MARK URISH (NPI# 1437475514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437475514 |
| Entity Type | Individual |
| Full Name | MARK URISH |
| Credential | PA-C |
| Practice Address |
3050 S 1st St Ste 209 Garland TX 75041-3442 |
| Mailing Address |
122 W John Carpenter Fwy Ste 420 Irving TX 75039-2014 |
| Practice Telephone | 2145010856 |
| Mailing Telephone | 9729573000 |
| Mailing Fax Number | 9729573005 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA06815 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 91 W Side Sq, Cooper, TX 754321725 | 9033950586 | 9033950589 |
| Street Address |
3050 S 1ST ST STE 209 |
| City | GARLAND |
| State | TX |
| Zip Code | 75041-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629570080 | Anitha Tanam | Nurse Practitioner | 3050 S 1st St Ste 209, Garland, TX 75041-3442 | 2018-03-01 |
| 1750805776 | Farnaz Asadifard | Nurse Practitioner | 3050 S 1st St Ste 209, Garland, TX 75041-3442 | 2017-08-01 |
| 1336699222 | Valerie Mcdowell-pittman | Nurse Practitioner | 3050 S 1st St Ste 209, Garland, TX 75041-3442 | 2016-10-04 |
| 1609114032 | Joanne Vanessa Holliman | Pediatrics | 3050 S 1st St Ste 209, Garland, TX 75041 | 2013-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984922 | Vitora Ventures Inc | Pharmacy | 138 W. Centerville Rd # 100, Garland, TX 75041 | 2020-05-20 |
| 1699095620 | Bevan Wayne Heaton | Dentist | 1501 W. Miller Road, Suite 180, Garland, TX 75041 | 2010-06-01 |
| 1649592064 | Yuenan Shen | Pathology | 1918 E Miller Rd, Suite 101, Garland, TX 75041 | 2010-02-26 |
| 1417105271 | Laura Beth Ackerman | Speech-Language Pathologist | 2625 Anita Dr., Garland, TX 75041 | 2008-09-05 |
| 1760522031 | South First Dental,pc | Dentist | 3109 South First Street, Garland, TX 75041 | 2007-02-07 |
| 1396840328 | Jane Elizabeth Williamson | Counselor | 629 W Centerville, Suite 205, Garland, TX 75041 | 2006-09-14 |
| 1902900038 | Michael Allen Musso | Dentist | 513 W Centerville Road, Garland, TX 75041 | 2006-09-11 |
| 1538263652 | Musso Family Dentistry | Dentist | 513 West Centerville Rd, Garland, TX 75041 | 2006-09-11 |
| 1285738534 | Robert Rushing Jr. | Audiologist | 2625 Anita, Garland, TX 75041 | 2006-09-08 |
| 1932203288 | Kristi Amyx | Occupational Therapist | 2625 Anita Dr, Garland, TX 75041 | 2006-09-08 |
| Find all providers in zip 75041 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578032355 | Matthew Wainwright | Physician Assistant | 7026 Christina Ln, Garland, TX 75043-6617 | 2018-11-21 |
| 1477827087 | Dipesh Ramesh Rana | Physician Assistant | 5025 Glen Vista Dr, Garland, TX 75044-5511 | 2012-02-28 |
| 1639340144 | Jesse Trevino | Physician Assistant | 401 W Centerville Rd Ste 1, Garland, TX 75041-5400 | 2008-03-12 |
| 1396102240 | Kimberly Gayle Anand | Physician Assistant | 7145 N George Bush Hwy, Garland, TX 75044-2988 | 2016-01-23 |
| 1639574395 | Mahnaz Shambayati | Physician Assistant | 7145 N George Bush Hwy, Garland, TX 75044-2988 | 2014-10-23 |
| 1144647140 | Sanam Zaidi | Physician Assistant | 3465 W Walnut St, #225, Garland, TX 75042-7153 | 2014-03-27 |
| 1750603569 | Smitha Susan Thankachan | Physician Assistant | 565 W I 30, Garland, TX 75043-5702 | 2010-02-20 |
| 1770710964 | David Roodhuyzen | Physician Assistant | 2300 Marie Curie Dr, Emergency Department, Garland, TX 75042-5706 | 2009-06-16 |
| 1184712499 | Cynthia Chernyakhovsky | Physician Assistant | 700 Walter Reed Blvd, Suite 311, Garland, TX 75042-3701 | 2006-10-11 |
| 1811081490 | Maria Esther Solares | Physician Assistant | 2636 W Walnut St, Garland, TX 75042 | 2006-10-03 |
| Find all providers in GARLAND | ||||
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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.