BRUCE E WHITEHEAD, MD, PA (NPI# 1114300795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114300795 |
| Entity Type | Organization |
| Organization Name | BRUCE E WHITEHEAD, MD, PA |
| Practice Address |
12201 Merit Dr Suite 300 Dallas TX 75251-2213 |
| Practice Telephone | 2142948989 |
| Practice Fax Number | 2142948977 |
| Mailing Telephone | 2142948989 |
| Mailing Fax Number | 2142948977 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | IVELISA SMITH (PRACTICE MANAGER) |
| Authorized Official Telephone | 2142948989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
12201 MERIT DR SUITE 300 |
| City | DALLAS |
| State | TX |
| Zip Code | 75251-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801897616 | Rafael Canadas-zizzias | Internal Medicine | 12201 Merit Dr, Suite 180, Dallas, TX 75251-2213 | 2005-08-02 |
| 1245689876 | Amanda Jeanette Betancourt | Physician Assistant | 12201 Merit Dr, Suite 300, Dallas, TX 75251-2213 | 2016-06-04 |
| 1386985141 | Lina N. Al-dahhan Md Pa. | Pediatrics | 12201 Merit Dr, Suite # 440, Dallas, TX 75251-2213 | 2013-03-04 |
| 1689932105 | Nelofer Azad, M.d.,p.a. | Internal Medicine | 12201 Merit Dr, Suite 440, Dallas, TX 75251-2213 | 2012-05-03 |
| 1154554418 | Genesis Wellness Institute for Health, LLC | Family Medicine | 12201 Merit Dr, Suite 350, Dallas, TX 75251-2213 | 2009-09-02 |
| 1609035484 | Hillary Luebbehusen Jarnagin | Obstetrics & Gynecology | 12201 Merit Dr, Suite 350, Dallas, TX 75251-2213 | 2008-06-05 |
| 1629244538 | Sumit Katyal | Anesthesiology | 12201 Merit Dr, Suite 300, Dallas, TX 75251 | 2008-05-01 |
| 1194903922 | Genesis Medical Associates, LLP | Internal Medicine | 12201 Merit Dr, Suite 350, Dallas, TX 75251-2213 | 2008-02-04 |
| 1649481425 | Dr Rafael Canadas Md Pa | Internal Medicine | 12201 Merit Dr, Suite 180, Dallas, TX 75251-2213 | 2007-05-24 |
| 1659419794 | Frank John Kromelis | Internal Medicine | 12201 Merit Dr, Suite 440, Dallas, TX 75251-2213 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387317 | Patricia Maria Torres | Specialist/Technologist | 12270 Coit Rd. #870, Dallas, TX 75251 | 2018-12-13 |
| 1437654043 | Precision Med Consultants | Anesthesiology | 12200 Park Central Dr Ste 300, Dallas, TX 75251 | 2018-03-26 |
| 1346650496 | Joseph Hughes Snow Iv | Emergency Medicine | Envision, 12221 Merit Dr Suite 1500, Dallas, TX 75251 | 2014-04-29 |
| 1033558317 | Emily B. Becher | Registered Nurse | 12221 Ment Drive, Suite 1500, Dallas, TX 75251 | 2013-06-19 |
| 1164713178 | Feraidoon Aminzadeh | Chiropractor | 8001 Lbj Freeway, Suite 401, Dallas, TX 75251 | 2011-04-25 |
| 1801035738 | Bharti V Bhakta | Clinic/Center | 7750 Lbj Freeway, Dallas, TX 75251 | 2009-02-17 |
| 1114111549 | Merit Comprehensive Care | Clinic/Center | 12200 Park Central Dr., Suite 189, Dallas, TX 75251 | 2007-08-29 |
| 1790906683 | Amee Godkin Nash | Counselor | 7808 Clodus Field Drive, Dallas, TX 75251 | 2007-05-01 |
| 1740302561 | Asjad M Khan | Internal Medicine | 1221 Merit Drive, 1610, Dallas, TX 75251 | 2007-04-04 |
| 1891845681 | Zachary A Goldman | Emergency Medicine | Questcare Partners, 12221 Merit Dr #1610, Dallas, TX 75251 | 2007-01-12 |
| Find all providers in zip 75251 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1285275560 | Heavenly Hands Family Medical Clinic, Pllc | Clinic/Center | 7602 Great Trinity Forest Way, Dallas, TX 75217-6650 | 2019-10-08 |
| 1740831098 | Careatc | Clinic/Center | 1500 Marilla St Rm 1cs, Dallas, TX 75201-6318 | 2019-09-26 |
| 1063077824 | Onepeak Medical Clinic, Inc | Clinic/Center | 1910 Greenville Ave, Dallas, TX 75206-7439 | 2019-05-07 |
| 1972068526 | Inkure U LLC | Clinic/Center | 8204 Elmbrook Dr Ste 202, Dallas, TX 75247-4067 | 2019-02-07 |
| 1548752850 | Susan Bacsik Do Pllc | Clinic/Center | 730 N Bishop Ave, Dallas, TX 75208-4338 | 2018-06-01 |
| 1255820239 | Fitzgerald Family Medicine | Clinic/Center | 289 E Ellendale Ave Ste 602, Dallas, OR 97338-1570 | 2018-05-06 |
| 1447759212 | Quadmed Medical Clinics of Texas, P.a. D/b/a Quadmed Medical Grou | Clinic/Center | 17655 Waterview Parkway, Dallas, TX 75252 | 2018-02-07 |
| 1700328325 | Daniel Health & Wellness, Pllc | Clinic/Center | 17762 Preston Rd Ste 114, Dallas, TX 75252-5730 | 2016-11-14 |
| 1407205222 | Jayshri Health Services | Clinic/Center | 6315 Lindsley Ave, Dallas, TX 75223-1312 | 2016-06-13 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on BRUCE E WHITEHEAD, MD, PA.
| 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.