KETAMINE HEALTH & WELLNESS CENTER OF TEXAS (NPI# 1295257988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295257988 |
| Entity Type | Organization |
| Organization Name | KETAMINE HEALTH & WELLNESS CENTER OF TEXAS |
| Practice Address |
5944 W Parker Rd Ste 400 Plano TX 75093-6443 |
| Practice Telephone | (972) 980-0500 |
| Practice Fax Number | 9729800503 |
| Mailing Telephone | 9729800500 |
| Mailing Fax Number | 9729800503 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MRS. LESLIE K HILL (BILLING MANAGER) |
| Authorized Official Telephone | 9729800500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
L4969 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
5944 W PARKER RD STE 400 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-6443 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423738 | Esplanade Medical Services Pllc | Anesthesiology | 2024 W 15th St # F-366, Plano, TX 75075-7363 | 2019-12-10 |
| 1760027700 | Sameer Syed, Md, Pa | Anesthesiology | 3151 W 15th St Ste B, Plano, TX 75075-7731 | 2019-11-13 |
| 1679078075 | Sp Pain Partners, Pllc | Anesthesiology | 6000 W Spring Creek Pkwy Ste 150, Plano, TX 75024-4111 | 2018-03-27 |
| 1104264845 | Tejas Vasant Ozarkar | Anesthesiology | 5425 W. Spring Creek Parkway, Suite 100, Plano, TX 75024 | 2013-06-04 |
| 1134310840 | Keshava G Suresh Md Pa | Anesthesiology | 4505 Chesterwood Dr, Plano, TX 75093-3519 | 2007-08-07 |
| 1205922390 | Noor Gajraj | Anesthesiology | 3108 Midway Rd Ste 206, Plano, TX 75093-1616 | 2006-10-05 |
| 1750852240 | Comprehensive Pain Solutions of Texas Pllc | Anesthesiology | 1300 Medical Ave Ste 102, Plano, TX 75075-7793 | 2018-12-10 |
| 1487186946 | Regen Pain Management | Anesthesiology | 6957 W Plano Pkwy, Suite 2300, Plano, TX 75093-1620 | 2017-04-03 |
| 1093265431 | No Pain Consultants,pllc | Anesthesiology | 5944 W Parker Rd, Suite 400, Plano, TX 75093-6421 | 2016-10-10 |
| 1396194676 | Paragon Iom, LLC | Anesthesiology | 6957 W Plano Pkwy, Suite 2300, Plano, TX 75093-1620 | 2016-06-08 |
| 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.