BAYLOR MEDICAL CENTER AT IRVING (NPI# 1114268471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114268471 |
Entity Type | Organization |
Organization Name | BAYLOR MEDICAL CENTER AT IRVING |
Other Organization Name | BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING |
Practice Address |
1901 N Macarthur Blvd Irving TX 75061-2220 |
Mailing Address |
Po Box 841590 Dallas TX 75284-1590 |
Practice Telephone | 9725798104 |
Practice Fax Number | 9725795290 |
Mailing Telephone | 2148503151 |
Mailing Fax Number | 2148208515 |
Enumeration Date | 2013-03-12 |
Last Update Date | 2019-06-11 |
Authorized Official Name | CINDY SCHAMP (CEO) |
Authorized Official Telephone | 9725798102 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | Hospital Units |
Other Name | Type Code |
---|---|
BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528309135 | Baylor Medical Center At Irving | Clinic/Center | 2740 N State Highway 360, Suite 200, Grand Prairie, TX 75050-6403 | 2013-03-06 |
1992700983 | Baylor Medical Center At Irving | General Acute Care Hospital | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2005-06-16 |
1104822915 | Baylor Medical Center At Irving | Rehabilitation, Substance Use Disorder Unit | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2005-06-27 |
Street Address |
1901 N MACARTHUR BLVD |
City | IRVING |
State | TX |
Zip Code | 75061-2220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992700983 | Baylor Medical Center At Irving | General Acute Care Hospital | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2005-06-16 |
1497367189 | Kristina Deniece Russell | Specialist/Technologist, Other | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2020-08-23 |
1538621248 | Aimee Nicole Samuels | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2019-04-02 |
1578039699 | Tan Tran | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2018-10-16 |
1336629393 | Sujatha Joseph | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2018-08-20 |
1710482427 | Victoria Deanda | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2018-03-26 |
1962954172 | Margaret Eileen Reardon | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061 | 2016-11-04 |
1003209529 | Ben Ray Graham | Physician Assistant | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2015-03-09 |
1518361930 | Margaret Alexandra Kennedy | Physician Assistant | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2014-10-14 |
1104243682 | Natalia Bubien | Physical Therapist | 1901 N Macarthur Blvd, Irving, TX 75061 | 2014-03-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
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Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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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.