BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE (NPI# 1467793075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467793075 |
| Entity Type | Organization |
| Organization Name | BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE |
| Other Organization Name | BAYLOR DIAGNOSTIC IMAGING CENTER - KELLER |
| Practice Address |
601 S Main St Suite 100 Keller TX 76248-7029 |
| Practice Telephone | 8174822000 |
| Mailing Telephone | 8174822000 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | JAMES MCGEE (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 2148207808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
R01024 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Baylor Diagnostic Imaging Center - Keller | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598006801 | Baylor Regional Medical Center At Grapevine | Clinic/Center | 2020 W St Hwy 114, Suite 100, Grapevine, TX 76051-8649 | 2013-03-12 |
| 1073511762 | Baylor Regional Medical Center At Grapevine | General Acute Care Hospital | 1650 W College St, Grapevine, TX 76051-3565 | 2005-07-07 |
| 1326401951 | Baylor Regional Medical Center At Grapevine | Rehabilitation Unit | 1650 W College St, Grapevine, TX 76051-3565 | 2016-03-31 |
| Street Address |
601 S MAIN ST SUITE 100 |
| City | KELLER |
| State | TX |
| Zip Code | 76248-7029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447810080 | Julie Ervin | Optometrist | 601 S Main St, Keller, TX 76248-7029 | 2019-06-17 |
| 1639659998 | Connor Orr | Physical Therapy Assistant | 601 S Main St, Keller, TX 76248-7029 | 2018-08-16 |
| 1699184101 | Morgan Diane Strub | Optometrist | 601 S Main St, Suite 250, Keller, TX 76248-7029 | 2014-08-08 |
| 1801234240 | Btdi Jv LLP | Physiological Laboratory | 601 S Main St, Ste 100, Keller, TX 76248-7029 | 2013-06-07 |
| 1891092821 | Cynthia Campbell | Occupational Therapist | 601 S Main St, Keller, TX 76248-7029 | 2011-02-28 |
| 1588985683 | Keller Dermatology, P.a. | Clinic/Center | 601 S Main St, Suite 115, Keller, TX 76248-7029 | 2010-06-13 |
| 1588823363 | Elizabeth Leigh Bah | Family Medicine | 601 S Main St, Suite 200, Keller, TX 76248-7029 | 2008-06-05 |
| 1528226552 | Larry P Tadlock | Dentist | 601 S Main St, Suite 240, Keller, TX 76248-7029 | 2008-05-27 |
| 1396925798 | Sonya Conner | Dental Hygienist | 601 S Main St, Suite 220, Keller, TX 76248-7029 | 2007-11-14 |
| 1528248937 | Jeanne Bass | Dental Hygienist | 601 S Main St, Suite 220, Keller, TX 76248-7029 | 2007-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| 1396366456 | Kelcie Dao | Speech-Language Pathologist | 630 B Stoneglen Drive, Keller, TX 76248 | 2020-04-29 |
| 1003447384 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 101 Bourland Rd Suite A, Keller, TX 76248 | 2020-01-27 |
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1750934253 | Pediatric Dentistry of Keller Pllc | Dentist | 1627 Keller Parkway, Suite 100, Keller, TX 76248 | 2019-07-23 |
| 1306345293 | Jaqui Otto | Psychologist | 1664 Keller Parkway Ste 102, Keller, TX 76248 | 2018-02-06 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1760900997 | Md First Watch Healthcare Pllc | Clinic/Center | 310 Keller Parkway, Keller, TX 76248 | 2017-09-08 |
| 1588104541 | Elias Alharari | Nurse Practitioner | 651 S Main St Ste 102, Keller, TX 76248 | 2017-02-24 |
| 1730631698 | Alliance Counseling and Education Center | Social Worker | 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 | 2016-10-26 |
| Find all providers in zip 76248 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124551759 | Vigilant Imaging and Pain Suites, Pa | Clinic/Center | 8865 Davis Blvd, Suite 100a, Keller, TX 76248-0322 | 2017-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515428 | Medical Referral Services, LLC | Clinic/Center | 2450 Nasa Pkwy Ste 125, Houston, TX 77058-3784 | 2020-10-16 |
| 1275144750 | Midland Imaging Center, LLC | Clinic/Center | 2106 N. Midland Dr., Ste 101, Midland, TX 79707-5503 | 2020-08-10 |
| 1134738453 | Origin Mri and Diagnostics | Clinic/Center | 9135 Katy Fwy Ste 102, Houston, TX 77024-1636 | 2020-07-23 |
| 1538777123 | Lexington Medical Imaging, LLC | Clinic/Center | 15925 Lexington Blvd, Sugar Land, TX 77479-2314 | 2020-07-20 |
| 1871101899 | Blue Star Imaging Sa, LLC | Clinic/Center | 112 Herff Rd, Boerne, TX 78006-2747 | 2020-07-15 |
| 1396362836 | Parkhill Imaging Clearfork LLC | Clinic/Center | 5656 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109-4136 | 2020-07-01 |
| 1891319083 | Parkhill Imaging Addison LLC | Clinic/Center | 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 | 2020-06-03 |
| 1669093779 | Hi Tech Imaging, LLC | Clinic/Center | 423 Sw Military Dr, San Antonio, TX 78221-1654 | 2020-04-29 |
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1740814029 | Venus Mri & Women's Center, LLC | Clinic/Center | 24721 Tomball Pkwy Ste 150, Tomball, TX 77375-7727 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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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.