TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS (NPI# 1124175039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124175039 |
| Entity Type | Organization |
| Organization Name | TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS |
| Practice Address |
8210 Walnut Hill Ln Suite 705 Dallas TX 75231-4405 |
| Mailing Address |
500 E Border St Arlington TX 76010-7445 |
| Practice Telephone | 2143455634 |
| Practice Fax Number | 2143457046 |
| Mailing Telephone | 2143457260 |
| Mailing Fax Number | 6822364620 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-09-26 |
| Authorized Official Name | MR. JAMES BERG (CEO/PRESIDENT) |
| Authorized Official Telephone | 2143452815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
000431 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 152488602 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366939738 | Texas Health Presbyterian Hospital Dallas | Non-Pharmacy Dispensing Site | 8160 Walnut Hill Ln Ste 1, Dallas, TX 75231-4385 | 2018-04-20 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| 1124028683 | Texas Health Presbyterian Hospital Dallas | Home Health | 9301 N. Central Expy, Suite 675, Dallas, TX 75231-0823 | 2005-07-27 |
| 1952588063 | Texas Health Presbyterian Hospital Dallas | Pediatrics | 900 E Park Blvd, #100, Plano, TX 75074-5465 | 2008-01-31 |
| 1528245636 | Texas Health Presbyterian Hospital Dallas | Nurse Practitioner | 900 E Park Blvd, #100, Plano, TX 75074-5465 | 2008-01-31 |
| 1952453987 | Texas Health Presbyterian Hospital Dallas | Psychiatric Unit | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2007-01-18 |
| 1114079142 | Texas Health Presbyterian Hospital Dallas | Psychiatric Unit | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2007-01-18 |
| 1295887727 | Texas Health Presbyterian Hospital Dallas | Clinic/Center | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2007-01-17 |
| 1740337054 | Texas Health Presbyterian Hospital Dallas | Internal Medicine | 8210 Walnut Hill Ln, Suite 705, Dallas, TX 75231-4405 | 2007-01-05 |
| 1598812729 | Texas Health Presbyterian Hospital Dallas | Nurse Practitioner | 8440 Walnut Hill Ln, Suite 540, Dallas, TX 75231-3833 | 2007-01-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 |
| Street Address |
8210 WALNUT HILL LN SUITE 705 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710816 | Christopher Miskovsky | Orthopaedic Surgery | 8210 Walnut Hill Ln, Ste 130, Lb Ll, Dallas, TX 75231-4405 | 2005-06-17 |
| 1164899639 | Perioperative and Transitional Medicine Group Pllc | Internal Medicine | 8210 Walnut Hill Ln, Suite 312, Dallas, TX 75231-4405 | 2015-08-31 |
| 1386031037 | Dominique Albert Kasindi | Internal Medicine | 8210 Walnut Hill Ln, #718, Dallas, TX 75231 | 2015-04-21 |
| 1467857300 | Germaine Calhoun | Nurse Practitioner | 8210 Walnut Hill Ln, Suite 905, Dallas, TX 75231-4405 | 2014-11-04 |
| 1013339142 | Courtney Wright | Registered Nurse | 8210 Walnut Hill Ln, Suite 615, Dallas, TX 75231-4405 | 2014-01-08 |
| 1346673340 | Lanita Payne | Pharmacist | 8210 Walnut Hill Ln, Suite 113, Dallas, TX 75231 | 2013-08-13 |
| 1518209899 | Jemin N. Gajipara Md Pa | Anesthesiology | 8210 Walnut Hill Ln, Suite 905, Dallas, TX 75231-4405 | 2013-03-25 |
| 1407192065 | Texas Neurointerventional Surgery Associates | Radiology | 8210 Walnut Hill Ln, Suite 312, Dallas, TX 75231-4405 | 2012-12-28 |
| 1508130923 | Charles N. Rubey, M.d.,p.a. | Surgery | 8210 Walnut Hill Ln, Suite 910, Dallas, TX 75231-4405 | 2012-03-02 |
| 1801178942 | Womens Health Center | Clinic/Center | 8210 Walnut Hill Ln, Suite705, Dallas, TX 75231-4405 | 2011-09-14 |
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| 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 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669783346 | Diane Henry | Nurse Practitioner | 3650 W Wheatland Rd Ste A, Dallas, TX 75237-4409 | 2010-06-28 |
| 1053874040 | Angela Henslee Forte | Nurse Practitioner | 7777 Forest Lane, D-570, Dallas, TX 75230 | 2019-04-08 |
| 1356840615 | Jamie Katheryn Cornejo | Nurse Practitioner | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2018-02-01 |
| 1548613649 | Allyson Howarth | Nurse Practitioner | 182 Sw Academy St Ste 333, Dallas, OR 97338-1996 | 2016-07-13 |
| 1518323468 | Brianna Acosta | Nurse Practitioner | 4201 Brook Spring Dr, Dallas, TX 75224-4968 | 2016-01-07 |
| 1154516441 | Aquia Ward | Nurse Practitioner | 2301 S Hampton Rd, Ste 200, Dallas, TX 75224-1650 | 2007-09-10 |
| 1568564656 | Melissa Lee Lang | Nurse Practitioner | 12200 Park Central Dr, 200, Dallas, TX 75251-2100 | 2006-09-01 |
| 1700848561 | Carolyn Marie Sutton | Nurse Practitioner | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074262 | Asia Deann Johnson | Nurse Practitioner | 511 Park Grove Dr, Katy, TX 77450-1759 | 2020-02-08 |
| 1497396071 | Laura Anna Villegas | Nurse Practitioner | 301 Lorenaly Dr Ste E, Brownsville, TX 78526-4446 | 2019-10-04 |
| 1831669944 | Karen Petrusic Mcneal | Nurse Practitioner | 350 Kingwood Medical Dr Ste 350, Kingwood, TX 77339-6405 | 2018-12-01 |
| 1023521721 | Jennifer Carter | Nurse Practitioner | 4221 Ridgecrest, Suite 103, Greenville, TX 75402 | 2017-11-16 |
| 1992127674 | Melissa Johnson | Nurse Practitioner | 401 E 6th St, Odessa, TX 79761-4516 | 2014-01-14 |
| 1063852341 | Carmen Moreno-low | Nurse Practitioner | 7121 Spid Dr Ste 302, Corpus Christi, TX 78412-4941 | 2013-07-01 |
| 1699021451 | Marlene Cornelius | Nurse Practitioner | 929 Gessner Rd Ste 2225, Houston, TX 77024-2584 | 2012-07-31 |
| 1730468588 | Coastal Bend Women's Center | Nurse Practitioner | 7121 Spid Dr Ste 200, Corpus Christi, TX 78412-4940 | 2011-08-11 |
| 1871803916 | Debra Ann Myers | Nurse Practitioner | 1400 N Zaragoza Rd, Suite B, El Paso, TX 79936-8002 | 2010-10-07 |
| 1790927754 | Cynthia Elaine Randle | Nurse Practitioner | 10164 Buffalo Grove Rd, Fort Worth, TX 76108-3734 | 2009-04-06 |
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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.