DR. BRUCE ALAN CHEATHAM (NPI# 1356359863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356359863 |
| Entity Type | Individual |
| Full Name | DR. BRUCE ALAN CHEATHAM |
| Credential | M.D. |
| Practice Address |
2624 Polo Ln Plano TX 75093-4772 |
| Practice Telephone | 9726820601 |
| Practice Fax Number | 9726820661 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
E8389 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1319600 | 05 |
| Street Address |
2624 POLO LN |
| City | PLANO |
| State | TX |
| Zip Code | 75093-4772 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246561 | Imaging Consultants | Radiology | 7250 Dallas Pkwy Ste 400, Plano, TX 75024-4931 | 2019-07-02 |
| 1487996310 | Medical Diagnostic Imaging Group, Ltd. | Radiology | 4809 Pyramid Dr, Plano, TX 75093-1913 | 2013-03-18 |
| 1811039381 | University of Texas Southwestern Medical Center At Dallas | Radiology | 7609 Preston Rd, Plano, TX 75024-3214 | 2007-02-13 |
| 1306923404 | Rodney Vaughn Peveto | Radiology | 6632 Winged Foot Way, Plano, TX 75093-6368 | 2006-11-01 |
| 1376569178 | Steven Steinbaum | Radiology | 4216 Donnington Dr, Plano, TX 75093-3858 | 2006-07-14 |
| 1003846841 | Irving Radiological Associates LLP | Radiology | 2301 Marsh Lane, Plano, TX 75093-8497 | 2006-07-04 |
| 1194751685 | Paul Timothy Staveteig | Radiology | 1820 Preston Park Blvd Ste 1200, Plano, TX 75093-5293 | 2006-06-25 |
| 1497781900 | Kan Ying | Radiology | 1820 Preston Park Blvd Ste 1825, Plano, TX 75093-5215 | 2006-06-25 |
| 1871536151 | Mark A Baker | Radiology | 6957 W Plano Pkwy Ste 1100, Plano, TX 75093-1621 | 2006-06-14 |
| 1891734554 | David Jay Johnston | Radiology | 3801 W 15th St Ste C, Plano, TX 75075-7775 | 2006-06-06 |
| 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.