CHARLES MACK GRUBB (NPI# 1366484354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366484354 |
Entity Type | Individual |
Full Name | CHARLES MACK GRUBB |
Credential | P.A. |
Practice Address |
5501 Independence Pkwy Suite 110 Plano TX 75023-5463 |
Practice Telephone | 9725961747 |
Practice Fax Number | 9729859775 |
Mailing Telephone | 9725961747 |
Mailing Fax Number | 9729859775 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2016-12-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA03541 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821460924 | Charles David Grubb | Pharmacist | 272 Hospital Rd, Chillicothe, OH 45601-9031 | 2015-10-28 |
1083906077 | Charles Carlon Grubb | Pharmacist | 94 Montauk Hwy Unit A, East Moriches, NY 11940-1156 | 2011-05-09 |
1780644831 | Charles R Grubb | Family Medicine | 311 Baltimore St, Phillipsburg, NJ 08865-1841 | 2006-03-24 |
Street Address |
5501 INDEPENDENCE PKWY SUITE 110 |
City | PLANO |
State | TX |
Zip Code | 75023-5463 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487605598 | Optimum Home Health Care;inc | Home Health | 5501 Independence Pkwy, Suite # 304, Plano, TX 75023-5463 | 2006-05-13 |
1588143762 | Wm Bolak Dmd Pllc | Dentist | 5501 Independence Pkwy, Plano, TX 75023-5470 | 2018-08-09 |
1467801365 | Regina Powe | Dentist | 5501 Independence Pkwy, Suite107, Plano, TX 75023-5463 | 2016-06-10 |
1700289600 | Aaaah Emergency Dental Services | Clinic/Center | 5501 Independence Pkwy, Suite 107, Plano, TX 75023-5463 | 2014-10-06 |
1609127356 | Centre for Diagnostic and Cosmetic Dentistry, Pllc | Clinic/Center | 5501 Independence Pkwy, Suite 107, Plano, TX 75023-5463 | 2012-09-20 |
1669738522 | Joby Thekkumkel James | Internal Medicine | 5501 Independence Pkwy, Ste 110, Plano, TX 75023-5463 | 2012-04-05 |
1932472396 | Harley Gerard | Nurse Practitioner | 5501 Independence Pkwy, Suite #203, Plano, TX 75023-5463 | 2012-02-15 |
1457621641 | Psychiatry Associates of Texas, P.a. | Psychiatry & Neurology | 5501 Independence Pkwy, Suite 302, Plano, TX 75023 | 2012-01-05 |
1376840959 | North Texas Home Health Care, Inc. | Home Health | 5501 Independence Pkwy, Suite # 211, Plano, TX 75023-5463 | 2011-02-17 |
1477874659 | J E Mobile Diagnostic Services, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5501 Independence Pkwy, Suite 116, Plano, TX 75023-5463 | 2010-06-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245854116 | Vanessa C Eldridge | Registered Nurse | 1008 Lockhart Dr, Plano, TX 75023 | 2020-06-05 |
1750935573 | Asistencia En Casa Therapy Service, Inc. | Nursing Care | 1225 Glyndon Dr., Plano, TX 75023 | 2019-07-30 |
1215420567 | Vera Ngozi Anyirah | Registered Nurse | 3412 Grenoble Court, Plano, TX 75023 | 2018-06-12 |
1043740004 | Varun Joseph | Dentist | 3405 Silverstone Dr Ste 100, Plano, TX 75023 | 2017-06-13 |
1902330384 | Applegate Health Services, Inc | Clinic/Center | 3303 N. Central Expressway, Suite 210, Plano, TX 75023 | 2017-04-12 |
1821529603 | Emerson Speech and Consulting | Speech-Language Pathologist | 6565 Independence Pkwy, Plano, TX 75023 | 2017-03-23 |
1033502018 | Marquis Hines | Occupational Therapy Assistant | 701 Legacy Dr Apt 1224, Plano, TX 75023 | 2015-03-14 |
1811386303 | Gn Medical Center, Inc. | Clinic/Center | 3415 Custer Rd., Ste 100, Plano, TX 75023 | 2015-01-21 |
1568850899 | Parvaneh Yancheshmeh Azimi | Nurse Practitioner | 2045 Hawken Dr, Plano, TX 75023 | 2015-01-09 |
1568866358 | Byungwon Choi | Chiropractor | 2050 W. Spring Creek Pkwy Suite 208, Plano, TX 75023 | 2014-10-22 |
Find all providers in zip 75023 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508472697 | Amna Dhanani | Physician Assistant | 2100 Hedgcoxe Rd Ste 140, Plano, TX 75025-3100 | 2020-09-23 |
1538717582 | Jenna Kelly | Physician Assistant | 3408 Walington Dr, Plano, TX 75093-7447 | 2019-09-03 |
1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
1275199002 | The Kim Tran | Physician Assistant | 6130 W Parker Rd Ste 103, Plano, TX 75093-7910 | 2019-05-16 |
1619433315 | Jennifer Perez | Physician Assistant | 1700 Alma Dr Ste 450, Plano, TX 75075-6986 | 2019-02-18 |
1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
1821567678 | Collaborative Surgical Services, Pllc | Physician Assistant | 2024 W 15th St Ste F #328, Plano, TX 75075-7364 | 2018-11-21 |
1528540366 | Christen Leah Reamy | Physician Assistant | 3809 W 15th St Ste A, Plano, TX 75075-7765 | 2018-08-29 |
1568965051 | Vital Assistance, Pllc | Physician Assistant | 2024 W 15th St Ste F # 327, Plano, TX 75075-7364 | 2018-03-12 |
1609313139 | Kristen Ann Walls | Physician Assistant | 4001 W 15th St Ste 100, Plano, TX 75093-5837 | 2017-01-23 |
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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.