VINTAGE FAMILY MEDICINE AND PEDIATRICS (NPI# 1154945384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154945384 |
| Entity Type | Organization |
| Organization Name | VINTAGE FAMILY MEDICINE AND PEDIATRICS |
| Practice Address |
860 Hebron Pkwy Ste 201 Lewisville TX 75057-5143 |
| Practice Telephone | 9722967200 |
| Practice Fax Number | 2147304281 |
| Mailing Telephone | 9722967200 |
| Mailing Fax Number | 2147304281 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MS. DENNIS O OCHEI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4692062635 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
860 HEBRON PKWY STE 201 |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75057-5143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932681889 | Creekview Pharmacy LLC | Pharmacy | 880 Hebron Pkwy # 170, Lewisville, TX 75057 | 2018-09-06 |
| 1518450352 | Dorene Ebangha Etarock | Pediatrics | 860 Hebron Pkwy Ste 202, Lewisville, TX 75057 | 2018-06-06 |
| 1346691227 | Janet Swain | Registered Nurse | 860 Hebron Pkwy Ste 1101, Lewisville, TX 75057 | 2016-06-22 |
| 1124486204 | Gold Star Home Healthcare | Home Health | 960 E Hwy 121 Business, Lewisville, TX 75057 | 2016-02-04 |
| 1093173163 | Lifeview Counseling | Community/Behavioral Health | 751 Hebron Pkwy, Ste 320, Lewisville, TX 75057 | 2016-02-04 |
| 1376969766 | Kyle Nix | Chiropractor | 363 W. Main St., Lewisville, TX 75057 | 2014-03-10 |
| 1386082725 | Drew Alan Ratner | Orthopaedic Surgery | 500 W Main St Ste 260, Lewisville, TX 75057 | 2013-06-07 |
| 1194074377 | Cheryl Ann Rayl | Counselor | 401 E. Corporate Drive, Ste. 100, Lewisville, TX 75057 | 2012-09-05 |
| 1053669259 | Vikas Patel | Pharmacist | 880 Hebron Pkwy Ste 170, Lewisville, TX 75057 | 2012-08-17 |
| 1093043507 | Golden Triangle Anesthesia Services, PC | Nurse Anesthetist, Certified Registered | 591 W. Main St., Lewisville Surgery Center, Lewisville, TX 75057 | 2009-11-20 |
| Find all providers in zip 75057 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609833 | Lafayette County Family Practice | Family Medicine | 226 Spruce Street, Lewisville, AR 71845 | 2020-11-06 |
| 1306409115 | Janet M Muraga | Family Medicine | 2447 Embleton Dr, Lewisville, TX 75067-6706 | 2019-04-17 |
| 1013473248 | Nongnuch Kuligowski | Family Medicine | 5040 Tx-121 Suite 200, Lewisville, TX 75056 | 2019-02-12 |
| 1407265572 | Aruna Medical Clinic, LLC | Family Medicine | 417 Oakbend Dr, Suite 100, Lewisville, TX 75067-2338 | 2014-08-04 |
| 1346404001 | Patrick William Martin | Family Medicine | 571 W Main St Ste 100, Lewisville, TX 75057-3667 | 2008-07-11 |
| 1477716710 | Dhanashree Dilip Joshi | Family Medicine | 6630 Shallowford Rd, Lewisville, NC 27023-9504 | 2008-07-08 |
| 1538379870 | John Christopher Lavelle | Family Medicine | 2501 South State Hwy 121, Suite 1100, Lewisville, TX 75067 | 2007-05-23 |
| 1659401529 | Highland Family Medical Centers Pa | Family Medicine | 2012 Justin Rd, Suite 100, Lewisville, TX 75077-7161 | 2007-03-07 |
| 1285708925 | Holly Mccoy | Family Medicine | 1559 W Main Street, Lewisville, TX 75067-3394 | 2006-11-17 |
| 1255424859 | Jalil Khan, Md, Pa | Family Medicine | 502 North Valley Parkway, Suite 1, Lewisville, TX 75067-3437 | 2006-10-02 |
| Find all providers in LEWISVILLE | ||||
| City | LEWISVILLE |
| Zip Code | 75057 |
Please comment or provide details below to improve the information on VINTAGE FAMILY MEDICINE AND PEDIATRICS.
| 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.