MATTHEW TICE (NPI# 1003175233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003175233 |
| Entity Type | Individual |
| Full Name | MATTHEW TICE |
| Credential | MD |
| Practice Address |
12221 Merit Dr Suite 1500 Dallas TX 75251-2202 |
| Practice Telephone | 2142171911 |
| Mailing Telephone | 2142171911 |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2016-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Q8371 | TX | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | TRN17251 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014953600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804713 | Matthew A Tice | Social Worker | 50 Wyoming Ave, Buffalo, NY 14215-4022 | 2020-09-08 |
| Street Address |
12221 MERIT DR SUITE 1500 |
| City | DALLAS |
| State | TX |
| Zip Code | 75251-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831162874 | Dipauni S Doshi | Internal Medicine | 12221 Merit Dr, Ste 1500, Dallas, TX 75251-2202 | 2006-02-09 |
| 1962959007 | Rebecca Conroy | Nurse Practitioner | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-09-07 |
| 1164884599 | Lindsey Lawrence | Physician Assistant | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-03-24 |
| 1972965770 | Ifeatu Okafor | Physician Assistant | 12221 Merit Dr, #1500, Dallas, TX 75251-2202 | 2016-03-22 |
| 1790145456 | Beverly Catherine Weickgenant | Physician Assistant | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-02-24 |
| 1235596578 | Kimberly Ann Lyon | Physician Assistant | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-01-18 |
| 1619364874 | Frisco Spine, P.a. | Neurological Surgery | 12221 Merit Dr, Suite 620, Dallas, TX 75251-2202 | 2015-04-24 |
| 1306288634 | Questcare Surgicalists Pllc | Surgery | 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 | 2013-07-29 |
| 1912340431 | Christopher Terry Kennedy | Emergency Medicine | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2013-04-15 |
| 1265772503 | Beverly L Farris | Nurse Practitioner | 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 | 2013-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387317 | Patricia Maria Torres | Specialist/Technologist | 12270 Coit Rd. #870, Dallas, TX 75251 | 2018-12-13 |
| 1437654043 | Precision Med Consultants | Anesthesiology | 12200 Park Central Dr Ste 300, Dallas, TX 75251 | 2018-03-26 |
| 1346650496 | Joseph Hughes Snow Iv | Emergency Medicine | Envision, 12221 Merit Dr Suite 1500, Dallas, TX 75251 | 2014-04-29 |
| 1033558317 | Emily B. Becher | Registered Nurse | 12221 Ment Drive, Suite 1500, Dallas, TX 75251 | 2013-06-19 |
| 1164713178 | Feraidoon Aminzadeh | Chiropractor | 8001 Lbj Freeway, Suite 401, Dallas, TX 75251 | 2011-04-25 |
| 1801035738 | Bharti V Bhakta | Clinic/Center | 7750 Lbj Freeway, Dallas, TX 75251 | 2009-02-17 |
| 1114111549 | Merit Comprehensive Care | Clinic/Center | 12200 Park Central Dr., Suite 189, Dallas, TX 75251 | 2007-08-29 |
| 1790906683 | Amee Godkin Nash | Counselor | 7808 Clodus Field Drive, Dallas, TX 75251 | 2007-05-01 |
| 1740302561 | Asjad M Khan | Internal Medicine | 1221 Merit Drive, 1610, Dallas, TX 75251 | 2007-04-04 |
| 1891845681 | Zachary A Goldman | Emergency Medicine | Questcare Partners, 12221 Merit Dr #1610, Dallas, TX 75251 | 2007-01-12 |
| Find all providers in zip 75251 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077675 | Eir Pllc | Emergency Medicine | 5150 Lemmon Ave Ste 108, Dallas, TX 75209-6428 | 2020-09-15 |
| 1912537184 | Nuch of Texas | Emergency Medicine | 14201 Dallas Pkwy Ste 150, Dallas, TX 75254-2916 | 2020-01-16 |
| 1740827906 | Ziad A. Abdo, Md, P.a. | Emergency Medicine | 14731 Stanford Ct, Dallas, TX 75254-8471 | 2019-12-06 |
| 1174189815 | Alexander Wisbeck | Emergency Medicine | Emergency Medicine Dept. Utsw Medical Center, Dallas, TX 75390-8579 | 2019-05-17 |
| 1245797760 | Exceptional Physicians Group Pllc | Emergency Medicine | 1100 S Akard St, Dallas, TX 75215-1003 | 2019-02-21 |
| 1265812960 | Richard Philip Williams | Emergency Medicine | 5253 Harry Hines Blvd, Dallas, TX 75390-4993 | 2015-06-08 |
| 1356736524 | Hp Health Center, Pllc | Emergency Medicine | 9203 Skillman St Ste 126, Dallas, TX 75243-9036 | 2015-04-03 |
| 1578952354 | Arvin Radfar Akhavan | Emergency Medicine | 5511 Inverrary Ct, Dallas, TX 75287-7416 | 2015-01-15 |
| 1235543430 | Kneel and Youngblood | Emergency Medicine | 300 Crescent Ct, #1380, Dallas, TX 75201-1876 | 2014-06-16 |
| 1154733004 | Blake Ashton Johnson | Emergency Medicine | 13737 Noel Rd Ste 1200, Dallas, TX 75240-1335 | 2014-05-27 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.