LEGACY HEARTCARE OF DALLAS, LLC (NPI# 1144520503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144520503 |
| Entity Type | Organization |
| Organization Name | LEGACY HEARTCARE OF DALLAS, LLC |
| Practice Address |
12230 Coit Rd 120 Dallas TX 75251-2306 |
| Mailing Address |
2500 West Fwy 200 Fort Worth TX 76102-5848 |
| Practice Telephone | 8174234400 |
| Practice Fax Number | 8174238080 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2012-04-26 |
| Authorized Official Name | MR. MICHAEL GRATCH (PRESIDENT) |
| Authorized Official Telephone | 8174234400 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEGACY HEARTCARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
12230 COIT RD 120 |
| City | DALLAS |
| State | TX |
| Zip Code | 75251-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750371134 | Allaaddin Mollabashy | Orthopaedic Surgery | 12230 Coit Rd, Ste 100, Dallas, TX 75251-2322 | 2005-10-26 |
| 1295351047 | Christina Peterson | Registered Nurse | 12230 Coit Rd, Dallas, TX 75251-2322 | 2020-06-17 |
| 1801283296 | Greater Dallas Orthopaedic Services, Pllc | Orthopaedic Surgery | 12230 Coit Rd, Ste 100, Dallas, TX 75251-2322 | 2015-04-23 |
| 1235544974 | Legacy Heart Clinic, LLC | Clinical Medical Laboratory | 12230 Coit Rd, Ste 120, Dallas, TX 75251-2322 | 2014-06-20 |
| 1689085771 | Greater Dallas Orthopaedics, Pllc | Orthopaedic Surgery | 12230 Coit Rd, Suite 100, Dallas, TX 75251-2322 | 2014-05-12 |
| 1801132444 | Sandra G Sataray | Specialist/Technologist, Other | 12230 Coit Rd, Dallas, TX 75251-2322 | 2013-01-01 |
| 1063712461 | North Star Mcd, LLC | Clinic/Center | 12230 Coit Rd, Dallas, TX 75251-2306 | 2010-11-01 |
| 1730494626 | Nathan F Gilbert, Md, Pa | Orthopaedic Surgery | 12230 Coit Rd, Suite 100, Dallas, TX 75251-2306 | 2010-08-16 |
| 1467767723 | Al Mollabashy, Md, Pa | Orthopaedic Surgery | 12230 Coit Rd, Suite 100, Dallas, TX 75251-2306 | 2010-08-11 |
| 1619209434 | Brittany Elise Kovalic X | Physician Assistant | 12230 Coit Rd, Suite 100, Dallas, TX 75251-2322 | 2010-02-03 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740802 | Premier Heart Center, Pllc | Internal Medicine | 10440 N Central Expy Ste 1400, Dallas, TX 75231-2235 | 2019-09-21 |
| 1528576451 | Texas Heart Center, Pllc | Internal Medicine | 3600 Gaston Ave Ste 851, Dallas, TX 75246-1908 | 2018-01-12 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1780036749 | Solocare Texas Pllc | Internal Medicine | 10218 Boedeker St, Dallas, TX 75230-5401 | 2016-07-01 |
| 1578926796 | Skilled Specialty Consultants Pllc | Internal Medicine | 5803 Hudson St, #1, Dallas, TX 75206-8084 | 2016-04-04 |
| 1760855100 | Remote Cardiology Services, Pllc | Internal Medicine | 6464 Royalton Dr, Dallas, TX 75230-3500 | 2015-11-06 |
| 1326430513 | Brian Eades Md Pllc | Internal Medicine | 5628 Encore Dr, Dallas, TX 75240-4642 | 2015-02-24 |
| 1205246931 | Jeomi Maduka Okwara | Internal Medicine | Msc Cardiovascular Medicine 1 University Of, 6201 Harry Hines Blvd, Dallas, TX 75235-5202 | 2014-05-02 |
| 1497097984 | Nicholas Cooper Macpherson | Internal Medicine | 12740 Hillcrest Rd., Ste. 265, Dallas, TX 75230 | 2013-03-22 |
| 1891084729 | Ambarish Pandey | Internal Medicine | 5939 Harry Hines Blvd 9th Fl Ste 935, Dallas, TX 75390-7708 | 2011-03-31 |
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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.