RICHARD PRETORIUS (NPI# 1013900505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013900505 |
| Entity Type | Individual |
| Full Name | RICHARD PRETORIUS |
| Credential | MD, MPH |
| Practice Address |
845 Routes 5 & 20 Irving NY 14081-9706 |
| Practice Telephone | 7169517273 |
| Mailing Telephone | 7169517273 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2015-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 46970 | KY | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 35-057683 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3120563 | 05 | |
| KY | 7100319390 | 05 | |
| NY | 02560378 | 05 |
| Street Address |
845 ROUTES 5 & 20 |
| City | IRVING |
| State | NY |
| Zip Code | 14081-9706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164733341 | Thara Gopinath | Physical Therapist | 845 Routes 5 & 20, Irving, NY 14081 | 2010-06-23 |
| 1295052892 | Robin S Schenk | Dietitian, Registered | 845 Routes 5 & 20, Irving, NY 14081-9706 | 2010-04-23 |
| 1104142603 | Tlc Health Network | Clinic/Center | 845 Routes 5 & 20, Irving, NY 14081 | 2010-04-09 |
| 1295991446 | Elizabeth Ann Lyboult | Pharmacist | 845 Routes 5 & 20, Tlc Health Network Lake Shore Health Care Center, Irving, NY 14081 | 2008-08-06 |
| 1790985455 | Margaret Mary Meissner | Dietitian, Registered | 845 Routes 5 & 20, Irving, NY 14081 | 2007-07-20 |
| 1902830516 | Tlc Health Network Outpatient Pharmacy | Pharmacy | 845 Routes 5 & 20, Irving, NY 14081 | 2006-07-10 |
| 1013950195 | Eric Christopher Sturm | Pharmacist | 845 Routes 5 & 20, Tlc Health Network Pharmacy, Irving, NY 14081 | 2006-06-14 |
| 1265412464 | Junzhe Xu | Psychiatry & Neurology | 845 Routes 5 & 20, Irving, NY 14081 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982231890 | Seneca Nation of Indians | Ambulance | 12879 Route 438, Irving, NY 14081 | 2020-03-23 |
| 1710373287 | Christopher Zonneville | Physical Therapist | 845 Main Road, Irving, NY 14081 | 2015-04-12 |
| 1982834271 | Lakeshore Orthopedic Group P.C. | Specialist | 849 Rts 5 & 20, Suite 1, Irving, NY 14081 | 2009-07-21 |
| 1568688877 | Edgar Lacson Bangsil | Emergency Medicine | 845 Route 5 & 20, Irving, NY 14081 | 2007-04-17 |
| 1023232444 | Mohammed Sabir | Emergency Medicine | 845 Routes Five and Twenty, Irving, NY 14081 | 2007-04-13 |
| 1427188457 | Tlc Health Network | Home Health | 12644 Seneca Road, Irving, NY 14081 | 2007-03-07 |
| 1558426841 | Maureen Margaret Schichtel | Physical Therapist | 845 Rt 5& 20, Irving, NY 14081 | 2006-12-27 |
| 1003923103 | Michael M Candaras | Psychiatry & Neurology | 12655 Seneca Rd, Irving, NY 14081 | 2006-08-24 |
| 1609806751 | Courtney Carroll Nyitrai | Pharmacist | Tlc Health Network, 845 Routes 5 &20, Irving, NY 14081 | 2006-07-04 |
| 1437190451 | Kevin G Flanagan | Audiologist | 849 Rt 5 & 20, Irving, NY 14081 | 2006-06-09 |
| Find all providers in zip 14081 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1144875626 | Sanitas Medical Center of Texas Pa | Family Medicine | 6500 N Macarthur Blvd, Irving, TX 75039-2460 | 2019-08-01 |
| 1639656325 | Open Arms Healthcare of Texas Inc. | Family Medicine | 1200 W Walnut Hill Ln Ste 3950, Irving, TX 75038-3459 | 2018-07-25 |
| 1386097558 | Perfect Care Pllc | Family Medicine | 3200 N Macarthur Blvd Ste 103, Irving, TX 75062-4404 | 2016-07-22 |
| 1285086397 | Edge-md Holding Pllc | Family Medicine | 1200 W. Walnut Hill Lane, Suite 3950, Irving, TX 75038 | 2016-07-13 |
| 1194171074 | A1 Visiting Doctors Inc | Family Medicine | 4370 Annesley Ln, Irving, TX 75062-1735 | 2016-05-10 |
| 1700296209 | Star Convenientcare, Pa | Family Medicine | 4301 N Macarthur Boulevard, #202, Irving, TX 75038-6497 | 2014-05-06 |
| 1104253962 | Mendez Medical Consulting, Pllc | Family Medicine | 825 W Royal Ln, Irving, TX 75039-3601 | 2013-10-10 |
| 1841586179 | Irst Health | Family Medicine | 7200 North State Highway 161, #300, Irving, TX 75039 | 2011-06-24 |
| 1598072563 | Jaxel Lopez Sepulveda | Family Medicine | 245 E Grauwyler Rd Ste 122, Irving, TX 75061-2639 | 2010-09-10 |
| Find all providers in IRVING | ||||
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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.