PRISM ORTHOPEDIC (NPI# 1386037273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386037273 |
| Entity Type | Organization |
| Organization Name | PRISM ORTHOPEDIC |
| Practice Address |
7712 San Jacinto Pl Ste 200 Plano TX 75024-3212 |
| Mailing Address |
Po Box 674074 Dallas TX 75267-4074 |
| Practice Telephone | 2143784661 |
| Practice Fax Number | 8886248659 |
| Mailing Telephone | 2143963936 |
| Mailing Fax Number | 8886248659 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-06-09 |
| Authorized Official Name | MISS BRANDY BARROW (CREDENTIAL COORDINATOR) |
| Authorized Official Telephone | 2143784661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
N7365 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
7712 SAN JACINTO PL STE 200 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194930453 | Mark Charlie Valente | Orthopaedic Surgery | 7712 San Jacinto Pl, Suite 200, Plano, TX 75024-3257 | 2007-05-11 |
| 1114926276 | Donald Mackenzie | Orthopaedic Surgery | 5038 Tennyson Pkwy Ste B, Plano, TX 75024-2954 | 2005-07-20 |
| 1023013141 | Stephen P Courtney | Orthopaedic Surgery | 1705 Ohio Dr Ste 300, Plano, TX 75093 | 2005-06-15 |
| 1831698703 | Krap, Pllc | Orthopaedic Surgery | 8080 Independence Pkwy Ste 230, Plano, TX 75025-4013 | 2018-02-06 |
| 1639556350 | Robert Chase Stockton | Orthopaedic Surgery | 6020 W Parker Rd Ste 200, Plano, TX 75093-8172 | 2015-05-01 |
| 1043697279 | Daniel Nuri Kiridly | Orthopaedic Surgery | 6020 W Parker Rd Ste 200, Plano, TX 75093-8172 | 2015-04-27 |
| 1265828420 | David Barnes | Orthopaedic Surgery | 6020 W Parker Rd Ste 200, Plano, TX 75093-8172 | 2015-04-14 |
| 1548656820 | Joseph Albano | Orthopaedic Surgery | 6020 W Parker Rd Ste 200, Plano, TX 75093-8172 | 2015-04-13 |
| 1194113225 | Texas Spine Consultants, LLP | Orthopaedic Surgery | 8080 Independence Pkwy Ste 200, Plano, TX 75025-4002 | 2014-12-23 |
| 1124447172 | Jakub Sikora-klak | Orthopaedic Surgery | 6020 W Parker Rd Ste 200, Plano, TX 75093-8172 | 2014-04-07 |
| Find all providers in PLANO | ||||
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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.