BTDI JV LLP (NPI# 1275971616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275971616 |
| Entity Type | Organization |
| Organization Name | BTDI JV LLP |
| Other Organization Name | BAYLOR CHARLES A. SAMMONS CANCER CENTER |
| Practice Address |
3410 Worth St Ste 770 Dallas TX 75246-2003 |
| Mailing Address |
1431 Perrone Way Franklin TN 37069-4243 |
| Practice Telephone | 2148202300 |
| Mailing Telephone | 6156619200 |
| Mailing Fax Number | 6156619297 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2016-11-14 |
| Authorized Official Name | CHRISTIAN C RICE JR. (CEO) |
| Authorized Official Telephone | 6156619200 |
| Is Organization Subpart | Y |
| Parent Organization Name | BTDI JV LLP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Baylor Charles A. Sammons Cancer Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326518341 | Btdi Jv LLP | Physiological Laboratory | 4501 Matlock Rd Ste 101, Arlington, TX 76018-1004 | 2018-12-03 |
| 1265870604 | Btdi Jv LLP | Physiological Laboratory | 925 E. Southlake Blvd., Ste 220, Southlake, TX 76092 | 2013-06-07 |
| 1932547460 | Btdi Jv LLP | Physiological Laboratory | 5321 W University Dr, Mckinney, TX 75071-7824 | 2013-06-06 |
| 1548805245 | Btdi Jv LLP | Physiological Laboratory | 250 Santa Fe Dr, Weatherford, TX 76086-6585 | 2019-11-18 |
| 1780165845 | Btdi Jv LLP | Physiological Laboratory | 7217 Telecom Parkway, Suite 150, Garland, TX 75044 | 2018-08-27 |
| 1730543570 | Btdi Jv LLP | Physiological Laboratory | 312 Richland West Cir, Waco, TX 76712-7919 | 2016-04-07 |
| 1043672223 | Btdi Jv LLP | Physiological Laboratory | 135 Bunton Creek Rd, Suite 101, Kyle, TX 78640-5787 | 2016-03-25 |
| 1710325154 | Btdi Jv LLP | Physiological Laboratory | 2740 N State Highway 360, Ste 200, Grand Prairie, TX 75050-6403 | 2013-06-07 |
| 1508204959 | Btdi Jv LLP | Physiological Laboratory | 665 Ne Alsbury Blvd, Burleson, TX 76028-2660 | 2013-06-07 |
| 1932547361 | Btdi Jv LLP | Physiological Laboratory | 9101 N Central Expy, 100, Dallas, TX 75231-5927 | 2013-06-07 |
| Street Address |
3410 WORTH ST STE 770 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336121565 | Jacqueline G O'leary | Internal Medicine | 3410 Worth St, Suite 860, Dallas, TX 75246-2003 | 2005-11-15 |
| 1619455839 | Bonnie Lucio | Physical Therapist | 3410 Worth St, Dallas, TX 75246-2003 | 2018-07-31 |
| 1831604917 | Elizabeth Marie Brown | Nurse Practitioner | 3410 Worth St, Dallas, TX 75246-2003 | 2017-12-11 |
| 1003357799 | Whitney Mcmullan Whiteley | Registered Nurse | 3410 Worth St, Suite 250, Dallas, TX 75246-2003 | 2017-03-14 |
| 1841744042 | Augusto Flores | Nurse Practitioner | 3410 Worth St, Suite 860, Dallas, TX 75246-2003 | 2016-08-05 |
| 1255783122 | Kelly Amanda Johnson | Genetic Counselor, MS | 3410 Worth St, Suite 760, Dallas, TX 75246-2003 | 2016-07-05 |
| 1053760025 | Chelsey Burden | Genetic Counselor, MS | 3410 Worth St, Suite 760, Dallas, TX 75246-2003 | 2016-06-09 |
| 1154776243 | Debra Werley | Nurse Practitioner | 3410 Worth St, Suite 400, Dallas, TX 75246-2003 | 2016-04-26 |
| 1194197947 | Tiffany Bruno | Nurse Practitioner | 3410 Worth St, Suite 400, Dallas, TX 75246-2003 | 2015-10-20 |
| 1558732602 | Denise A Adams | Nurse Practitioner | 3410 Worth St, 9th Floor, Dallas, TX 75246-2003 | 2015-10-15 |
| 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 | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798875 | Btdi Jv, LLP | Physiological Laboratory | 712 N Washington Ave Ste 102, Dallas, TX 75246-2604 | 2020-10-21 |
| 1033746540 | Enovatemed Solutions, LLC | Physiological Laboratory | 18006 Hillcrest Rd, Dallas, TX 75252-5862 | 2020-03-25 |
| 1205475829 | Intraoperative Neuro Professionals | Physiological Laboratory | 25 Highland Park Vlg # 100-470, Dallas, TX 75205-2789 | 2019-12-30 |
| 1881237568 | Mbb Management | Physiological Laboratory | 12700 Hillcrest Rd Ste 158, Dallas, TX 75230-2055 | 2019-10-24 |
| 1730738386 | Foj Neuro Diagnostics LLC | Physiological Laboratory | 13421 Tangleridge Ln, Dallas, TX 75240-5342 | 2019-09-06 |
| 1184283053 | Brainwave Diagnostic LLC | Physiological Laboratory | 7777 Forest Ln Ste B416, Dallas, TX 75230-2566 | 2019-06-13 |
| 1780196576 | Progressive Neuro Diagnostics | Physiological Laboratory | 350 N Saint Paul St Apt 2114, Dallas, TX 75201-4220 | 2017-11-01 |
| 1588981831 | Pro-tech-tive Neuromonitoring, LLC | Physiological Laboratory | 10114 Pinecrest Dr, Dallas, TX 75228-3257 | 2010-04-27 |
| 1144550369 | Health Imaging Partners LLC | Physiological Laboratory | 12201 Merit Dr Ste 100, Dallas, TX 75251-2122 | 2010-01-11 |
| 1144340258 | Digitrace Care Services Inc | Physiological Laboratory | 8700 N Stemmons Fwy, Suite 135, Dallas, TX 75247-3729 | 2007-03-30 |
| 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.