JACKSONVILLE SURGICAL ASSOCIATES, LLP (NPI# 1336103605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336103605 |
Entity Type | Organization |
Organization Name | JACKSONVILLE SURGICAL ASSOCIATES, LLP |
Practice Address |
7920 Belt Line Rd Suite 310 Dallas TX 75254-8145 |
Mailing Address |
Po Box 2316 Jacksonville TX 75766-0067 |
Practice Telephone | 9723318100 |
Practice Fax Number | 9723318110 |
Mailing Telephone | 9035866863 |
Mailing Fax Number | 9035862122 |
Enumeration Date | 2006-04-13 |
Last Update Date | 2008-01-18 |
Authorized Official Name | MALINDA KAY FELTS (OFFICE MANAGER) |
Authorized Official Telephone | 9035866863 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | TX | Other Service Providers |
Street Address |
7920 BELT LINE RD SUITE 310 |
City | DALLAS |
State | TX |
Zip Code | 75254-8145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942736459 | Praxeo Health, LLC | Clinical Medical Laboratory | 7920 Belt Line Rd, Suite 215, Dallas, TX 75254-8145 | 2017-05-03 |
1033663299 | Novel Community Health Services Inc | Home Health | 7920 Belt Line Rd, Suite 255, Dallas, TX 75254-8145 | 2016-08-05 |
1477919686 | Asclepius Pain Management, Pllc | Pain Medicine | 7920 Belt Line Rd, 120, Dallas, TX 75254-8145 | 2016-01-05 |
1609260900 | Novel Hospice Care Inc | Hospice Care, Community Based | 7920 Belt Line Rd, Suite 255, Dallas, TX 75254-8145 | 2015-03-25 |
1811305311 | Dallas Mri Center, L.L.C. | Radiology | 7920 Belt Line Rd, Suite 120, Dallas, TX 75254-8145 | 2014-07-28 |
1124379896 | Olson Chiropractic & Rehab, Inc | Chiropractor | 7920 Belt Line Rd, Suite 160, Dallas, TX 75254-8145 | 2012-09-21 |
1417243015 | Primaris Laboratory Services LLC | Clinical Medical Laboratory | 7920 Belt Line Rd, Suite 205, Dallas, TX 75254-8145 | 2011-06-22 |
1407167364 | Choice Laboratory Services, LLC | Clinical Medical Laboratory | 7920 Belt Line Rd, Suite 200, Dallas, TX 75254-8145 | 2010-06-25 |
1467683995 | Women's Imaging of North Texas | Clinic/Center | 7920 Belt Line Rd, Suite 400, Dallas, TX 75254-8145 | 2009-07-31 |
1023248234 | Elite Medical Group | Family Medicine | 7920 Belt Line Rd, Suite # 120, Dallas, TX 75254-8145 | 2009-07-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871119479 | Danielle Nicole Tolliver | Occupational Therapist | 4651 Dallas Pkwy, Suite 200, Dallas, TX 75254 | 2020-06-19 |
1164981593 | Christopher Richardson | Behavior Technician | 14785 Preston Rd Suite 550, Dallas, TX 75254 | 2019-03-15 |
1295224582 | Gerald Blake Ashlock | Counselor | 14400 Montfort Dr, Apt 1605, Dallas, TX 75254 | 2018-05-02 |
1851890685 | Gayle Deniese Hillman | Counselor | 14117 Montfort Dr, Dallas, TX 75254 | 2018-02-07 |
1568987386 | Riverstone Care LLC | Community/Behavioral Health | 14145 Noel Rd, 206, Dallas, TX 75254 | 2017-08-14 |
1548781594 | Cataract Vision Institute of Texas, Pllc | Ophthalmology | 14160 N. Dallas Pkwy, Ste 100, Dallas, TX 75254 | 2017-06-29 |
1366972911 | Terry Ku | Dentist | 5100 Belt Line Rd #312, Addison, TX 75254 | 2017-06-15 |
1932552338 | Rashonda Poston | Developmental Therapist | 5902 Preston Oaks Rd, Apt 2093, Dallas, TX 75254 | 2016-07-20 |
1326452699 | Anita Griffin | Specialist/Technologist | 5220 Spring Valley Road, Suite 400, Dallas, TX 75254 | 2014-06-16 |
1669721973 | Steve Willis Tobias | Physician Assistant | 5917 Beltline, Dallas, TX 75254 | 2012-08-31 |
Find all providers in zip 75254 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275172827 | Tina Mone Patterson | Specialist | 8501 Old Hickory Trl Apt 2106, Dallas, TX 75237-3821 | 2019-12-31 |
1225670862 | Camerin J Cole | Specialist | 4701 Haverwood Ln Apt 112, Dallas, TX 75287-4206 | 2019-10-15 |
1356833198 | Diana Denise Demasi | Specialist | 4411 Lemmon Ave Ste 102, Dallas, TX 75219-2390 | 2018-06-06 |
1942718242 | Kristy Prieto | Specialist | 18809 Lina St Apt 10209, Dallas, TX 75287-2519 | 2018-01-21 |
1306354600 | Johnneshia Donald | Specialist | 3702 Frankford Rd Apt 12303, Dallas, TX 75287-7808 | 2018-01-21 |
1841740404 | Surgical Associates of Dallas | Specialist | 621 N Hall St Ste 520, Dallas, TX 75226-1315 | 2016-10-07 |
1194198101 | Surepoint Emergency Physicians Denton, Pllc | Specialist | 5005 Lbj Fwy, Suite 1200, Dallas, TX 75244 | 2015-11-12 |
1316329071 | Southern Spine Institute Pllc | Specialist | 11970 N Central Expy Ste 450, Dallas, TX 75243-3787 | 2015-06-18 |
1760886345 | Wls Surgical Associates of North Texas Pllc | Specialist | 7777 Forest Ln Ste C400, Dallas, TX 75230-7516 | 2014-10-10 |
1952731804 | Aw Sleep Diagnostic Center Inc | Specialist | 13154 Coit Road, Suite 105, Dallas, TX 75240-5787 | 2013-11-13 |
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.