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619269958 PECOS PAC ID: 3375835937 Enrollment ID: I20230710002368 |
| Provider Name | Derek Diffendaffer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558629113 PECOS PAC ID: 8426327727 Enrollment ID: I20230728001935 |
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 |