HERITAGE INTER-MED, PLLC (NPI# 1013136787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013136787 |
| Entity Type | Organization |
| Organization Name | HERITAGE INTER-MED, PLLC |
| Practice Address |
1121 N Joe Wilson Rd Cedar Hill TX 75104-1430 |
| Practice Telephone | 9722990003 |
| Practice Fax Number | 9722990004 |
| Mailing Telephone | 9722990003 |
| Mailing Fax Number | 9722990004 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | DR. CECIL CEDRIC BAILEY (OWNER) |
| Authorized Official Telephone | 9722990003 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | WELLCARE | 392541 | 01 |
| TX | AETNA | 7809231 | 01 |
| TX | SECURE HORIZONS | 0158180352 | 01 |
| TX | 203079301 | 05 | |
| TX | RAILROAD MEDICARE | DQ8950 | 01 |
| Street Address |
1121 N JOE WILSON RD |
| City | CEDAR HILL |
| State | TX |
| Zip Code | 75104-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871546598 | Cecil Cedric Bailey | Internal Medicine | 1121 N Joe Wilson Rd, Cedar Hill, TX 75104-1430 | 2006-05-17 |
| 1629432752 | Syncfit Pllc | Clinic/Center | 1121 N Joe Wilson Rd, Cedar Hill, TX 75104-1430 | 2016-04-05 |
| 1164885695 | Aligne Therapy & Wellness Pllc | Clinic/Center | 1121 N Joe Wilson Rd, Cedar Hill, TX 75104-1430 | 2016-04-01 |
| 1821279969 | Thor Medical Association | Family Medicine | 1121 N Joe Wilson Rd, Cedar Hill, TX 75104-1430 | 2007-11-16 |
| 1427169689 | Donald Frank Vedral | Family Medicine | 1121 N Joe Wilson Rd, Cedar Hill, TX 75104-1430 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647613 | Maurice Leung | Optometrist | 305 W. Fm1382 Bldg 500, Suite 500, Cedar Hill, TX 75104 | 2020-07-30 |
| 1073156055 | Collier Family Dnetistry Pllc | Dentist | 918 E Pleasant Run Rd, Ste 120, Cedar Hill, TX 75104 | 2019-10-23 |
| 1760038061 | Shawn Brandon Fitzpatrick | Optometrist | 500, 305 E Farm To Market Rd., 1382 #500, Cedar Hill, TX 75104 | 2019-08-13 |
| 1487120093 | Daniel Max & Marcandrea, LLC | Optometrist | 401 J Elmer Weaver Fwy, Cedar Hill, TX 75104 | 2018-10-22 |
| 1386153567 | Professional Np Cares Inc | Family Medicine | 1438 Oxbow Dr., Cedar Hill, TX 75104 | 2017-09-20 |
| 1295273688 | Ikids Pediatric Dentistry Cedar Hill, Pllc | Dentist | 520 W. Fm 1382, Cedar Hill, TX 75104 | 2017-02-06 |
| 1598178568 | Meredith Lee Orseth | Dermatology | 610 Uptown Blvd Ste 102, Cedar Hill, TX 75104 | 2014-06-08 |
| 1295160943 | Cedar Hill Medical Center LLC | Clinic/Center | 850 Hwy 67 N, Cedar Hill, TX 75104 | 2013-09-12 |
| 1447699202 | Tammy Audrenia Clay | Registered Nurse | 1336 Boyd Street, Cedar Hill, TX 75104 | 2013-06-14 |
| 1205172020 | Felistar Ogechi Awhen | Licensed Vocational Nurse | 1277 Cedarhill, Cedarhill, TX 75104 | 2012-12-26 |
| Find all providers in zip 75104 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275545220 | Imagemaker Inc | Clinic/Center | 318 W. Beltline Rd., Suite 301, Cedar Hill, TX 75104-2007 | 2006-08-11 |
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| 1497378988 | Post-acute Care Services, Pllc | Clinic/Center | 5729 Martin Rd Apt 107, Plano, TX 75024-4955 | 2020-05-19 |
| 1407476138 | Summit Emergency Medicine, Pllc | Clinic/Center | 8111 Lbj Fwy Ste 475, Dallas, TX 75251-1386 | 2020-04-22 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1376163311 | Betts Ventures Inc | Clinic/Center | 13134 Dairy Ashford Rd Ste 900-a, Sugar Land, TX 77478-3756 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR HILL |
| Zip Code | 75104 |
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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.