SHATORYA ANN MODKINS


Address: 4342 Lashley Dr, Dallas, TX 75232-1186
Phone: 2142086402

SHATORYA ANN MODKINS (NPI# 1164669974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164669974
Entity Type Organization
Organization Name SHATORYA ANN MODKINS
Practice Address 4342 Lashley Dr
Dallas
TX 75232-1186
Practice Telephone 2142086402
Mailing Telephone 2142086402
Enumeration Date 2009-01-15
Last Update Date 2009-01-15
Authorized Official Name MISS SHATORYA ANN MODKINS (CEO)
Authorized Official Telephone 2142086402
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization TX Managed Care Organizations

Office Location

Street Address 4342 LASHLEY DR
City DALLAS
State TX
Zip Code 75232-1186

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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

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1881045680 Innovative Lifeskills Training Center LLC Preferred Provider Organization 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 2016-06-23
1538561675 Linda's Home Health Care Preferred Provider Organization 10204 Hillhouse Ln, Dallas, TX 75227-7648 2014-09-19
1316200686 Love Rx Pharmacy Preferred Provider Organization 1625 W Mockingbird Ln, Ste 206, Dallas, TX 75235-5077 2012-06-20
1487872628 Dallas Metrocare Services Preferred Provider Organization 901 South Ervay, Dallas, TX 75201 2007-04-23
1023120698 Pediatric Ent Associates Preferred Provider Organization 8325 Walnut Hill Ln Ste 100, Dallas, TX 75231-4262 2006-08-31
1427615061 Veritas Medical Professionals Preferred Provider Organization 15240 Dallas Pkwy, Dallas, TX 75248-4610 2019-05-20
1982057386 Kachepa Group Dental Preferred Provider Organization 12250 Inwood Rd Ste 4, Dallas, TX 75244-8021 2016-07-20
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Competitor

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City DALLAS
Zip Code 75232

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Dataset Information

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.

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