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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | TX | Managed Care Organizations |
Street Address |
4342 LASHLEY DR |
City | DALLAS |
State | TX |
Zip Code | 75232-1186 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538705348 | Kimberly Mitchell | Technician | 5645 Elm Valley Ln, Dallas, TX 75232 | 2019-11-27 |
1457900607 | Jewelene Colbert | Technician | 1630 Oak Glen Trl., Dallas, TX 75232 | 2019-09-10 |
1700330032 | Ahad G Sheikh | Dentist | 4767 Vista Woods Blvd, Dallas, TX 75232 | 2016-08-03 |
1962881748 | Legacy Dental of Glen Oaks | Dentist | 4767 Vista Wood Blvd, Ste 110, Dallas, TX 75232 | 2015-05-26 |
1003234147 | Crystal Smith | Homeopath | 6923 Coleshire Dr, Dallas, TX 75232 | 2014-04-05 |
1356782098 | Sonja Lynette Shipp | Counselor | 5787 South Hampton Road, Suite 230-k, Dallas, TX 75232 | 2013-07-10 |
1073856233 | Heart To Heart Hospice of Dallas, LLC | Hospice Care, Community Based | 5787 S Hampton Rd Ste 430, Dallas, TX 75232 | 2013-04-05 |
1700131976 | Vivian Kay Thompson | Counselor | 5034 Haywood Pkwy, Dallas, TX - TEXAS 75232 | 2012-07-13 |
1821379819 | Cts - Cotton Traveling Service | Bus | 539 Meadow Health Lane, Dallas, TX 75232 | 2011-09-02 |
1467696781 | Faith Residential House Inc #1 | Exclusive Provider Organization | 6840 Brierfield Cir, Dallas, TX 75232 | 2009-04-30 |
Find all providers in zip 75232 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
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1093247959 | Swift Provider Inc | Preferred Provider Organization | 9205 Skillman St Ste 125, Dallas, TX 75243-9042 | 2017-03-30 |
1063955334 | Traveling Doctors, LLC | Preferred Provider Organization | 8508 Sikorski Ln, Dallas, TX 75228-5447 | 2016-11-18 |
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 |
1437518248 | Mullican Chiropractic | Preferred Provider Organization | 2952 Eric Ln, Dallas, TX 75234-6491 | 2016-02-22 |
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.