SHAUN MICHAEL NORDECK (NPI# 1285122341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285122341 |
Entity Type | Individual |
Full Name | SHAUN MICHAEL NORDECK |
Practice Address |
5323 Harry Hines Blvd Dallas TX 75390-1201 |
Mailing Address |
5323 Harry Hines Blvd Dallas TX 75390-9316 |
Practice Telephone | 2146487236 |
Mailing Telephone | 2146487236 |
Mailing Fax Number | 2146488025 |
Enumeration Date | 2018-04-24 |
Last Update Date | 2019-07-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
BP20066772 | TX | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | BP10062891 | TX | Allopathic & Osteopathic Physicians |
Street Address |
5323 HARRY HINES BLVD |
City | DALLAS |
State | TX |
Zip Code | 75390-1201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750384434 | Wayne Edward Vinton | Nurse Anesthetist, Certified Registered | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2005-05-24 |
1134726441 | Franco Hernandez | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-10-08 |
1902413313 | Suzanne Largent | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-09-29 |
1518574540 | Alexandra Abele | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2020-09-24 |
1427660133 | Salman Kazmi | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-24 |
1356951800 | Teja Sebastian | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-08 |
1891305454 | Usamah Chaudhary | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-07 |
1700496999 | Jada Martin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-03 |
1790395036 | Glaiza-mae Sande-docor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
1326658675 | Allante Jemar Milsap | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
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Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427009182 | Danny Yuen Chan | Radiology | 12400 Coit Rd Ste 505, Dallas, TX 75251 | 2006-05-15 |
1932732815 | Interventional Partners LLC | Radiology | 12400 Coit Rd Ste 505, Dallas, TX 75251-2038 | 2020-02-19 |
1093345209 | Dr Murthy Chamarthy Md Pllc | Radiology | 17950 Preston Rd Ste 120, Dallas, TX 75252-5793 | 2020-01-16 |
1275022584 | Dfw Radiology Associates Pllc | Radiology | 12400 Coit Rd Ste 505, Dallas, TX 75251-2038 | 2018-05-02 |
1659875573 | Jacob Wesley Fleming | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-1201 | 2018-03-23 |
1467988311 | Premier Endovascular, Pllc | Radiology | 4848 Lemmon Ave, Ste 100, Dallas, TX 75219-1400 | 2017-05-11 |
1447785480 | Satyam Veean | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2017-04-27 |
1750814737 | Interventional Partners, LLC | Radiology | 12400 Coit Rd, Suite 505, Dallas, TX 75251-2069 | 2017-04-06 |
1255750451 | Anish Ashvin Patel | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-9178 | 2014-04-15 |
1871911040 | Alap Desai | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2014-04-03 |
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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.