DR. JAMES JOSEPH PETRIKAS SR. (NPI# 1356362719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356362719 |
| Entity Type | Individual |
| Full Name | DR. JAMES JOSEPH PETRIKAS SR. |
| Credential | DO |
| Practice Address |
4708 Alliance Blvd Ste 150 Plano TX 75093-5339 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 9725967801 |
| Practice Fax Number | 9725969307 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9724379605 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
M4442 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
125-042933 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 181896501 | 05 | |
| TX | 181896502 | 05 | |
| OK | 200123060A | 05 | |
| TX | BCBS | 8W1133 | 01 |
| TX | 181896503 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3550 Ne Loop 286, Paris, TX 754605004 | 9037850031 | 9037846755 |
| Street Address |
4708 ALLIANCE BLVD STE 150 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407119464 | Andrew Kovoor | Internal Medicine | 4708 Alliance Blvd Ste 150, Plano, TX 75093 | 2012-06-24 |
| 1316271661 | Claudia A Clancy | Nurse Practitioner | 4708 Alliance Blvd Ste 150, Plano, TX 75093-5339 | 2009-09-18 |
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083925960 | Odette Louise Campbell, Md, Pa | Radiology | 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 | 2010-06-25 |
| 1952345571 | Robert Steven Bradfield | Radiology | 5948 W Parker Rd Ste 100, Plano, TX 75093-7732 | 2006-06-15 |
| 1104353580 | Radiant Medical Ventures | Radiology | 6957 W Plano Pkwy, Ste 1300, Plano, TX 75093-1620 | 2017-05-17 |
| 1164962973 | Radiant Medical Ventures, Pa | Radiology | 6957 W Plano Pkwy, Ste 1300, Plano, TX 75093-1620 | 2017-02-27 |
| 1972970036 | Skin and Radiation Specialists Pllc | Radiology | 6513 Preston Rd, Suite 300, Plano, TX 75024-2694 | 2015-08-25 |
| 1992182703 | Brachytherapy Centers of Texas LLC | Radiology | 6513 Preston Rd, Suite #300, Plano, TX 75024-2688 | 2015-04-30 |
| 1588005342 | Wilhelm Lubbe Md Phd Pllc | Radiology | 6957 W Plano Pkwy, Ste. 1300, Plano, TX 75093-1620 | 2013-07-09 |
| 1922388487 | Wilhelm Lubbe | Radiology | 6957 W Plano Pkwy, Suite 1300, Plano, TX 75093-1620 | 2011-08-27 |
| 1366750325 | Odette Louise Campbell Md Pa | Radiology | 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 | 2010-09-23 |
| 1114186616 | Urology Clinics of North Texas, Pllc | Radiology | 6124 W Parker Rd, Suite 434, Plano, TX 75093-8122 | 2008-06-09 |
| 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.