CARDIOVASCULAR SUPPORT SERVICES (NPI# 1326265364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326265364 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR SUPPORT SERVICES |
| Practice Address |
3409 Worth St. Ste. 725 Dallas TX 75246-0289 |
| Mailing Address |
3409 Worth Street. Suite 725 Dallas TX 75246-0289 |
| Practice Telephone | 2148242510 |
| Mailing Telephone | 2148242510 |
| Mailing Fax Number | 2148260130 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MR. DUSTIN ALLEN GOODRICH (CLINICAL PERFUSIONIST) |
| Authorized Official Telephone | 2148242510 |
| Authorized Official Credential | LP, CCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | PF0541 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679803506 | Cardiovascular Support Services | Contractor | 2325 Flanders Ln, Plano, TX 75025-2150 | 2009-12-26 |
| 1598031379 | Cardiovascular Support Services | Perfusionist | 865 Deshong Dr, Paris, TX 75460-9313 | 2012-03-27 |
| Street Address |
3409 WORTH ST. STE. 725 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-0289 |
| 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 | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353569 | Mark Sanders | Contractor | 3046 Fordham Rd, Dallas, TX 75216-4819 | 2020-10-12 |
| 1518597764 | Calvin Anquan Clemmons | Contractor | 14501 Montfort Dr Apt 811, Dallas, TX 75254-8554 | 2020-01-16 |
| 1316597941 | Nekita Burrell | Contractor | 118 Cedarmont Way, Dallas, GA 30132-0550 | 2019-09-16 |
| 1215583554 | Healthrive Inc. | Contractor | 100 Crescent Ct Fl 7, Dallas, TX 75201-6900 | 2019-08-13 |
| 1588153357 | David Kohler | Contractor | 1445 Ross Ave, Dallas, TX 75202-2711 | 2018-05-07 |
| 1386192458 | Arvy Wayne Leejay II | Contractor | 4229 Tioga St, Dallas, TX 75241-6229 | 2016-09-16 |
| 1386096055 | Camey Allen | Contractor | 4919 Cedarbrier Dr, Dallas, TX 75236-1842 | 2016-07-06 |
| 1801287446 | Ivetta Williams | Contractor | 422 Ivy Crest Dr, Dallas, GA 30157-5528 | 2015-02-17 |
| 1710386255 | Daphne Camille Davis | Contractor | 7722 Chorus Way, Dallas, TX 75237-3562 | 2014-08-21 |
| 1962801662 | Brandon Contreras | Contractor | 2122 Kidwell St, Dallas, TX 75214-3913 | 2014-08-19 |
| 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.