MS. MINDY GREENBERG (NPI# 1386625945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386625945 |
| Entity Type | Individual |
| Full Name | MS. MINDY GREENBERG |
| Credential | PA-C, MS |
| Practice Address |
4500 South Lancaster Road Gi Lab, 111b1 Dallas TX 75216-0000 |
| Mailing Address |
4500 S Lancaster Rd Gi Lab, 111b1 Dallas TX 75216-7167 |
| Practice Telephone | 2148574160 |
| Practice Fax Number | 2144624512 |
| Mailing Telephone | 2148574160 |
| Mailing Fax Number | 2144624512 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2013-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA03067 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA03067 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4500 SOUTH LANCASTER ROAD GI LAB, 111B1 |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790192177 | Vanessa Tanase | Dentist | 4500 South Lancaster Road, Dallas Va Medical Center (dental Service 160), Dallas, TX 75216 | 2014-07-17 |
| 1629378245 | Annie Pearl Wilson | Pulmonary Function Technologist | 4500 South Lancaster Road, Dallas, TX 75216-7167 | 2010-10-29 |
| 1215262357 | Jennifer L Sippel | Psychologist | 4500 South Lancaster Road, Sci (128) / Va North Texas Health Care System, Dallas, TX 75216 | 2009-10-07 |
| 1790920155 | Jesus Manuel Alvarez | Orthotist | 4500 South Lancaster Road, Attn: Prosthetics (549/121), Dallas, TX 75216 | 2008-12-12 |
| 1285889915 | Natalie Nicole King | Dietitian, Registered | 4500 South Lancaster Road, Dallas, TX 75216 | 2008-11-21 |
| 1821242249 | Shirling Tsai | Surgery | 4500 South Lancaster Road, Dallas Va Medical Center, Dallas, TX 75216 | 2008-11-12 |
| 1619067147 | Shubham Gupta | Internal Medicine | 4500 South Lancaster Road, Va Medical Center, Dallas, TX 75216 | 2006-10-13 |
| 1710077748 | Maribeth Jane Schultze | Psychologist | 4500 South Lancaster Road, Dallas Va Medical Center Psychology Service 116b, Dallas, TX 75216 | 2006-10-13 |
| 1225123417 | Lizette Inac Alberto | Physical Therapist | 4500 South Lancaster Road, Dallas, TX 75216 | 2006-10-04 |
| 1932290079 | Mary Elizabeth Perez | Occupational Therapist | 4500 South Lancaster Road, Dallas, TX 75216 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641051 | Kelsey Young | Physician Assistant | 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 | 2019-07-17 |
| 1558863555 | Kyra Nicole Logan | Physician Assistant | 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 | 2018-03-06 |
| 1386169175 | Lauren Moore | Physician Assistant | 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 | 2017-08-14 |
| 1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
| 1881123909 | One Healthcare LLC | Physician Assistant | 1722 Routh St Ste 900, Dallas, TX 75201-2588 | 2017-06-12 |
| 1972037307 | Morrison Medical | Physician Assistant | 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 | 2017-04-12 |
| 1205297652 | Keri Miller | Physician Assistant | 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 | 2016-03-14 |
| 1275907776 | Aleshia Mutai | Physician Assistant | 5800 E Lovers Ln, Dallas, TX 75206-2901 | 2015-11-20 |
| 1588049613 | Yvonne Conard | Physician Assistant | 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 | 2015-07-30 |
| 1699174599 | John Michael Cline | Physician Assistant | 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 | 2014-08-15 |
| Find all providers in DALLAS | ||||
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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.