LISA W GENECOV (NPI# 1023038502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023038502 |
Entity Type | Individual |
Full Name | LISA W GENECOV |
Credential | MD |
Practice Address |
7777 Forest Ln Suite B 326 Dallas TX 75230-2505 |
Practice Telephone | 9725668466 |
Practice Fax Number | 9725668329 |
Mailing Telephone | 9725668466 |
Mailing Fax Number | 9725668329 |
Enumeration Date | 2006-07-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
H8068 | TX | Allopathic & Osteopathic Physicians |
Street Address |
7777 FOREST LN SUITE B 326 |
City | DALLAS |
State | TX |
Zip Code | 75230-2505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376546101 | Frederick J Duffy Jr. | Plastic Surgery | 7777 Forest Ln, Ste C504, Dallas, TX 75230 | 2005-05-24 |
1710586870 | Dessy Santika Adont | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-10-20 |
1003433913 | Kasey Rehme | Speech-Language Pathologist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-26 |
1083230015 | Abigail Anne Plec | Physician Assistant | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-25 |
1225650500 | Minh Nguyen | Pharmacist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-10 |
1578184297 | Hk Anesthesia Services Pllc | Anesthesiology | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-05 |
1225657018 | Kristina Marie George | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-04-11 |
1376176024 | Carla Patricia Jimenez Santillan | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-02-20 |
1508496795 | Kafayat Oritola | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-16 |
1699315630 | Rachel Kimberly Harris | Occupational Therapist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
Find all providers in zip 75230 |
Taxonomy Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699987651 | Peter Campbell Ray | Pediatrics | 8300 Douglas Ave Ste 731, Dallas, TX 75225-5825 | 2007-05-03 |
1821416520 | Elisabeth Vennecia Jackson | Pediatrics | 2222 Welborn St, Texas Scottish Rite Hospital for Children, Dallas, TX 75219-3924 | 2014-03-31 |
1700208238 | Marsha Bainbridge Carpenter | Pediatrics | 2222 Welborn St, Scottish Rite Hosp--center for Dyslexia, Dallas, TX 75219-3924 | 2014-01-17 |
1265854905 | Jeffrey Black | Pediatrics | 2222 Welborn St, Dallas, TX 75219-3924 | 2014-01-15 |
1366746281 | Fadiyla Dopwell Louis-obike | Pediatrics | 12655 N Central Expy, Suite 300, Dallas, TX 75243-1700 | 2011-01-06 |
1013937598 | Genecov Physician Group | Pediatrics | 7777 Forest Ln, Suite B326, Dallas, TX 75230-2505 | 2006-07-20 |
1346203247 | Cathleen Doman Roberts | Pediatrics | 12655 N Central Expy, Suite 300, Dallas, TX 75243-1700 | 2006-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932615234 | Pediatrics Plus Therapy | Pediatrics | 6025 Sports Village Road, Frisco, TX 75033 | 2017-12-21 |
1508371824 | Kamvic Home Health Care LLC | Pediatrics | 21111 Barton Hollow Ln, Richmond, TX 77407-6416 | 2017-12-08 |
1962838458 | Sheri Michelle Ravenscroft | Pediatrics | 5359 N Ih 35 Frontage Rd, Ste 100, Austin, TX 78723-6300 | 2013-09-17 |
1467650564 | Charles Mike Rios | Pediatrics | 1100 S. Main St. #103, Grapevine, TX 76051 | 2007-07-10 |
1891908901 | Harold Mark Welch Jr. | Pediatrics | 3019 Medlin Dr, Suite 100, Arlington, TX 76015-2307 | 2007-05-07 |
1447384706 | Julie Jacob | Pediatrics | 8501 Wade Blvd Ste 330, Frisco, TX 75034-6264 | 2007-03-16 |
1134285430 | Jeri L Penkava | Pediatrics | 1370 Pantheon Way Ste 250, San Antonio, TX 78232-2290 | 2006-12-29 |
1598873135 | Beatrice Thetgyi Ting | Pediatrics | 3607 Rivera Ave, El Paso, TX 79905-2415 | 2006-08-25 |
1699718205 | Heidi A Castillo | Pediatrics | 6701 Fannin Street, Suite 1530, Houston, TX 77030 | 2006-06-13 |
1669426490 | Timothy P. Bohan | Pediatrics | 6400 Fannin Street, Suite 2740, Houston, TX 77030-1539 | 2006-05-19 |
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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.