DALLAS COUNTY HOSPITAL DISTRICT (NPI# 1154780245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154780245 |
| Entity Type | Organization |
| Organization Name | DALLAS COUNTY HOSPITAL DISTRICT |
| Other Organization Name | SOUTHEAST ACUTE RESPONSE CLINIC |
| Practice Address |
9202 Elam Rd Suite 210 Dallas TX 75217-4151 |
| Mailing Address |
Po Box 660599 Dallas TX 75266-0599 |
| Practice Telephone | 2142661600 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2020-10-18 |
| Authorized Official Name | FREDERICK P CERISE (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2145908006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 355956901 | 05 |
| Other Name | Type Code |
|---|---|
| SOUTHEAST ACUTE RESPONSE CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042784 | Dallas County Hospital District | Clinic/Center | 1341 W Mockingbird Ln Ste 300e, Dallas, TX 75247-4935 | 2020-04-23 |
| 1679108302 | Dallas County Hospital District | Pediatrics | 601 Clara Barton Blvd Fl 2, Garland, TX 75042-5738 | 2020-03-03 |
| 1619508728 | Dallas County Hospital District | Clinic/Center | 4201 Brook Spring Dr Bldg 2, Dallas, TX 75224-4968 | 2020-01-28 |
| 1356852784 | Dallas County Hospital District | Nurse Practitioner | 1822 Young St, Dallas, TX 75201-5612 | 2017-10-12 |
| 1770972572 | Dallas County Hospital District | Skilled Nursing Facility | 7021 Bryant Irvin Rd, Fort Worth, TX 76132-4243 | 2015-01-15 |
| 1659641199 | Dallas County Hospital District | Pharmacy | 2121 Butler St, Dallas, TX 75235-7801 | 2011-12-30 |
| 1215206826 | Dallas County Hospital District | Skilled Nursing Facility | 3511 Corinth Parkway, Corinth, TX 76208-5384 | 2011-12-28 |
| 1417255233 | Dallas County Hospital District | Skilled Nursing Facility | 1901 S Trade Days Blvd, Canton, TX 75103 | 2011-03-02 |
| 1346550654 | Dallas County Hospital District | Skilled Nursing Facility | 2450 Bickers St., Dallas, TX 75212-1507 | 2010-10-20 |
| 1700193588 | Dallas County Hospital District | Skilled Nursing Facility | 3505 S Buckner Blvd, Building 5, Dallas, TX 75227-5534 | 2010-09-01 |
| Street Address |
9202 ELAM RD SUITE 210 |
| City | DALLAS |
| State | TX |
| Zip Code | 75217-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225822 | Robert Lorin Cantrell | Family Medicine | 9202 Elam Rd, Southeast Dallas Health Center, Dallas, TX 75217-4151 | 2005-06-17 |
| 1467005686 | Mary Katherine Cleveland | Dentist | 9202 Elam Rd, Dallas, TX 75217-4151 | 2019-07-17 |
| 1114406816 | Norma Harper Hernandez | Social Worker | 9202 Elam Rd, Dallas, TX 75217-4151 | 2018-08-13 |
| 1558729871 | Bravo Dental | Dentist | 9202 Elam Rd, Dallas, TX 75217-4151 | 2016-02-01 |
| 1790176493 | Lasteshia Nicole Ekeocha | Nurse Practitioner | 9202 Elam Rd, Women's Health Center, Dallas, TX 75217-4151 | 2015-02-17 |
| 1235520792 | Kyanna Silas | Nurse Practitioner | 9202 Elam Rd, Dallas, TX 75217-4151 | 2015-02-05 |
| 1205127834 | Essence N. Johnson | Optometrist | 9202 Elam Rd, Suite 240, Dallas, TX 75217-4151 | 2011-05-01 |
| 1619273661 | Andrew Leonard Moran | Counselor | 9202 Elam Rd, Dallas, TX 75217-4151 | 2011-02-08 |
| 1639498371 | Asma Ashraf | Family Medicine | 9202 Elam Rd, Suite 330, Dallas, TX 75217-4151 | 2010-05-20 |
| 1285885228 | Ericka R Walker-williams | Internal Medicine | 9202 Elam Rd, Southeast Dallas Health Center Suite 215, Dallas, TX 75217-4151 | 2008-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437708682 | Nancy Sutton | Technician | 9335 Homeplace Dr, Dallas, TX 75217 | 2019-09-10 |
| 1194135236 | Phat Dien Truong | Student in an Organized Health Care Education/Training Program | 9709 Bruton Rd., Dallas, TX 75217 | 2014-04-29 |
| 1083039226 | Passage of Youth Family Center, Inc. | Exclusive Provider Organization | 1623 Riverway, Dallas, TX 75217 | 2014-02-25 |
| 1649511270 | First Class Motors Inc. | Private Vehicle | 7710 Great Trinity Forest Way #k, Dallas, TX 75217 | 2013-03-06 |
| 1588969893 | Happy Teeth Dental Centers of Dallas PC | Dentist | 2020 N Masters Dr Suite #100, Dallas, TX 75217 | 2011-01-18 |
| 1891934899 | Shapa Inc | Pharmacy | 9415 Bruton Rd, Ste 3103, Dallas, TX 75217 | 2009-02-13 |
| 1033364450 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10152 Lake June Rd, Dallas, TX 75217 | 2008-11-26 |
| 1326268533 | Eyad K. Mahrouq | Pharmacist | 1515 S. Buckner Blvd #301, Dallas, TX 75217 | 2007-04-27 |
| 1598886822 | Lake June Medical Center, P.a. | Family Medicine | 7716 Lake June Road, Dallas, TX 75217 | 2007-04-03 |
| 1194869636 | Barbara Jean Cole | Assisted Living Facility | 1364 Gillette St, Dallas, TX 75217 | 2007-02-17 |
| Find all providers in zip 75217 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1720693708 | Sally Purcell | Internal Medicine | 6150 E Mockingbird Ln, Dallas, TX 75214-2601 | 2020-09-15 |
| 1881211001 | Priscilla Kovacs | Internal Medicine | 2909 S Hampton Rd # D107, Dallas, TX 75224-3000 | 2020-07-03 |
| 1447876586 | William F Cox Md Pa | Internal Medicine | 8220 Walnut Hill Ln Ste 500, Dallas, TX 75231-4414 | 2020-06-24 |
| 1801418637 | Concierge Telemedicine Pllc | Internal Medicine | 10847 Sanden Dr Ste 102, Dallas, TX 75238-5356 | 2020-05-14 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1588138143 | Element Health & Wellness, Pllc | Internal Medicine | 4225 Office Pkwy # 102, Dallas, TX 75204-3628 | 2019-01-17 |
| 1245712421 | Kokoro Body Therapies, Pllc | Internal Medicine | 14850 Montfort Dr Ste 181, Lb 11, Dallas, TX 75254-1450 | 2018-09-04 |
| 1033608740 | Ahsan Riaz Md Pllc | Internal Medicine | 6207 Walnut Hill Ln, Dallas, TX 75230-5114 | 2018-05-08 |
| 1821590860 | Kairos Health Clinics | Internal Medicine | 9101 Lbj Fwy Ste 310, Dallas, TX 75243-1901 | 2018-03-06 |
| 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.