DESTINATION HEALTH (NPI# 1346646528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346646528 |
| Entity Type | Organization |
| Organization Name | DESTINATION HEALTH |
| Practice Address |
900 E Southlake Blvd Suite 200 Southlake TX 76092-6375 |
| Practice Telephone | 8173106050 |
| Practice Fax Number | 8173106051 |
| Mailing Telephone | 8173106050 |
| Mailing Fax Number | 8173106051 |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |
| Authorized Official Name | MRS. JULIE K TIMMONS (OPERATIONS MANAGER) |
| Authorized Official Telephone | 8173106050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
H6268 | TX | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Destination Health 5280 LLC | 2205 Linda Vista Dr, Lakewood, CO 80215 |
| Virginia Business Entities | Destination Health Functional Medicine LLC | 42774 Glenside Drive, Ashburn, Virginia 20148 |
| Connecticut Business Registrations | DESTINATION HEALTH SYSTEMS, LLC | 282 Boston Post Road, Westbrook, CT 06498 |
| Street Address |
900 E SOUTHLAKE BLVD SUITE 200 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568545739 | Texas Regional Asthma & Allergy Center | Specialist | 900 E Southlake Blvd, Ste 300, Southlake, TX 76092-6375 | 2006-10-23 |
| 1144789934 | Caitlin Elizabeth Pedigo | Registered Nurse | 900 E Southlake Blvd, Southlake, TX 76092-6375 | 2019-03-19 |
| 1922329465 | Sharon Seth | Allergy & Immunology | 900 E Southlake Blvd, Suite 300, Southlake, TX 76092-6375 | 2010-06-18 |
| 1255519344 | Southlake Plastic Surgery | Oral & Maxillofacial Surgery | 900 E Southlake Blvd, Ste 100, Southlake, TX 76092-6375 | 2008-01-31 |
| 1366652208 | Alireza Allen Shakouri | Specialist | 900 E Southlake Blvd, Ste 300, Southlake, TX 76092-6375 | 2007-05-22 |
| 1285787085 | Robin Annette Hall | Family Medicine | 900 E Southlake Blvd, Suite 200, Southlake, TX 76092-6375 | 2007-01-18 |
| 1639255896 | Rene Albert Leon | Specialist | 900 E Southlake Blvd, Ste 300, Southlake, TX 76092-6375 | 2006-10-31 |
| 1255414272 | Mark E Mason | Oral & Maxillofacial Surgery | 900 E Southlake Blvd, Ste 100, Southlake, TX 76092-6375 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043873771 | Melville Medicine, Pllc | Family Medicine | 1545 E Southlake Blvd Ste 110, Southlake, TX 76092-6464 | 2019-04-18 |
| 1285787085 | Robin Annette Hall | Family Medicine | 900 E Southlake Blvd, Suite 200, Southlake, TX 76092-6375 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686496 | Hill Country Health Pllc | Family Medicine | 1010 Ranch Road 620 S Ste 107, Lakeway, TX 78734-5638 | 2020-10-14 |
| 1174139471 | Stacie Leann Herring | Family Medicine | 1300 Tx-107, La Villa, TX 78562 | 2020-09-22 |
| 1336753508 | Woodlands Diagnostic Clinic, Pa | Family Medicine | 9201 Pinecroft Dr Ste 200, Shenandoah, TX 77380-3889 | 2020-09-03 |
| 1932738465 | Arlington Integrative Medicine LLC | Family Medicine | 1420 N Cooper St Ste 109, Arlington, TX 76011-8530 | 2020-04-06 |
| 1396379772 | Heights Total Wellness Clinic, Pllc | Family Medicine | 1801 Durham Dr Ste 4, Houston, TX 77007-2272 | 2020-02-25 |
| 1063043271 | Katie Lianne Jubala | Family Medicine | 129 Park Place Cir, Iowa Park, TX 76367-1064 | 2020-01-28 |
| 1558909879 | Forrest Duane Giles | Family Medicine | 152 Mcvoid Rd, Springtown, TX 76082-5929 | 2019-12-17 |
| 1710525225 | Mary Osawe | Family Medicine | 1308 Winecup Ct, Allen, TX 75002-0983 | 2019-12-16 |
| 1609411735 | Sara E Bellard | Family Medicine | 4735 Ridgewood Ave, Port Arthur, TX 77642-6612 | 2019-11-13 |
| 1528600574 | Shearren Johnson | Family Medicine | 2162 Us Highway 259 S, Diana, TX 75640-3510 | 2019-10-10 |
| Find all providers with the same taxonomy | ||||
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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.