MEDICAL CLINIC OF NORTH TEXAS, PLLC (NPI# 1033167234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033167234 |
| Entity Type | Organization |
| Organization Name | MEDICAL CLINIC OF NORTH TEXAS, PLLC |
| Other Organization Name | USMD PHYSICIAN SERVICES |
| Practice Address |
811 W. I-20 Suite 120 Arlington TX 76017-2694 |
| Mailing Address |
Po Box 678095 Dallas TX 75267-8095 |
| Practice Telephone | 9728470712 |
| Practice Fax Number | 8174194605 |
| Mailing Telephone | 9728470712 |
| Mailing Fax Number | 8175145246 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | MR. MICHAEL W BUKOSKY (PRESIDENT PPM) |
| Authorized Official Telephone | 9728470712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | 0926 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE GROUP NUMBER | 00R86C | 01 |
| TX | MEDICARE RAILROAD GROUP | CC7989 | 01 |
| TX | MEDICAID GROUP NUMBER | 084933301 | 01 |
| TX | MEDICARE RAILROAD GROUP | CU0775 | 01 |
| TX | MEDICARE RAILROAD GROUP | CG2930 | 01 |
| TX | MEDICARE RAILROAD GROUP | CD2314 | 01 |
| Other Name | Type Code |
|---|---|
| USMD Physician Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598841793 | Medical Clinic of North Texas, Pllc | Counselor | 2801 Gateway Drive, Suite 100, Irving, TX 75063-2694 | 2006-10-31 |
| 1538117742 | Medical Clinic of North Texas, Pllc | Family Medicine | 6750 N. Macarthur Blvd, Suite 350, Irving, TX 75039-2694 | 2006-05-04 |
| 1912955030 | Medical Clinic of North Texas, Pllc | Family Medicine | 5501 Independence Parkway, Suite 110, Plano, TX 75023-2694 | 2006-05-04 |
| Street Address |
811 W. I-20 SUITE 120 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76017-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730573312 | Usmd Diagnostic Services, LLC | Physiological Laboratory | 811 W. I-20, Suite G-26, Arlington, TX 76017-3252 | 2015-03-23 |
| 1417991191 | Christa Amon Moses | Physician Assistant | 811 W. I-20, Suite 120, Arlington, TX 76017 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1003385386 | Peace Within | Counselor | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 | 2018-11-16 |
| 1750883229 | Lumin Health Physician Group, Pa | Pain Medicine | 808 W Interstate 20 Suite 201, Arlington, TX 76017 | 2018-03-01 |
| 1215438643 | Clover Francis | Licensed Vocational Nurse | 5211 Saratoga Lane, Arlington, TX 76017 | 2018-02-21 |
| 1265942593 | Maria Luisa Gonzalez | Community Health Worker | 5916 Wind Drift Trail, Arllington, TX 76017 | 2017-09-29 |
| 1285150318 | Divya Patel | Counselor | 5201 Windy Meadow Drive, Arlington, TX 76017 | 2017-08-21 |
| 1912420217 | Natalia Sampaio Goodwin | Registered Nurse | 811 W. Interstate 20, Suite 212, Arlington, TX 76017 | 2017-07-19 |
| 1962939744 | Sean Christopher Hembree | Chiropractor | 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 | 2017-05-11 |
| 1154866119 | Deborah Tuckey Nystrom | Physical Therapist | 2310 West I-20, Suite 204, Arlington, TX 76017 | 2016-12-30 |
| Find all providers in zip 76017 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113783 | Tiger Telemedicine | Internal Medicine | 1107 S Walter Reed Dr Apt 204, Arlington, VA 22204-4371 | 2020-10-30 |
| 1902422587 | Naila T Rahman | Internal Medicine | 5416 3rd St S, Arlington, VA 22204-1114 | 2020-06-19 |
| 1023663846 | Cam Equity LLC | Internal Medicine | 1720 Oak Village Blvd Ste 200a, Arlington, TX 76017-7950 | 2019-08-08 |
| 1831659515 | Denisha Robinson | Internal Medicine | 3600 Matlock Rd Ste 200, Arlington, TX 76015-3679 | 2019-03-20 |
| 1881196343 | Albitar Medical Consulting Pllc | Internal Medicine | 1000 Cooper Street, Arlington, TX 76011 | 2018-03-01 |
| 1972036226 | Bureeni Internal Medicine Pllc | Internal Medicine | 1614 Weeping Willow Ln, Arlington, TX 76002-4642 | 2017-04-04 |
| 1346791654 | One Call Healthcare Pllc | Internal Medicine | 1 Farmer Cir, Arlington, MA 02474-2866 | 2016-10-21 |
| 1316492937 | Amy Sue Bloom | Internal Medicine | 2100 Crystal Dr, 10102a, Arlington, VA 22202-3784 | 2016-08-24 |
| 1659727105 | Sharon Ogidan | Internal Medicine | 1700 Greenbend Dr, Arlington, TX 76018-4828 | 2016-05-13 |
| 1790149300 | Mahmoud Khalaf | Internal Medicine | 7700 Sharon Lee Dr # 1, Arlington, TX 76001-7092 | 2016-04-09 |
| Find all providers in ARLINGTON | ||||
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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.