MR. ANTHONY RAY BACA (NPI# 1275923302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275923302 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY RAY BACA |
| Credential | AG-ACNP |
| Practice Address |
3901 W 15th St Plano TX 75075-7738 |
| Mailing Address |
7029 Ridge Line Dr North Richland Hills TX 76182-7829 |
| Practice Telephone | 8174286474 |
| Mailing Telephone | 8174286474 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP127329 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720398159 | Anthony Jacob Baca Jr. | Rehabilitation Practitioner | 5105 Smoke Ranch Rd, Las Vegas, NV 89108-3536 | 2010-10-19 |
| 1508170408 | Anthony L Baca | Case Manager/Care Coordinator | 1200 Highway 60, Socorro, NM 87801-3914 | 2010-08-03 |
| 1932372257 | Anthony Peter Baca | Counselor | 1101 Medical Arts Ave Ne, Building #3, Albuquerque, NM 87102-2706 | 2008-04-08 |
| 1225222813 | Anthony Morris Baca | Case Manager/Care Coordinator | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2007-08-28 |
| Street Address |
3901 W 15TH ST |
| City | PLANO |
| State | TX |
| Zip Code | 75075-7738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394670 | Akilan Arumugham | Radiology | 3901 W 15th St, Plano, TX 75075-7738 | 2005-05-24 |
| 1568071108 | Tessa Thibodeaux | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2020-07-29 |
| 1225663867 | North Texas Gi Hospitalists, LLC | Internal Medicine | 3901 W 15th St, Plano, TX 75075-7738 | 2020-03-04 |
| 1801426408 | Lesley George | Pharmacist | 3901 W 15th St, Plano, TX 75075-7738 | 2020-01-22 |
| 1700416989 | James J Rockefeller Md, Pllc | Anesthesiology | 3901 W 15th St, Plano, TX 75075-7738 | 2020-01-16 |
| 1376187682 | Tabtiha Jean Inge | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-10-30 |
| 1528616042 | Lighthouse Anesthesia Pllc. | Anesthesiology | 3901 W 15th St, Plano, TX 75075-7738 | 2019-08-28 |
| 1962058636 | Halen Benjamin | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-08-17 |
| 1730731142 | Shelby Jane Smith | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-07-15 |
| 1033761630 | Simon Kaitei | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1104291483 | Lindsey Baxter | Nurse Practitioner | 2401 Trailwest Lane, Plano, TX 75025 | 2015-12-11 |
| 1194345850 | Adrienne Camille Greeney | Nurse Practitioner | 1100 Allied Dr, Plano, TX 75093-5348 | 2020-04-23 |
| 1679110332 | Charles James Mckenna | Nurse Practitioner | 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 | 2019-12-02 |
| 1376187682 | Tabtiha Jean Inge | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-10-30 |
| 1447715503 | Shabnam Gettu Gill | Nurse Practitioner | 6130 W Parker Rd Ste 516, Plano, TX 75093-8033 | 2019-02-04 |
| 1538636444 | Jessica Lee Whitis | Nurse Practitioner | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2018-10-29 |
| 1790251585 | Laura Hayes | Nurse Practitioner | 1100 Allied Dr, Plano, TX 75093-5348 | 2018-10-18 |
| 1760957088 | Baneen Fatima Manekia | Nurse Practitioner | 6300 W Parker Rd Ste 322, Plano, TX 75093-8103 | 2018-10-13 |
| 1831672088 | Preethy Sara Oommen | Nurse Practitioner | 6124 W Parker Rd Ste 536, Plano, TX 75093-8137 | 2018-09-13 |
| Find all providers in PLANO | ||||
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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.