SPINE & ORTHOPEDIC INSTITUTE, PA (NPI# 1043798077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043798077 |
| Entity Type | Organization |
| Organization Name | SPINE & ORTHOPEDIC INSTITUTE, PA |
| Practice Address |
4301 N Macarthur Blvd Ste 100 Irving TX 75038-6497 |
| Mailing Address |
18208 Preston Rd D-9 #355 Dallas TX 75252 |
| Practice Telephone | 9723999012 |
| Mailing Telephone | 9723999012 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-11-20 |
| Authorized Official Name | DR. DOUGLAS WON (SURGEON) |
| Authorized Official Telephone | 9723999012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | L9018 | TX | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
L9018 | TX | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
L9018 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL LICENSE | L9018 | 01 |
| Street Address |
4301 N MACARTHUR BLVD STE 100 |
| City | IRVING |
| State | TX |
| Zip Code | 75038-6497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649533647 | Heather Ashley Bristow | Dentist | 4301 N Macarthur Blvd Ste 100, Irving, TX 75038-6497 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959587 | S&w Primary Home Care | Home Health | 3921 Timberidge Drive, Irving, TX 75038 | 2020-10-12 |
| 1295372928 | Wecare Tlc | Clinic/Center | 777 Hidden Ridge, Irving, TX 75038 | 2019-12-02 |
| 1407369135 | North Texas Psychiatry Associates Pllc | Psychiatry & Neurology | 4020 N. Macarthur Blvd, Suite 122 - 153, Irving, TX 75038 | 2017-11-16 |
| 1164970745 | Young Men's Christian Association of Metropolitan Dallas | Health Educator | 1621 W Walnut Hill Ln, Irving, TX 75038 | 2016-09-13 |
| 1285086397 | Edge-md Holding Pllc | Family Medicine | 1200 W. Walnut Hill Lane, Suite 3950, Irving, TX 75038 | 2016-07-13 |
| 1912318445 | Alliance Neurodiagnostics, LLC | Clinic/Center | 4545 Fuller Dr Ste 200, Irving, TX 75038 | 2014-05-19 |
| 1790029841 | Paul Dean Allen | Counselor | 5525 N. Macarthur Blvd, Suite 800, Mhn Government Services, Irving, TX 75038 | 2012-11-15 |
| 1437403227 | Dashwood Pharmacy | Pharmacy | 1300 W. Walnut Hill Lane, Suite 163, Irving, TX 75038 | 2012-11-01 |
| 1265795538 | Michael Fooshee | Dentist | 3007 Skyway Circle North, Suite 100, Irving, TX 75038 | 2012-06-20 |
| 1205107273 | Sylviane Akenda Kasende | Nurse Practitioner | 2925 Skyway Circle N, Irving, TX 75038 | 2012-01-23 |
| Find all providers in zip 75038 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124436167 | Heritage Health Concepts LLC | Preventive Medicine | 6025 Commerce Dr, Suite 500, Irving, TX 75063-2642 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847672 | East Texas Functional Medicine Center, Pllc | Preventive Medicine | 419 Wsw Loop 323 Ste 400, Tyler, TX 75701-7063 | 2020-09-29 |
| 1710502695 | Carol Pena | Preventive Medicine | 412 Capricorn St, Cedar Hill, TX 75104-8106 | 2020-06-16 |
| 1003456583 | Southern Sector Health Initiative | Preventive Medicine | 4500 Spring Ave Ste 130, Dallas, TX 75210-1350 | 2020-01-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1942845565 | Preferred Cardio Checkup Management LLC | Preventive Medicine | 211 Bent Creek Dr, Waxahachie, TX 75165-6353 | 2019-11-07 |
| 1982256129 | Lifeworx | Preventive Medicine | 6001 Lake Hubbard Pkwy, Garland, TX 75043-4727 | 2019-07-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1588122774 | Jason James Moran | Preventive Medicine | 38706 Sugar Wood Dr, Magnolia, TX 77355-2621 | 2019-03-06 |
| 1578047635 | Barry Davis | Preventive Medicine | 1200 Hermann Pressler Dr Ste 916, Houston, TX 77030-3900 | 2018-09-24 |
| 1013423284 | Anew You Medical Weight Loss and Spa | Preventive Medicine | 14602 Huebner Rd, 100, San Antonio, TX 78230 | 2017-12-23 |
| Find all providers with the same taxonomy | ||||
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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.