INNATE IMAGING LLC (NPI# 1104467232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104467232 |
| Entity Type | Organization |
| Organization Name | INNATE IMAGING LLC |
| Practice Address |
7504 San Jacinto Pl Plano TX 75024-3233 |
| Practice Telephone | 4693104977 |
| Practice Fax Number | 4692149981 |
| Mailing Telephone | 4693104977 |
| Mailing Fax Number | 4692149981 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Authorized Official Name | DR. GARY D MARTIN JR. (PRESIDENT) |
| Authorized Official Telephone | 4692153494 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
7504 SAN JACINTO PL |
| City | PLANO |
| State | TX |
| Zip Code | 75024-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013309152 | Ez Dme, LLC | Durable Medical Equipment & Medical Supplies | 7504 San Jacinto Pl, Plano, TX 75024-3233 | 2015-02-26 |
| 1730788597 | Iom Velocity Pllc | Technician/Technologist | 7504 San Jacinto Pl, Plano, TX 75024-3233 | 2020-10-22 |
| 1780283549 | Innate Neuromonitoring Pllc | Electrodiagnostic Medicine | 7504 San Jacinto Pl, Plano, TX 75024-3233 | 2020-10-22 |
| 1598364358 | Pro Diagnostics Pllc | Clinic/Center | 7504 San Jacinto Pl, Plano, TX 75024-3233 | 2020-10-22 |
| 1558985184 | Innate Dental Pllc | Dentist | 7504 San Jacinto Pl, Plano, TX 75024-3233 | 2020-05-29 |
| 1801420278 | Christopher Fields | Specialist/Technologist, Other | 7504 San Jacinto Pl, Plano, TX 75024-3233 | 2020-02-25 |
| 1942833074 | Enovate Sportsmed LLC | Chiropractor | 7504 San Jacinto Pl, Plano, TX 75024-3233 | 2020-02-18 |
| 1992295125 | Iroquois Medical Pllc | Nurse Anesthetist, Certified Registered | 7504 San Jacinto Pl, Plano, TX 75024-3233 | 2018-05-14 |
| 1326538505 | Chippewa Medical Pllc | Nurse Anesthetist, Certified Registered | 7504 San Jacinto Pl, Plano, TX 75024-3233 | 2018-05-14 |
| 1023508215 | Kiowa Medical Pllc | Nurse Anesthetist, Certified Registered | 7504 San Jacinto Pl, Plano, TX 75024-3233 | 2018-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246561 | Imaging Consultants | Radiology | 7250 Dallas Pkwy Ste 400, Plano, TX 75024-4931 | 2019-07-02 |
| 1487996310 | Medical Diagnostic Imaging Group, Ltd. | Radiology | 4809 Pyramid Dr, Plano, TX 75093-1913 | 2013-03-18 |
| 1811039381 | University of Texas Southwestern Medical Center At Dallas | Radiology | 7609 Preston Rd, Plano, TX 75024-3214 | 2007-02-13 |
| 1306923404 | Rodney Vaughn Peveto | Radiology | 6632 Winged Foot Way, Plano, TX 75093-6368 | 2006-11-01 |
| 1356359863 | Bruce Alan Cheatham | Radiology | 2624 Polo Ln, Plano, TX 75093-4772 | 2006-08-03 |
| 1376569178 | Steven Steinbaum | Radiology | 4216 Donnington Dr, Plano, TX 75093-3858 | 2006-07-14 |
| 1003846841 | Irving Radiological Associates LLP | Radiology | 2301 Marsh Lane, Plano, TX 75093-8497 | 2006-07-04 |
| 1194751685 | Paul Timothy Staveteig | Radiology | 1820 Preston Park Blvd Ste 1200, Plano, TX 75093-5293 | 2006-06-25 |
| 1497781900 | Kan Ying | Radiology | 1820 Preston Park Blvd Ste 1825, Plano, TX 75093-5215 | 2006-06-25 |
| 1871536151 | Mark A Baker | Radiology | 6957 W Plano Pkwy Ste 1100, Plano, TX 75093-1621 | 2006-06-14 |
| Find all providers in PLANO | ||||
Please comment or provide details below to improve the information on INNATE IMAGING LLC.
| 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.