MARK WALTER ZIBILICH (NPI# 1134168735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134168735 |
| Entity Type | Individual |
| Full Name | MARK WALTER ZIBILICH |
| Credential | MD |
| Practice Address |
3500 Gaston Avenue Dallas TX 75246 |
| Mailing Address |
712 N Washington Ave Suite Dallas TX 75246-1619 |
| Practice Telephone | 2148268822 |
| Practice Fax Number | 2148269792 |
| Mailing Telephone | 2148268822 |
| Mailing Fax Number | 2148269792 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
F2143 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 139932122 | 05 | |
| TX | 139932123 | 05 |
| Street Address |
3500 GASTON AVENUE |
| City | DALLAS |
| State | TX |
| Zip Code | 75246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467412288 | Lawrence Rudolph Schiller | Internal Medicine | 3500 Gaston Avenue, Baylot University Medical Center, 260 Wadley, Dallas, TX 75246 | 2006-03-24 |
| 1720698863 | Allison R Bass | Pharmacist | 3500 Gaston Avenue, Pharmacy Dept/hoblitzelle Basement, Dallas, TX 75246 | 2020-08-04 |
| 1356819189 | Erin Shepherd | Dietitian, Registered | 3500 Gaston Avenue, C/o Nutrition Svcs, Dallas, TX 75246 | 2018-11-09 |
| 1871849042 | Leslie Ray Rodriguez | Registered Nurse | 3500 Gaston Avenue, Dallas, TX 75246-2026 | 2012-07-25 |
| 1245546357 | Brian Mayer | Emergency Medicine | 3500 Gaston Avenue, Dallas, TX 75246 | 2010-08-26 |
| 1245445295 | Arpitha Chiruvolu | Pediatrics | 3500 Gaston Avenue, 3 Hob, Dallas, TX 75246 | 2007-05-13 |
| 1538219373 | Aarthi Sankaran | Radiology | 3500 Gaston Avenue, Dallas, TX 75246 | 2007-01-12 |
| 1609925098 | Kristin Lee Joyner | Radiology | 3500 Gaston Avenue, Dallas, TX 75246 | 2007-01-09 |
| 1407895063 | Amy Hudson Childs | Radiology | 3500 Gaston Avenue, Dallas, TX 75246 | 2006-06-06 |
| 1144274291 | Paul Timothy Siemers | Radiology | 3500 Gaston Avenue, Dallas, TX 75246 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| 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 |
|---|---|---|---|---|
| 1174131049 | Specialty Imaging Consultants LLC | Radiology | 4320 Westway Ave, Dallas, TX 75205-3728 | 2020-07-16 |
| 1356827653 | Quantum Medical Radiology of California, P.C. | Radiology | 2700 Milton Ave, Dallas, TX 75205-1521 | 2018-07-19 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1902304785 | Century Radiology Medical Group Inc | Radiology | 7204 Blairview Dr, Dallas, TX 75230-5415 | 2018-01-26 |
| 1013359678 | Bassett B. Kilgore | Radiology | 2721 Rosedale Ave, Dallas, TX 75205-1528 | 2013-07-24 |
| 1477814085 | Marco Da Cunha Pinho | Radiology | 5323 Harry Hines Boulvard, Dallas, TX 75390-7201 | 2012-05-31 |
| 1336416106 | Omega Neurological Associates LLC | Radiology | 3109 Knox St, Suite 747, Dallas, TX 75205-4029 | 2011-11-22 |
| 1285917195 | Julia Grossman | Radiology | 6726 Shell Flower Ln, Dallas, TX 75252-5940 | 2011-09-27 |
| 1548574148 | Gd Radiology, Pa | Radiology | 5709 Hillcrest Ave. #d, Dallas, TX 75205 | 2010-08-06 |
| 1083930531 | Pamela Nurenberg, M.d., P.a. | Radiology | 2525 N Pearl St Apt 1604, Dallas, TX 75201-2236 | 2010-04-08 |
| 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.