DR. JORDAN PASTOREK (NPI# 1265400634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265400634 |
| Entity Type | Individual |
| Full Name | DR. JORDAN PASTOREK |
| Credential | MD |
| Practice Address |
4645 Avon Ln Ste 200 Frisco TX 75033-1559 |
| Practice Telephone | 4694305850 |
| Practice Fax Number | 8777227085 |
| Mailing Telephone | 4694305850 |
| Mailing Fax Number | 8777227085 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | M1286 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 19850 | MS | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | M1286 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03081311 | 05 | |
| MS | TAX ID | 64-6000515 | 01 |
| Street Address |
4645 AVON LN STE 200 |
| City | FRISCO |
| State | TX |
| Zip Code | 75033-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540176 | Benedict I Okafor Sr. | Registered Nurse | 4645 Avon Ln, Frisco, TX 75033-1301 | 2020-05-26 |
| 1164570677 | Elizabeth Darlene Drew | Counselor | 4645 Avon Ln, Ste 190b, Frisco, TX 75033-1549 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041370 | Crown Billing LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliot Dr., Ste 700, Frisco, TX 75033 | 2020-07-24 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1811548050 | Dvt Elimination LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr, Suite 700, Frisco, TX 75033 | 2019-09-27 |
| 1174008163 | Bobby Cineus Renaud | Registered Nurse | 1801 Mccord Way Apt 813, Frisco, TX 75033 | 2018-09-26 |
| 1740762186 | Lisa Powell | Physical Therapist | 3280 Appleblossom Dr, Frisco, TX 75033 | 2018-09-01 |
| 1992283519 | Crown Medical Billing | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr., Suite 700, Frisco, TX 75033 | 2018-08-06 |
| 1780175497 | Kendall Marie Schatzle | Occupational Therapist | 10050 Legacy Dr Ste 200, Frisco, TX 75033 | 2018-05-29 |
| 1932615234 | Pediatrics Plus Therapy | Pediatrics | 6025 Sports Village Road, Frisco, TX 75033 | 2017-12-21 |
| 1932611704 | Parul Vashisht | Dentist | 1606 Fm 423, Suite 200, Frisco, TX 75033 | 2017-11-01 |
| Find all providers in zip 75033 | ||||
| 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 |
|---|---|---|---|---|
| 1326658428 | Passion Health Nephrology Associates LLC | Internal Medicine | 11866 Casa Grande Trl, Frisco, TX 75033-0222 | 2020-08-04 |
| 1134768179 | Legacy Internal Medicine, Pllc | Internal Medicine | 11330 Legacy Dr Ste 204, Frisco, TX 75033-1206 | 2019-12-21 |
| 1104388776 | Aftab Karim Pllc | Internal Medicine | 13210 Leeson Ln, Frisco, TX 75035-0799 | 2019-04-03 |
| 1225596018 | Malik M Ali LLC | Internal Medicine | 2003 Courtland Dr, Frisco, TX 75034-3634 | 2019-03-11 |
| 1457817017 | Smb Medical Pllc | Internal Medicine | 14123 Sorano Dr, Frisco, TX 75035-9293 | 2019-02-19 |
| 1457823718 | Amerihealth Consultant Pllc | Internal Medicine | 255 W Lebanon # 224, Frisco, TX 75036-3411 | 2018-12-27 |
| 1679057392 | Collin County Doctors, Pllc | Internal Medicine | 4760 Preston Rd Ste 244-305, Frisco, TX 75034-8548 | 2018-09-18 |
| 1962991612 | Stattollo | Internal Medicine | 12909 Rhinelander Dr, Frisco, TX 75033-0404 | 2018-05-08 |
| 1396250577 | North Dallas Healthcare Associates LLC | Internal Medicine | 4040 Legacy Dr Ste 104, Frisco, TX 75034-6748 | 2017-12-09 |
| 1588011753 | Moksh Medical Group | Internal Medicine | 6798 Martel Pl, Frisco, TX 75035-4856 | 2016-05-18 |
| Find all providers in FRISCO | ||||
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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.