G BYRON KALLAM (NPI# 1417995093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417995093 |
| Entity Type | Individual |
| Full Name | G BYRON KALLAM |
| Credential | M.D. |
| Practice Address |
809 W Randol Mill Rd Arlington TX 76012-2507 |
| Mailing Address |
9003 Airport Fwy Suite 300 North Richland Hills TX 76180-7770 |
| Practice Telephone | 8172777133 |
| Practice Fax Number | 8172746367 |
| Mailing Telephone | 8175145200 |
| Mailing Fax Number | 8175145210 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2011-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
D7608 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 101556202 | 05 | |
| TX | RAILROAD MEDICARE | 160027149 | 01 |
| Street Address |
809 W RANDOL MILL RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093766701 | Carlos Mcclellan Kier | Internal Medicine | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-05-15 |
| 1518528868 | Scott Randall Clark | Nurse Practitioner | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2019-06-27 |
| 1891218228 | Merin Sara Babu | Physician Assistant | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2017-07-18 |
| 1659567758 | Hedieh Davanloo | Internal Medicine | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2007-09-21 |
| 1710900816 | Colleen Sam | Internal Medicine | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-07-26 |
| 1144263575 | David Dee Russell | Obstetrics & Gynecology | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-06-14 |
| 1962444026 | Robin Lynn Johnston | Obstetrics & Gynecology | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-06-12 |
| 1972543502 | Robert Alexander Buschow | Internal Medicine | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649694993 | Carol Ciofalo | Obstetrics & Gynecology | 5209 11th Rd N, Arlington, VA 22205-2424 | 2014-02-06 |
| 1619059201 | Kimberly Udell | Obstetrics & Gynecology | 3602 Matlock Rd Ste 206, Arlington, TX 76015-3600 | 2006-10-20 |
| 1659374783 | Kenneth Max Talkington | Obstetrics & Gynecology | 723 N Fielder Rd, Ste C, Arlington, TX 76012-4662 | 2005-05-23 |
| 1023150695 | Taylor Lee Hotchkiss | Obstetrics & Gynecology | 22 Mill St, Ste 204, Arlington, MA 02476-4784 | 2007-02-12 |
| 1306959804 | James C Mcfalls, Md | Obstetrics & Gynecology | 1715 N George Mason Dr, 502, Arlington, VA 22205-3609 | 2006-08-17 |
| 1861413965 | William Andre Silva | Obstetrics & Gynecology | 903 Medical Center Dr, Arlington, WA 98223-1697 | 2006-07-22 |
| 1023049061 | Luis E. Sanz | Obstetrics & Gynecology | 1625 N George Mason Dr, Suite 475, Arlington, VA 22205-3683 | 2006-07-06 |
| 1891739546 | John Paul Wood | Obstetrics & Gynecology | 811 Interstate 20 W, Suite 218, Arlington, TX 76017-5870 | 2006-06-15 |
| 1467423871 | Mark Gerard Doherty | Obstetrics & Gynecology | 1625 N George Mason Dr, Suite 475, Arlington, VA 22205-3683 | 2006-02-01 |
| 1902899610 | James C. Mcfalls | Obstetrics & Gynecology | 1715 N George Mason Dr, Ste 502, Arlington, VA 22205-3609 | 2005-08-27 |
| Find all providers in ARLINGTON | ||||
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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.