MATTHEW BERCHUCK (NPI# 1245283803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245283803 |
| Entity Type | Individual |
| Full Name | MATTHEW BERCHUCK |
| Credential | M.D. |
| Practice Address |
3409 Worth St 300 Dallas TX 75246-2029 |
| Practice Telephone | 2148651350 |
| Practice Fax Number | 2148651351 |
| Mailing Telephone | 2148651350 |
| Mailing Fax Number | 2148651351 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
P0957 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3125627-02 | 05 | |
| AL | BLUE CROSS OF ALABAMA | 051531832 | 01 |
| AL | 009941273 | 05 | |
| AL | 009934598 | 05 | |
| AL | BLUE CROSS OF ALABAMA | 051531430 | 01 |
| Street Address |
3409 WORTH ST 300 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941123 | Walter Russell Peters Jr. | Surgery | 3409 Worth St, Worth Tower, Suite 640, Dallas, TX 75246-2029 | 2005-06-09 |
| 1528507951 | John Mitchell | Pharmacist | 3409 Worth St, Suite 725, Dallas, TX 75246-2029 | 2017-02-17 |
| 1992259931 | Leonor Sosa | Nurse Practitioner | 3409 Worth St, Suite 600, Dallas, TX 75246-2029 | 2016-08-08 |
| 1861870081 | Clayton Bates | Specialist/Technologist, Other | 3409 Worth St, Ste 725, Dallas, TX 75246-2029 | 2015-05-07 |
| 1457789265 | Texas Spine Consultants, LLP | Pain Medicine | 3409 Worth St, Suite 510, Dallas, TX 75246-2029 | 2013-10-15 |
| 1336572494 | Tammara J Verduin | Specialist/Technologist, Other | 3409 Worth St, Suite 630, Dallas, TX 75246-2029 | 2013-08-13 |
| 1669796322 | Katerina Olivia Kimonis Wells | Colon & Rectal Surgery | 3409 Worth St, Suite 500, Dallas, TX 75246-2029 | 2010-03-23 |
| 1871733188 | Clinton Christopher Haley | Internal Medicine | 3409 Worth St, Suite 710, Dallas, TX 75246-2029 | 2009-02-26 |
| 1356512370 | David E Morales M D P A | Specialist | 3409 Worth St, Suite 630, Dallas, TX 75246-2025 | 2008-03-18 |
| 1154592186 | William M Carpenter Md Pa | Specialist | 3409 Worth St, Suite 630, Dallas, TX 75246-2025 | 2008-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812221 | Granthem Pllc | Orthopaedic Surgery | 8440 Walnut Hill Ln Ste 230, Dallas, TX 75231-3816 | 2020-02-12 |
| 1265701650 | Advanced Spine Center | Orthopaedic Surgery | 2430 Victory Park Ln, Ste 2001, Dallas, TX 75219-7709 | 2011-12-14 |
| 1457596561 | Craig C Callewart Md Pa | Orthopaedic Surgery | 9101 N. Central Expwy., Suite 360, Dallas, TX 75231 | 2008-12-04 |
| 1205848512 | Charles Jack Banta II | Orthopaedic Surgery | 8220 Walnut Hill Ln Ste 608, Dallas, TX 75231-4424 | 2006-08-13 |
| 1922028638 | William A Bruck | Orthopaedic Surgery | 9301 N Central Expy # 720-1982, Dallas, TX 75231-0806 | 2006-07-19 |
| 1053364547 | John H Peloza Md Pa | Orthopaedic Surgery | 17980 Dallas Pkwy, Suite 300, Dallas, TX 75287 | 2006-05-18 |
| 1245283548 | John H. Peloza | Orthopaedic Surgery | 17980 Dallas Parkway, Suite 300, Dallas, TX 75287 | 2006-05-18 |
| 1528051034 | Stephen Ozanne | Orthopaedic Surgery | 3450 W Wheatland Rd, Suite 330, Dallas, TX 75237-3470 | 2005-08-30 |
| 1659378305 | Venkat Sethuraman | Orthopaedic Surgery | 12200 Park Central Dr Ste 135, Dallas, TX 75251-2147 | 2005-07-07 |
| 1427054964 | Kevin Gill | Orthopaedic Surgery | 5303 Harry Hines Blvd Fl 6, Suite 108, Dallas, TX 75390-8810 | 2005-06-21 |
| 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.