DR. EYERUSALEM ENGIDA BAYSSA


Address: 4708 Alliance Blvd, Ste. 835, Plano, TX 75093-5340
Phone: 2143582300

DR. EYERUSALEM ENGIDA BAYSSA (NPI# 1376838771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376838771
Entity Type Individual
Full Name DR. EYERUSALEM ENGIDA BAYSSA
Credential M.D
Practice Address 4708 Alliance Blvd
Ste. 835
Plano
TX 75093-5340
Mailing Address 1420 Viceroy Dr
Dallas
TX 75235-2208
Practice Telephone 2143582300
Practice Fax Number 2145796992
Mailing Telephone 2143582300
Mailing Fax Number 2145796966
Enumeration Date 2011-06-14
Last Update Date 2017-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
D81568 MD Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4708 ALLIANCE BLVD
STE. 835
City PLANO
State TX
Zip Code 75093-5340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689677940 Gerhard Emil Maale IIi Specialist 4708 Alliance Blvd, Ste 710, Plano, TX 75093-5340 2005-05-31
1194360644 Mundela Tshilanda Nurse Practitioner 4708 Alliance Blvd, Ste 600, Plano, TX 75093-5368 2019-11-07
1891155784 Anna Ferris Martinez Nurse Practitioner 4708 Alliance Blvd, Suite 550, Plano, TX 75093-5340 2016-03-04
1558739789 Elaine Allison Hess Psychologist 4708 Alliance Blvd, Pav I, Ste 700, Plano, TX 75093-5340 2015-09-03
1447655857 Christian L Moncrief Md Pa Thoracic Surgery (Cardiothoracic Vascular Surgery) 4708 Alliance Blvd, Suite 770, Plano, TX 75093-5340 2014-10-28
1740605849 Matthew Wiggins Physician Assistant 4708 Alliance Blvd, 810, Plano, TX 75093-5340 2014-02-26
1447514831 Diana Margaret Kedora Nurse Practitioner 4708 Alliance Blvd, Pavilion I, Suite 300, Plano, TX 75093-5340 2012-06-29
1023372422 Amy Nicole Merritt Nurse Practitioner 4708 Alliance Blvd, Pavilion I, Suite 600, Plano, TX 75093-5340 2012-06-29
1871860882 Orthopedic Associates of Dallas LLP Orthopaedic Surgery 4708 Alliance Blvd, Suite 310, Plano, TX 75093-5340 2011-11-18
1780961045 Texas Neurosurgical Institute Pa Nurse Practitioner 4708 Alliance Blvd, Suite 830 Pavilion I, Plano, TX 75093-5340 2011-11-14
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154875839 North Texas Kidney Disease Associates Internal Medicine 4708 Alliance Blvd Ste 685, Plano, TX 75093 2016-08-10
1205224268 Advanced Kidney Care Pllc Internal Medicine 9716 Slide St, Plano, TX 75025-5862 2014-12-29
1427214063 Mirza Shahrukh Baig Internal Medicine 4708 Alliance Blvd Ste 600, Plano, TX 75093-5368 2008-08-04
1235774472 Prejith Raj Md Pllc Internal Medicine 6705 Shady Bend Ln, Plano, TX 75024-6088 2019-11-12
1285036756 North Texas Kidney Disease Associates Internal Medicine 1600 Coit Rd, Bldg. 1, Suite 300, Plano, TX 75075 2014-09-16
1497981211 Advanced Kidney Care of North Texas, P.l.l.c. Internal Medicine 4708 Alliance Blvd, Suite 600, Plano, TX 75093-5368 2009-06-08
1174777858 Metroplex Nephrology Associates, Pllc Internal Medicine 4100 W 15th St, Suite 100, Plano, TX 75093-5803 2008-11-07
1740472299 Ntkc Management, LLC Internal Medicine 4708 Alliance Blvd, Suite 600, Plano, TX 75093-5340 2007-08-17
1972642999 Gregory Knox Stephens Internal Medicine 4708 Alliance Blvd, Suite 835, Plano, TX 75093-5340 2007-02-06
1811047665 Neghae Mawla Internal Medicine 4401 Tradition Trl, Plano, TX 75093-5633 2007-01-12
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Competitor

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City PLANO
Zip Code 75093

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Dataset Information

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.

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