CH MD COLLABORATIVE CARE PC (NPI# 1356741862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356741862 |
| Entity Type | Organization |
| Organization Name | CH MD COLLABORATIVE CARE PC |
| Practice Address |
4055 Valley View Ln Suite 400 Dallas TX 75244-5074 |
| Practice Telephone | 9727153800 |
| Practice Fax Number | 8887224282 |
| Mailing Telephone | 9727153800 |
| Mailing Fax Number | 8887224282 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |
| Authorized Official Name | MELISSA M COOKE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9727153808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4055 VALLEY VIEW LN SUITE 400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-5074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188640 | Michael L Gregg | Radiology | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2005-07-21 |
| 1023625662 | Signify Health Medical Associates of Colorado, Pllc. | Clinic/Center | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-09-28 |
| 1912512096 | Kaitlin M Keeney | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-09-15 |
| 1093342669 | Sabrina Patrice Butler | Registered Nurse | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-03-24 |
| 1710519442 | Yvonne Ayuk | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-02-11 |
| 1699315622 | Micki L. Hayden | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-01-07 |
| 1093353203 | Virgil Vapona Flint | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-12-18 |
| 1700424207 | Jennisha Uduezue | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-12-16 |
| 1114578937 | Alberto Pedraza | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-09-23 |
| 1578113619 | Kaia Luke | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693708 | Sally Purcell | Internal Medicine | 6150 E Mockingbird Ln, Dallas, TX 75214-2601 | 2020-09-15 |
| 1881211001 | Priscilla Kovacs | Internal Medicine | 2909 S Hampton Rd # D107, Dallas, TX 75224-3000 | 2020-07-03 |
| 1447876586 | William F Cox Md Pa | Internal Medicine | 8220 Walnut Hill Ln Ste 500, Dallas, TX 75231-4414 | 2020-06-24 |
| 1801418637 | Concierge Telemedicine Pllc | Internal Medicine | 10847 Sanden Dr Ste 102, Dallas, TX 75238-5356 | 2020-05-14 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1588138143 | Element Health & Wellness, Pllc | Internal Medicine | 4225 Office Pkwy # 102, Dallas, TX 75204-3628 | 2019-01-17 |
| 1245712421 | Kokoro Body Therapies, Pllc | Internal Medicine | 14850 Montfort Dr Ste 181, Lb 11, Dallas, TX 75254-1450 | 2018-09-04 |
| 1033608740 | Ahsan Riaz Md Pllc | Internal Medicine | 6207 Walnut Hill Ln, Dallas, TX 75230-5114 | 2018-05-08 |
| 1821590860 | Kairos Health Clinics | Internal Medicine | 9101 Lbj Fwy Ste 310, Dallas, TX 75243-1901 | 2018-03-06 |
| 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.