SOUTHERN SECTOR HEALTH INITIATIVE (NPI# 1003456583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003456583 |
| Entity Type | Organization |
| Organization Name | SOUTHERN SECTOR HEALTH INITIATIVE |
| Other Organization Name | BAYLOR SCOTT & WHITE HEALTH AND WELLNESS CENTER |
| Practice Address |
4500 Spring Ave Ste 130 Dallas TX 75210-1350 |
| Practice Telephone | 2148653060 |
| Practice Fax Number | 2148653070 |
| Mailing Telephone | 2148653060 |
| Mailing Fax Number | 2148653070 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | VENITA OWENS (PRESIDENT) |
| Authorized Official Telephone | 2148653099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Baylor Scott & White Health and Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382596 | Southern Sector Health Initiative | Clinic/Center | 4500 Spring Ave Ste 142, Dallas, TX 75210-1350 | 2020-10-05 |
| Street Address |
4500 SPRING AVE STE 130 |
| City | DALLAS |
| State | TX |
| Zip Code | 75210-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962659086 | Edgar Quinagoran Bacud | Physical Therapist | 4206 South Fitzhugh Avenue, Dallas, TX 75210 | 2008-08-20 |
| 1912189861 | Happy Care Adult Day Center, LLC | Clinic/Center | 4915 Brashear St., Dallas, TX 75210 | 2007-12-03 |
| 1477537843 | Deborah G. Morris-harris | Internal Medicine | 4922 Spring Avenue, Prism Health North Texas, Dallas, TX 75210 | 2005-11-30 |
| 1235283839 | Kay Alyson Thompson | Internal Medicine | 4600 Scyene Road, Hatcher Station Health Center, Dallas, TX 75210 | 2007-01-22 |
| 1790382596 | Southern Sector Health Initiative | Clinic/Center | 4500 Spring Ave Ste 142, Dallas, TX 75210-1350 | 2020-10-05 |
| 1174515936 | Brenda A Hamilton | Nurse Practitioner | 4500 Spring Ave, Dallas, TX 75210-1350 | 2005-08-18 |
| 1043828403 | Anabelia Aguillon | Dietitian, Registered | 4500 Spring Ave, Dallas, TX 75210-1350 | 2020-07-21 |
| 1144851254 | Andrea Harris | Nutritionist | 4500 Spring Ave, Dallas, TX 75210-1350 | 2020-01-28 |
| 1366072068 | Kirsten Granberry | Dietitian, Registered | 4500 Spring Ave, Dallas, TX 75210-1350 | 2020-01-22 |
| 1407162407 | Lashica Y Scaife | Nurse Practitioner | 4500 Spring Ave, Dallas, TX 75210-1350 | 2010-08-27 |
| Find all providers in zip 75210 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578585386 | John Thomas Carlo | Preventive Medicine | 351 W Jefferson Blvd, Suite 300, Dallas, TX 75208-4859 | 2006-07-24 |
| 1376577890 | Kenneth H Cooper | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-07-10 |
| 1902898851 | Anthony B. Way | Preventive Medicine | 4334 Melissa Ln, Dallas, TX 75229-4113 | 2005-08-17 |
| 1194062323 | David Shaw Nilasena | Preventive Medicine | 1301 Young St, Room 714, Dallas, TX 75202-5433 | 2013-01-08 |
| 1952615288 | Steven Gerard Wilson | Preventive Medicine | 2377 N Stemmons Fwy, Dallas, TX 75207-2710 | 2010-07-28 |
| 1164648754 | Lisa Marie Mcadams | Preventive Medicine | 1301 Young St, Room 833, Dallas, TX 75202-5433 | 2007-04-18 |
| 1144378910 | Richard Riley Constant | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2007-01-08 |
| 1164582383 | Steven Michael Clark | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-12-11 |
| 1043378714 | Michele A Kettles | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-12-05 |
| 1174690218 | Riva L Rahl | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-11-30 |
| 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.