WELLNESS INNOVATIONS PHYSICIAN PARTNERS (NPI# 1386099950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386099950 |
| Entity Type | Organization |
| Organization Name | WELLNESS INNOVATIONS PHYSICIAN PARTNERS |
| Practice Address |
1935 Medical District Dr Dallas TX 75235-7701 |
| Practice Telephone | 2144560588 |
| Mailing Telephone | 2144560588 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |
| Authorized Official Name | JERRY LEE (VP OF TREASURY AND ACCOUNTING) |
| Authorized Official Telephone | 2144560588 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1935 MEDICAL DISTRICT DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670929 | Donald Ray Cochran | Anesthesiology | 1935 Medical District Dr, Maildrop B3.02, Dallas, TX 75235-7701 | 2005-06-22 |
| 1437759842 | Kira Ann Snyder | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-10-27 |
| 1063011245 | Dana Marie Mckay | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-10-20 |
| 1508472374 | Marcia Michele Seebachan | Social Worker | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-09-17 |
| 1811509474 | Zehneel Jiwani | Anesthesiologist Assistant | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-08-17 |
| 1477165066 | Deisy R Ybarra | Counselor | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-08-17 |
| 1285242933 | Stephanie Lynn Spencer | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-20 |
| 1790393627 | Cameron Leigh Keylor | Student in an Organized Health Care Education/Training Program | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-16 |
| 1689292807 | Coralie Ciceron | Student in an Organized Health Care Education/Training Program | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-14 |
| 1568070738 | Beth Renae Shell | Registered Nurse | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932188208 | Christian F Sanchez | Emergency Medicine | 9221 Lbj Fwy, Suite 208, Dallas, TX 75243-3455 | 2006-01-13 |
| 1538336854 | Shashidhar Rao Marneni | Emergency Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2008-05-15 |
| 1588866164 | Sara Lynn Beers | Emergency Medicine | 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 | 2007-06-05 |
| 1255401170 | Bharati Beatrix Bansal | Emergency Medicine | 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 | 2006-11-08 |
| 1275585945 | Jo-ann O Nesiama | Emergency Medicine | 1935 Medical District Dr, Hospital Based @ Cmc Dallas, Dallas, TX 75235-7701 | 2006-05-17 |
| 1720068174 | Loc Hoang Trieu | Emergency Medicine | 12200 Park Central Dr, Suite 110, Dallas, TX 75251-2100 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851668149 | Pediatric Urgent Care Center of Fort Worth, P.a.. | Emergency Medicine | 3400 Texas Sage Trail, Suite 148, Fort Worth, TX 76177 | 2011-11-30 |
| 1093886400 | Bert Emil Johansson | Emergency Medicine | 4800 Alberta Dr, Dept Pediatrics; Texas Tech Health Sciences Ctr, El Paso, TX 79905 | 2006-11-10 |
| 1366535445 | Lisa J Herrin | Emergency Medicine | 712 Sw Wilshire Blvd, Burleson, TX 76028-5711 | 2006-10-02 |
| 1376587832 | Khoshnood Ahmad | Emergency Medicine | 11550 Legacy Drive, Suite # 420, Frisco, TX 75034 | 2006-06-15 |
| 1356313126 | Esteban R Lopez | Emergency Medicine | 520 Madison Oak, North Central Baptist Children's Emergency Department, San Antonio, TX 78258-3913 | 2006-02-06 |
| 1457321945 | Greater Houston Emergency Physicians Pllc | Emergency Medicine | 2500 Rice Blvd, Houston, TX 77005-3221 | 2006-01-25 |
| 1073028338 | Nueces Physician Services, Pa | Emergency Medicine | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2017-12-08 |
| 1982065546 | Matthias Marvin Manuel | Emergency Medicine | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-03-10 |
| 1740609361 | Kshitij Bhalani | Emergency Medicine | 6316 Precinct Line Rd, Hurst, TX 76054-2766 | 2014-04-10 |
| 1750709077 | Claire Gahm | Emergency Medicine | 6621 Fannin St Ste A210, Houston, TX 77030-2358 | 2014-04-03 |
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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.