BLUESCRUBS DIAGNOSTICS, LLC (NPI# 1376914218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376914218 |
| Entity Type | Organization |
| Organization Name | BLUESCRUBS DIAGNOSTICS, LLC |
| Other Organization Name | BLUESCRUBS MEDICAL SERVICES |
| Practice Address |
4100 Spring Valley Rd Ste 632 Dallas TX 75244-3629 |
| Practice Telephone | 9722208619 |
| Mailing Telephone | 9722208619 |
| Mailing Fax Number | 9724211674 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2016-08-22 |
| Authorized Official Name | MR. JERMAINE ANDRE WADE (PRESIDENT) |
| Authorized Official Telephone | 9722208619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247000000X | Technician, Health Information | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| BlueScrubs Medical Services | Doing Business As Name - Organization |
| Street Address |
4100 SPRING VALLEY RD STE 632 |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003286733 | Jermaine Wade | Technician, Health Information | 4100 Spring Valley Rd Ste 632, Dallas, TX 75244-3629 | 2015-10-07 |
| 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 | 247000000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Health Information |
| Preferred term for an Accredited Record Technician who is an individual with an associate’s degree from an accredited college or independent study program who is skilled in analyzing health information and in examination of medical records for accuracy, reporting of patient data for reimbursement, and creation of disease registries for researchers. |
| Notes: Source: American Health Information Management Association, Chicago, IL, 1996. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003286733 | Jermaine Wade | Technician, Health Information | 4100 Spring Valley Rd Ste 632, Dallas, TX 75244-3629 | 2015-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305180 | Sherry Mcgowan | Technician, Health Information | 516 Wyatt St, Waxahachie, TX 75165-3549 | 2019-03-19 |
| 1053829994 | Mickey Gene Juarez | Technician, Health Information | 3006 Shale Cv, New Braunfels, TX 78130-4193 | 2018-01-12 |
| 1871008763 | Kanopy Software LLC. | Technician, Health Information | 21734 Provincial Blvd Ste 240i, Katy, TX 77450-6534 | 2017-12-13 |
| 1922528553 | Marina Ford | Technician, Health Information | 5802 Cypress Dr, Rowlett, TX 75089-3334 | 2017-06-24 |
| 1467817080 | Danielle Veiga | Technician, Health Information | 314 Mccoy Ln, Hutto, TX 78634-5573 | 2015-12-25 |
| 1114392008 | Linda Nguyen | Technician, Health Information | 1300 E Riverside Dr, C406, Austin, TX 78741-1108 | 2015-12-03 |
| 1295126951 | Jeffrey Doyle | Technician, Health Information | 2001 108th St, Ste. 104, Grand Prairie, TX 75050-1437 | 2015-02-16 |
| 1427473453 | Eduardo Jocson | Technician, Health Information | 1124 Kerrville Way, Mckinney, TX 75070-3156 | 2014-02-27 |
| 1952674962 | Daniel Sprague | Technician, Health Information | 980 Old Authon Rd, Weatherford, TX 76088-7164 | 2012-02-22 |
| 1003416983 | Texas Health Services Authority | Technician, Health Information | 901 South Mopac Expressway, Building 1, Suite 300, Austin, TX 78746 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.