LEGACY MEDICAL PLLC (NPI# 1174120497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174120497 |
| Entity Type | Organization |
| Organization Name | LEGACY MEDICAL PLLC |
| Practice Address |
4606 Salisbury Dr Parker TX 75002-2762 |
| Practice Telephone | 2146076526 |
| Mailing Telephone | 2146076526 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | LESLIE WITTE (MANAGER) |
| Authorized Official Telephone | 2146076526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457609653 | Legacy Medical Pllc | Psychiatry & Neurology | 3741 77th St, Jackson Hts, NY 11372-6629 | 2012-08-17 |
| 1659628832 | Legacy Medical Pllc | Psychiatry & Neurology | 19 W 34th St, Suite1200, New York, NY 10001-3006 | 2012-08-07 |
| Street Address |
4606 SALISBURY DR |
| City | PARKER |
| State | TX |
| Zip Code | 75002-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483021 | Woodford Medical Pllc | Internal Medicine | 4606 Salisbury Dr, Parker, TX 75002-2762 | 2020-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800810 | Lml Counseling Services, LLC | Community/Behavioral Health | 8505 Rasor Blvd, Plano, TX 75002 | 2020-08-05 |
| 1235779422 | Deepa Mary Mathew | Registered Nurse | 1719 Shawnee Trail, Allen, TX 75002 | 2020-01-15 |
| 1932687993 | Bec N Call Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 301 S. Cedar Drive, Allen, TX 75002 | 2018-08-01 |
| 1801388715 | Triton Medical, LLC | Durable Medical Equipment & Medical Supplies | 6800 Weiskopf Ave Suite 150, Allen, TX 75002 | 2018-06-06 |
| 1841787504 | Parley Hubler Jr Dds Pllc | Dentist | 501 S Angel Pkwy, Ste 100, Lucas, TX 75002 | 2018-04-18 |
| 1730682030 | Ks Allen Tx PC | Dentist | 121 N Greenville Ave Ste M, Allen, TX 75002 | 2018-03-13 |
| 1356842645 | Tammy Ann Eiland | Registered Nurse | 1412 Spring Street, 1412 Spring Street, Allen, TX 75002 | 2018-02-22 |
| 1770084055 | Choy Ortho-pedo Pllc | Dentist | 501 South Angel Parkway, Suite 400, Lucas, TX 75002 | 2018-02-22 |
| 1679091888 | Julie Von Gardner | Counselor | 809 Heritage Pkwy. South, Allen, TX 75002 | 2017-09-07 |
| 1255852984 | Christina Lynn Vo | Dentist | 611 Rockcrossing Ln., Allen, TX 75002 | 2017-07-03 |
| Find all providers in zip 75002 | ||||
| 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 |
|---|---|---|---|---|
| 1114331006 | Healogics Specialty Physicians of Colorado-professional, LLC | Internal Medicine | 9399 Crown Crest Blvd Ste 430, Parker, CO 80138-8527 | 2014-06-18 |
| 1427487693 | Senior Housecalls Management LLC | Internal Medicine | 6206 Northridge Pkwy, Parker, TX 75002-5552 | 2013-11-07 |
| 1952583585 | Kevin J Molk, Md, PC | Internal Medicine | 9397 Crown Crest Blvd Ste 420, Parker, CO 80138-8789 | 2007-12-05 |
| 1598850968 | Ramona Ignacia Rodriguez | Internal Medicine | 9399 Crown Crest Blvd Ste 200, Parker, CO 80138-8508 | 2006-10-03 |
| 1104876721 | Stephanie Kakos Kraft | Internal Medicine | 10371 Parkglenn Way, Ste 230, Parker, CO 80138-3885 | 2006-05-12 |
| 1538129358 | Kevin Scott Klopfenstein | Internal Medicine | 400 S California Ave, Parker, AZ 85344-4467 | 2006-03-24 |
| 1700483021 | Woodford Medical Pllc | Internal Medicine | 4606 Salisbury Dr, Parker, TX 75002-2762 | 2020-10-08 |
| 1982210647 | Portercare Adventist Health System | Internal Medicine | 19641 E Parker Square Dr Ste A, Parker, CO 80134-7397 | 2020-09-18 |
| 1356952642 | Portercare Adventist Health System | Internal Medicine | 9949 S Oswego St Ste 300, Parker, CO 80134-3888 | 2020-08-11 |
| 1720541634 | Portercare Adventist Health System | Internal Medicine | 19641 E Parker Square Dr Ste A, Parker, CO 80134-7397 | 2019-04-08 |
| Find all providers in PARKER | ||||
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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.