METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES (NPI# 1033397773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033397773 |
| Entity Type | Organization |
| Organization Name | METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES |
| Other Organization Name | ARLINGTON CANCER CENTER THE LAKES AT MATLOCK |
| Practice Address |
3030 Matlock Rd Ste 206 Arlington Cancer Center The Lakes At Matlock Arlington TX 76015-2936 |
| Mailing Address |
Po Box 974315 Metroplex Hematology Oncology Associates Dallas TX 75397-4315 |
| Practice Telephone | 8172610929 |
| Practice Fax Number | 8175434675 |
| Mailing Telephone | 8172614906 |
| Mailing Fax Number | 8175434675 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-05-08 |
| Authorized Official Name | DR. ALFRED DISTEFANO (MANAGING PARTNER) |
| Authorized Official Telephone | 8172614906 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Arlington Cancer Center The Lakes at Matlock | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578531422 | Metroplex Hematology Oncology Associates | Clinical Medical Laboratory | 2800 E State Hwy 114, Suite 200 Arlington Cancer Center At Trophy Club Lab, Trophy Club, TX 76262-5306 | 2006-03-08 |
| 1457353815 | Metroplex Hematology Oncology Associates | Radiology | 2800 E State Highway 114, Arlington Cancer Center At Trophy Club, Trophy Club, TX 76262-5304 | 2005-08-15 |
| 1164423414 | Metroplex Hematology Oncology Associates | Durable Medical Equipment & Medical Supplies | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2005-08-09 |
| 1669464848 | Metroplex Hematology Oncology Associates | Radiology | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2005-08-16 |
| 1639171093 | Metroplex Hematology Oncology Associates | Clinical Medical Laboratory | 906 W Randol Mill Rd, Arlington Cancer Center, Arlington, TX 76012-2510 | 2005-08-15 |
| 1396747747 | Metroplex Hematology Oncology Associates | Clinic/Center | 906 W Randol Mill Rd, Arlington Cancer Center, Arlington, TX 76012-2510 | 2005-08-15 |
| Street Address |
3030 MATLOCK RD STE 206 ARLINGTON CANCER CENTER THE LAKES AT MATLOCK |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962531418 | Alberto Andres Borges | Internal Medicine | 1635 N George Mason Dr Ste 480, Arlington, VA 22205-3676 | 2007-03-02 |
| 1174662332 | Alfred Bennette Brooks | Internal Medicine | 2530 Crystal Dr, 7th Flr, Room 7060, Arlington, VA 22202-3934 | 2007-02-05 |
| 1881130417 | Minnesota Oncology Hematology, Pa | Internal Medicine | 601 W Chandler St, Arlington, MN 55307-2127 | 2017-01-06 |
| 1447541594 | Deepna Deepak Jaiswal | Internal Medicine | 515 W Mayfield Rd, Ste 102, Arlington, TX 76014-2083 | 2011-04-25 |
| 1518103811 | Keeran Ravin Sampat | Internal Medicine | 1635 N George Mason Dr, Ste 170, Arlington, VA 22205-3601 | 2008-12-17 |
| 1497921829 | Revathi Angitapalli | Internal Medicine | 811 W Interstate 20, Suite G14, Arlington, TX 76017-5870 | 2008-05-06 |
| 1861698946 | Neelima Denduluri | Internal Medicine | 1635 N George Mason Dr, Ste 170, Arlington, VA 22205-3633 | 2007-06-25 |
| 1225047657 | Lixin Liao | Internal Medicine | 515 W Mayfield Rd, #101, Arlington, TX 76014-2083 | 2006-08-05 |
| 1700825155 | Linda Anne Verkruyse | Internal Medicine | 515 W Mayfield Rd, Suite 101, Arlington, TX 76014-2083 | 2006-06-04 |
| 1942248901 | Shrinivas Madhukar Diggikar | Internal Medicine | 515 W Mayfield Rd, Suite 101, Arlington, TX 76014-2083 | 2006-06-03 |
| 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.