DR. JENNIFER SHULER DERAMO (NPI# 1063717551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063717551 |
Entity Type | Individual |
Full Name | DR. JENNIFER SHULER DERAMO |
Other Name | DR. JENNIFER LYNN SHULER |
Credential | MD |
Practice Address |
5323 Harry Hines Boulevard Dallas TX 75390-7208 |
Mailing Address |
P.o. Box 845347 Dallas TX 75284-5347 |
Practice Telephone | 2144567000 |
Practice Fax Number | 2144568132 |
Mailing Telephone | 2144567000 |
Mailing Fax Number | 2144568132 |
Enumeration Date | 2011-01-14 |
Last Update Date | 2016-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Q5996 | TX | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
5323 HARRY HINES BOULEVARD |
City | DALLAS |
State | TX |
Zip Code | 75390-7208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558365510 | David Edward Rogers | Obstetrics & Gynecology | 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 | 2005-06-08 |
1558986273 | Lauren Bell | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390-7200 | 2020-06-09 |
1881214070 | Rosalina Magalhaes Pereira | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-04-17 |
1124647367 | Emma Lucille Van Winkle | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390-9109 | 2020-04-08 |
1902434061 | Nicholas Cain Boswell | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-04-01 |
1063040566 | Jeffrey Isaac Traylor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-03-30 |
1639706245 | Sarah Reddy | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-03-24 |
1427603273 | Molly Bryant | Nurse Practitioner | 5323 Harry Hines Boulevard, Dallas, TX 75390-9257 | 2019-08-08 |
1316509995 | Emily Wong | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2019-07-03 |
1548822463 | Neha Hanoman Rajput | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2019-07-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
Find all providers in zip 75390 |
Taxonomy Code | 2080P0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Emergency Medicine |
A pediatrician who has special qualifications to manage emergencies in infants and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285017343 | Leilani So Wiltz | Pediatrics | 3 Abbotsford Court, Dallas, TX 75225 | 2015-07-07 |
1386059087 | Asha Tharayil | Pediatrics | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-4637 | 2014-06-23 |
1639445943 | Jeannette You-jin Dodson | Pediatrics | 1935 Medical District Dr, Graduate Medical Education, Dallas, TX 75235 | 2012-03-30 |
1881960805 | Charles G. Knox | Pediatrics | 7777 Forest Ln, Dallas, TX 75230 | 2012-03-23 |
1902194723 | Faisalmohemed Patel | Pediatrics | 5323 Harry Hines Boulevard, Dallas, TX 75390-7201 | 2011-07-13 |
1205128485 | Ngoc Le Van Horn | Pediatrics | 5323 Harry Hines Boulevard, Dallas, TX 75390-7201 | 2011-05-06 |
1285959205 | Elaine Chiu Walters | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2010-04-01 |
1518281054 | Kevin Joseph Barnes | Pediatrics | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75390-7201 | 2010-03-25 |
1821312794 | Victoria Scott Yang | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2010-03-22 |
1528244233 | Jendi Lyn Haug | Pediatrics | 5323 Harry Hines Blvd., Dallas, TX 75390-7208 | 2008-01-11 |
Find all providers in DALLAS |
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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.