ADDISON HEADACHE ASSOCIATES, LLC (NPI# 1407276793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407276793 |
| Entity Type | Organization |
| Organization Name | ADDISON HEADACHE ASSOCIATES, LLC |
| Practice Address |
17051 Dallas Pkwy Ste 100 Addison TX 75001-7101 |
| Mailing Address |
Po Box 674183 Dallas TX 75267-4183 |
| Practice Telephone | 4699160521 |
| Practice Fax Number | 9722317095 |
| Mailing Telephone | 9724791115 |
| Mailing Fax Number | 9723468015 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | TRACY WALLS (MANAGER) |
| Authorized Official Telephone | 9722344740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17051 DALLAS PKWY STE 100 |
| City | ADDISON |
| State | TX |
| Zip Code | 75001-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598722654 | Andrew Eunkoo Park | Orthopaedic Surgery | 17051 Dallas Pkwy, Suite 400, Addison, TX 75001-7109 | 2006-05-01 |
| 1346774858 | Superior Anesthesia Management, LLC. | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2017-04-12 |
| 1790229581 | Gb Anesthesia Management | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-12-13 |
| 1164974424 | Cottonwood Anesthesia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-11-02 |
| 1457808859 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 17051 Dallas Pkwy, Suite 440, Addison, TX 75001 | 2016-09-02 |
| 1174976377 | Highland Anesthia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-07-22 |
| 1265885453 | Scarlet Anesthesia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-07-22 |
| 1972951341 | Hawk Anesthesia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-05-26 |
| 1073976684 | Glenwood Anesthesia Management | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-03-31 |
| 1093178816 | Somnium Dme | Durable Medical Equipment & Medical Supplies | 17051 Dallas Pkwy, Addison, TX 75001-7109 | 2016-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143772 | Naomi Grace Moats | Speech-Language Pathologist | 5820 Addison Rd, Addison, TX 75001 | 2020-01-22 |
| 1669020467 | Us Med, LLC | Durable Medical Equipment & Medical Supplies | 15455 Dallas Parkway, Suite 600; Office #6015, Addision, TX 75001 | 2019-08-27 |
| 1316592215 | Sunny Boy Pharmacy, LLC | Pharmacy | 4388 Sunbelt Dr, Addision, TX 75001 | 2019-08-07 |
| 1538714779 | Tarpon Pllc | Physical Medicine & Rehabilitation | 17051 N. Dallas Parkway, Suite 320, Addison, TX 75001 | 2019-08-05 |
| 1235782251 | Aliah T Green | Speech-Language Pathologist | 15820 Addison Road, Addison, TX 75001 | 2019-07-18 |
| 1902376254 | Kendall Leann Chambers | Counselor | 15851 Dallas Parkway, Suite 600, Addison, TX 75001 | 2018-11-29 |
| 1053800391 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 17051 Dallas Pkwy Ste 310, Addison, TX 75001 | 2018-05-02 |
| 1528561719 | Relinda Lee Longan | Licensed Vocational Nurse | 4820 Westgrove Dr, # 903, Addison, TX 75001 | 2018-03-14 |
| 1306363338 | Margaret Weiss | Social Worker | Steven A Cohen Military Family Clinic At Metrocare, 16160 Midway Rd, Suite 218, Addison, TX 75001 | 2017-08-30 |
| 1508380759 | Dallas Sci Recovery Inc | Clinic/Center | 15046 Beltway Dr, Addison, TX 75001 | 2017-07-31 |
| Find all providers in zip 75001 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340719 | Havencrest Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 16633 Dallas Pkwy Ste 150, Addison, TX 75001-6812 | 2020-09-11 |
| 1720520356 | Integrative Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 16633 Dallas Pkwy, Suite 150, Addison, TX 75001-6816 | 2016-11-14 |
| 1679942528 | Westminster Interventional Pain Center LLC | Nurse Anesthetist, Certified Registered | 17051 Dallas Pkwy, Addison, TX 75001-7109 | 2015-09-22 |
| 1932581576 | White Rock Interventional Pain Center LLC | Nurse Anesthetist, Certified Registered | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2015-06-19 |
| 1790110872 | Zl Dallas Spine LLC | Nurse Anesthetist, Certified Registered | 17051 Dallas Pkwy Ste 300, Addison, TX 75001-7105 | 2013-09-09 |
| 1659665420 | Uap of Texas, Inc. | Nurse Anesthetist, Certified Registered | 15305 Dallas Pkwy, Suite 1600, Addison, TX 75001-4637 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288524 | Pmr Crna Pllc | Nurse Anesthetist, Certified Registered | 5000 Alicia Dr, Fort Worth, TX 76133-7902 | 2020-09-08 |
| 1376155887 | Health Guard Anesthesia Services (hgas) | Nurse Anesthetist, Certified Registered | 7741 Tanglewilde St Ste 100, Houston, TX 77036-5565 | 2020-08-18 |
| 1477164440 | Royal Anesthesia Inc. | Nurse Anesthetist, Certified Registered | 1802 Moores Ln Ste 200, Texarkana, TX 75503-4609 | 2020-08-13 |
| 1952911661 | Anesthesia Providers of Houston Pllc | Nurse Anesthetist, Certified Registered | 1446 Campbell Rd Ste 290, Houston, TX 77055-4604 | 2020-08-06 |
| 1417575374 | Timothy Wade Farr | Nurse Anesthetist, Certified Registered | 11369 E Ranch Ct, El Paso, TX 79934-3217 | 2020-07-08 |
| 1922622919 | Devontee Delishuanee Rayford | Nurse Anesthetist, Certified Registered | 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 | 2020-06-04 |
| 1790308500 | Advanced Practice Pain Management and Anesthesia Consulting Pllc | Nurse Anesthetist, Certified Registered | 317 Wilson St, Henderson, TX 75652-5957 | 2020-05-27 |
| 1598388365 | Lance Paul Good | Nurse Anesthetist, Certified Registered | 6225 State Hwy 161 Ste 200, Irving, TX 75038-2241 | 2020-05-27 |
| 1326669763 | Jared Lanham | Nurse Anesthetist, Certified Registered | 200 Woodrow Bean, El Pao, TX 79911 | 2020-04-27 |
| 1902425150 | Paige L Thibodeaux | Nurse Anesthetist, Certified Registered | 1201 W 38th St Ste 570, Austin, TX 78705-1006 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ADDISON HEADACHE ASSOCIATES, LLC.
| 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.