SOUTHLAKE HOSPITALISTS LLC (NPI# 1033564729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033564729 |
| Entity Type | Organization |
| Organization Name | SOUTHLAKE HOSPITALISTS LLC |
| Practice Address |
1321 Bay Meadows Dr Southlake TX 76092-3938 |
| Mailing Address |
Po Box 92941 Southlake TX 76092-0941 |
| Practice Telephone | 8175214747 |
| Practice Fax Number | 2142799273 |
| Mailing Telephone | 8175214747 |
| Mailing Fax Number | 2142799273 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |
| Authorized Official Name | ELIZABETH M CHANDY (OWNER) |
| Authorized Official Telephone | 8175214747 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M1046 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1321 BAY MEADOWS DR |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-3938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| 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 |
|---|---|---|---|---|
| 1477062016 | Aasia Janjua Md P.a. | Internal Medicine | 925 La Salle Ln, Southlake, TX 76092-1436 | 2017-09-27 |
| 1619384427 | Abdier Delgado Gonzalez | Internal Medicine | 180 State St, Southlake, TX 76092-7620 | 2014-07-14 |
| 1740525443 | Sumeesh Dhawan Mdpa | Internal Medicine | 1211 Del Mar Dr, Southlake, TX 76092-3932 | 2012-12-06 |
| 1457503807 | Jeremy A Smyrl | Internal Medicine | 955 Southbend Trl, Southlake, TX 76092-6301 | 2008-10-16 |
| 1780836429 | Deepika Kilaru | Internal Medicine | 1363 E Dove Rd, Southlake, TX 76092-3904 | 2008-10-14 |
| 1194918094 | Peter J. Plantes | Internal Medicine | 1414 Kensington Ct, Southlake, TX 76092-9512 | 2007-08-23 |
| 1043339930 | Joseph Jasser | Internal Medicine | 501 King Ranch Rd, Southlake, TX 76092-2029 | 2007-03-29 |
| 1518076298 | Lyn Marie Berutti | Internal Medicine | 190 S Peytonville Ave, Ste 110, Southlake, TX 76092-6937 | 2006-08-29 |
| 1073558433 | Rina Sarkar | Internal Medicine | 630 N Kimball Ave, Suite# 110, Southlake, TX 76092-6645 | 2006-06-19 |
| 1760458343 | Saji Pillai | Internal Medicine | 2400 Ridgecrest Dr, Southlake, TX 76092-2602 | 2006-02-24 |
| Find all providers in SOUTHLAKE | ||||
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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.