DR. PURUSHOTTAM ACHYUT NAGARKAR (NPI# 1336465509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336465509 |
Entity Type | Individual |
Full Name | DR. PURUSHOTTAM ACHYUT NAGARKAR |
Credential | MD |
Practice Address |
5323 Harry Hines Blvd Dallas TX 75390 |
Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
Practice Telephone | 2146453101 |
Mailing Telephone | 2146453101 |
Enumeration Date | 2010-04-13 |
Last Update Date | 2018-06-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Q5507 | TX | Allopathic & Osteopathic Physicians |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Q5507 | TX | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
10833 Le Conte, 76-143 Chs, Los Angeles, CA 900952693 | 2146953571 | |
1801 Inwood Road 4th Floor, Dallas, TX 753904096 | 2146453101 | |
5575 Warren Pkwy Ste 318, Frisco, TX 750344096 | 2146454167 | 2146457679 |
Street Address |
5323 HARRY HINES BLVD |
City | DALLAS |
State | TX |
Zip Code | 75390 |
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 | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699179390 | Sam T. Hamra M.d. P. A. | Surgery | 4131 N Central Expy # 950, Dallas, TX 75204-2102 | 2014-10-09 |
1669819736 | Travis Guthrie Boyd | Surgery | 1801 Inwood Rd Fl 4, Dallas, TX 75235-7202 | 2013-05-30 |
1104950443 | A and M Surgery Center Rllp | Surgery | 7777 Forest Ln Ste C637, Dallas, TX 75230-6869 | 2007-03-16 |
1699851923 | Ben J Tittle | Surgery | 10743 Preston Rd, Dallas, TX 75230 | 2006-10-30 |
1538113592 | Jeffrey A Fearon | Surgery | 7777 Forest Ln Ste C700, Dallas, TX 75230-2518 | 2006-05-22 |
1225002538 | Plastic and Craniofacial Surgery for Infants and Children, P.a. | Surgery | 6300 Harry Hines Blvd, #600, Dallas, TX 75235-5259 | 2006-02-14 |
1881670172 | Jeffrey Donald Hopkins | Surgery | 3450 W Wheatland Road, Suite 425, Dallas, TX 75237 | 2005-12-19 |
1164422481 | Charles Alan Wallace | Surgery | 17110 Dallas Pkwy, Suite 100, Dallas, TX 75248-1167 | 2005-07-28 |
1093171761 | Reconstructive Microsurgery and Lymphedema Associates | Surgery | 7777 Forest Ln Ste B216, Dallas, TX 75230-6810 | 2016-01-11 |
1083023303 | Stephanie K. Teotia Md Pa | Surgery | 4231 Cedar Springs Rd, Dallas, TX 75219-2691 | 2014-08-12 |
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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.