DR. JEAN NERVA DORTILUS


Address: 3500 Hillcrest Dr Ste 7, Waco, TX 76708-3144
Phone: 2544249523

DR. JEAN NERVA DORTILUS (NPI# 1063658524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063658524
Entity Type Individual
Full Name DR. JEAN NERVA DORTILUS
Credential M.D.
Practice Address 3500 Hillcrest Dr Ste 7
Waco
TX 76708-3144
Practice Telephone 2544249523
Mailing Telephone 2544249523
Enumeration Date 2009-01-05
Last Update Date 2019-05-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
P4438 TX Allopathic & Osteopathic Physicians
N 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
P4438 TX Allopathic & Osteopathic Physicians
N 208D00000X General Practice P4438 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 3500 HILLCREST DR STE 7
City WACO
State TX
Zip Code 76708-3144

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235797994 Amd Medical Pllc Psychiatry & Neurology 3500 Hillcrest Dr Ste 7, Waco, TX 76708-3144 2019-05-29

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NPI Name Taxonomy Address Enumeration
1144868613 Sarah Bogacz Behavior Technician 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 2019-12-16
1700358215 Albert Jacob Puente Specialist/Technologist 1101 North Q Ave, Clifton, TX 76708 2018-12-21
1437414810 Cenikor Foundation Substance Abuse Rehabilitation Facility 3015 Herring Avenue, Waco, TX 76708 2012-07-11
1922393610 Betty Hendricks Nurse Practitioner 4601 N 19th Street, Waco, TX 76708 2011-06-10
1023239498 Esc Iv, Lp Assisted Living Facility 3801 Martin Luther King Jr Bvd, Waco, TX 76708 2007-05-01
1952429367 Dod David Moore Dentist 10104 Saddle Creek Rd, Waco, TX 76708 2007-03-26
1851400295 H-e-b, Lp Clinical Medical Laboratory 3801 N 19th St, Waco, TX 76708 2006-08-30
1972527257 Meryl Burchardt Nurse Practitioner 2201 Macarthur, Suite 2200, Waco, TX 76708 2006-07-27
1669493292 Central Texas Anesthesiology Associates Inc Anesthesiology 3000 Herring, Waco, TX 76708 2006-07-21
1679507768 Russell L Mcclellan Radiology 3000 Herring Avenue, Waco, TX 76708 2006-07-11
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225342926 Geoffrey May Psychiatry & Neurology 4800 Memorial Drive (151c), Waco, TX 76711 2010-08-05
1528227063 Joshua J Warren Psychiatry & Neurology 6001 W Waco Dr Ste M, Waco, TX 76710-6309 2008-06-09
1891995411 Christina Ann Chen Psychiatry & Neurology 1000 W State Highway 6 Ste 120, Waco, TX 76712-3787 2007-07-22
1467551531 Babatunde Francis Fagbamiye Psychiatry & Neurology 4800 Memorial Dr # 94b, Waco, TX 76711-1329 2006-09-22
1396756516 Claude Lynn Parker Psychiatry & Neurology Central Texas Veterans Affairs Hospital, 4800 Memorial Dr, Waco, TX 76711-0000 2006-08-11
1215947221 Lance G Oberg Psychiatry & Neurology 7300 Bosque Blvd., Waco, TX 76710 2006-08-09
1407866403 Stephen L. Mark Psychiatry & Neurology 405 Londonderry Dr Ste 202, Waco, TX 76712-7921 2006-08-09
1366422123 Tony A Payson Psychiatry & Neurology 213a Old Hewitt Rd, Waco, TX 76712-6647 2006-01-18
1588658298 Allen L Hueston Psychiatry & Neurology 110 S 12th St, Waco, TX 76701-1810 2005-09-08
1861494700 Kirk Steven Dutton Psychiatry & Neurology 1316 Washington Ave, Waco, TX 76701-1129 2005-08-11
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Competitor

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City WACO
Zip Code 76708

Improve Information

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Dataset Information

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.

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