ROBERT JAQUISS (NPI# 1356432553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356432553 |
| Entity Type | Individual |
| Full Name | ROBERT JAQUISS |
| Credential | MD |
| Practice Address |
1935 Medical District Dr Dallas TX 75235-7701 |
| Practice Telephone | 2144565000 |
| Practice Fax Number | 2144565015 |
| Mailing Telephone | 2144565000 |
| Mailing Fax Number | 2144565015 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2017-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
E-4664 | AR | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | R1549 | TX | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2010-01391 | NC | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | E-4664 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 158664001 | 05 |
| Street Address |
1935 MEDICAL DISTRICT DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670929 | Donald Ray Cochran | Anesthesiology | 1935 Medical District Dr, Maildrop B3.02, Dallas, TX 75235-7701 | 2005-06-22 |
| 1437759842 | Kira Ann Snyder | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-10-27 |
| 1063011245 | Dana Marie Mckay | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-10-20 |
| 1508472374 | Marcia Michele Seebachan | Social Worker | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-09-17 |
| 1811509474 | Zehneel Jiwani | Anesthesiologist Assistant | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-08-17 |
| 1477165066 | Deisy R Ybarra | Counselor | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-08-17 |
| 1285242933 | Stephanie Lynn Spencer | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-20 |
| 1790393627 | Cameron Leigh Keylor | Student in an Organized Health Care Education/Training Program | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-16 |
| 1689292807 | Coralie Ciceron | Student in an Organized Health Care Education/Training Program | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-14 |
| 1568070738 | Beth Renae Shell | Registered Nurse | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225376353 | James Leonard Sweatt IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2745 Blackstone Dr, Dallas, TX 75237-2807 | 2013-01-24 |
| 1750651584 | Lawrence Jay Mills | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9154 Stone Creek Pl, Dallas, TX 75243-6217 | 2012-01-10 |
| 1962710699 | Themistokles Chamogeorgakis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3900 Junius St Ste 415, Dallas, TX 75246-1615 | 2010-09-15 |
| 1215160031 | Leonidas Tapias Vargas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3410 Worth St Ste 235, Dallas, TX 75246-2071 | 2009-08-27 |
| 1902094246 | Juan C Machannaford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7777 Forest Ln Ste A307, Dallas, TX 75230 | 2007-10-11 |
| 1336330570 | Mini Sivadasan I | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3430 Wheatland Rd Building 1 Suite 202, Dallas, TX 75237-7523 | 2007-08-05 |
| 1275735417 | Victor Hernandez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6235 Palo Pinto Ave, Dallas, TX 75214-3617 | 2007-06-01 |
| 1891748588 | Eric G Chang-tung | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8210 Walnut Hill Ln Ste 505, Dallas, TX 75231-4420 | 2006-05-17 |
| 1023070109 | Kristine Jane Guleserian | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7777 Forest Ln Ste B120, Dallas, TX 75230 | 2006-04-05 |
| 1295794584 | Robert F Hebeler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3409 Worth Street, Ste 720, Dallas, TX 75246 | 2006-03-23 |
| 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.