DAVID S BASTAWROS DPM PA (NPI# 1255510103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255510103 |
| Entity Type | Organization |
| Organization Name | DAVID S BASTAWROS DPM PA |
| Practice Address |
4716 Alliance Blvd Ste 300 Plano TX 75093-5371 |
| Mailing Address |
Po Box 261126 Plano TX 75026-1126 |
| Practice Telephone | 4698143480 |
| Practice Fax Number | 4698143490 |
| Mailing Telephone | 9724913000 |
| Mailing Fax Number | 9724913001 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2015-01-12 |
| Authorized Official Name | DR. DAVID S BASTAWROS (PRESIDENT) |
| Authorized Official Telephone | 9724913000 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1459 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RAILROAD | DO2358 | 01 |
| Street Address |
4716 ALLIANCE BLVD STE 300 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588634 | David S. Bastawros | Podiatrist | 4716 Alliance Blvd, Ste 300, Plano, TX 75093-5371 | 2005-06-16 |
| 1427566371 | James Hale Miller Jr. | Social Worker | 4716 Alliance Blvd, 775, Plano, TX 75093 | 2018-01-12 |
| 1831556174 | Monique Laverne Bradford | Nurse Practitioner | 4716 Alliance Blvd, Plano, TX 75093-5371 | 2016-01-18 |
| 1053794768 | Kayme Mcintosh | Nurse Practitioner | 4716 Alliance Blvd, Suite 500, Plano, TX 75093-5371 | 2015-06-30 |
| 1053723635 | Eating Recovery Center of Dallas | Psychiatric Hospital | 4716 Alliance Blvd, Suite 400, Plano, TX 75093-5371 | 2014-05-29 |
| 1073939443 | Dayna Vestal | Nurse Practitioner | 4716 Alliance Blvd, Pavillion II, Suite 270, Plano, TX 75093-5371 | 2014-03-10 |
| 1003259458 | Sean Allan Townsend | Internal Medicine | 4716 Alliance Blvd, Suite 500, Plano, TX 75093-5371 | 2013-04-15 |
| 1891084968 | James David Russell | Dermatology | 4716 Alliance Blvd, Suite 150, Plano, TX 75093-5371 | 2011-03-29 |
| 1144475229 | Justin Michael Schaffer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4716 Alliance Blvd, Pavilion II, Suite 310, Plano, TX 75093-5371 | 2008-11-17 |
| 1538349360 | Katherine Brooks Harrington | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4716 Alliance Blvd, Pavillion II, Suite 310, Plano, TX 75093-5371 | 2007-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093379174 | Interventional Partners, LLC | Podiatrist | 6309 Preston Rd Ste 1200, Plano, TX 75024-2741 | 2019-04-24 |
| 1922550722 | Southwest Foot Care and Associates | Podiatrist | 7711 San Jacinto Pl, Suite 200, Plano, TX 75024-3294 | 2016-10-27 |
| 1598114480 | Dhvanil Thakor | Podiatrist | 3400 Westwind Dr, Plano, TX 75093-7987 | 2016-06-10 |
| 1689831950 | Jeremiah Andrew Graff | Podiatrist | 2633 Dallas Pkwy, Ste 100, Plano, TX 75093-4703 | 2008-05-22 |
| 1922190289 | Foot Care Consultants. Pa | Podiatrist | 6300 W Parker Road, Ste 420, Plano, TX 75093 | 2006-09-28 |
| 1770588634 | David S. Bastawros | Podiatrist | 4716 Alliance Blvd, Ste 300, Plano, TX 75093-5371 | 2005-06-16 |
| 1578566949 | Jaryl G Korpinen | Podiatrist | 6309 Preston Rd, Ste 1200, Plano, TX 75024-2606 | 2005-05-31 |
| 1487268587 | Agape Foot Care Pa | Podiatrist | 1312 14th St Ste 101, Plano, TX 75074-6206 | 2020-09-04 |
| 1558981977 | Dfw Foot and Ankle Care LLC | Podiatrist | 4116 W Spring Creek Pkwy Ste 400c, Plano, TX 75024-5237 | 2020-04-26 |
| 1215587977 | Texas Wound Pros LLC | Podiatrist | 1705 Ohio Dr Ste 200, Plano, TX 75093-5257 | 2019-09-16 |
| Find all providers in PLANO | ||||
Please comment or provide details below to improve the information on DAVID S BASTAWROS DPM PA.
| 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.