DR. LALAN SCOTT WILFONG (NPI# 1497793509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497793509 |
| Entity Type | Individual |
| Full Name | DR. LALAN SCOTT WILFONG |
| Credential | MD |
| Practice Address |
8220 Walnut Hill Ln Suite 700, Professional Building II Dallas TX 75231-4427 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 2147394175 |
| Practice Fax Number | 2149874161 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9724379605 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
K5744 | TX | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
K5744 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 158076304 | 05 | |
| TX | BLUE CROSS OF TEXAS | 8R1590 | 01 |
| OK | 200235410A | 05 | |
| TX | 158076301 | 05 | |
| TX | 158076302 | 05 |
| Street Address |
8220 WALNUT HILL LN SUITE 700, PROFESSIONAL BUILDING II |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279027 | North Texas Pain Management | Specialist | 8220 Walnut Hill Ln, 202 Lb#98, Dallas, TX 75231-4427 | 2005-07-19 |
| 1104340694 | Christian Timothy Le | Physician Assistant | 8220 Walnut Hill Ln, Dallas, TX 75231-4427 | 2017-07-27 |
| 1073973426 | Lema Dohmanju | Registered Nurse | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2016-02-27 |
| 1063884880 | Jordan Paul Wood | Nurse Practitioner | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2015-10-21 |
| 1023435575 | Fadi C Constantine, M.d. P.a | Plastic Surgery | 8220 Walnut Hill Ln, Suite 206, Dallas, TX 75231-4427 | 2014-03-22 |
| 1568715514 | Charity C Mugadza | Nurse Practitioner | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2012-10-16 |
| 1437405776 | Cori E. Grantham, M.d., P.a. | Specialist | 8220 Walnut Hill Ln, 310, Dallas, TX 75231-4427 | 2012-07-24 |
| 1326302233 | Dallas Comprehensive Medical Care, Pllc | Internal Medicine | 8220 Walnut Hill Ln, Suite 314, Dallas, TX 75231-4427 | 2012-06-26 |
| 1629344833 | Jeffery Keith Krueger M D P A | Surgery | 8220 Walnut Hill Ln, Ste. 206, Dallas, TX 75231-4427 | 2012-04-02 |
| 1154611044 | Irwin S. Korngut Mdpa | Internal Medicine | 8220 Walnut Hill Ln, Suite 110, Dallas, TX 75231-4427 | 2011-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861958704 | Thi of Texas At Samaritan Hospice LLC | Internal Medicine | 12001 N Central Expy Ste 550, Dallas, TX 75243-3943 | 2019-02-15 |
| 1508222720 | Maurizio Bendandi | Internal Medicine | 6722 Mimosa Ln, Dallas, TX 75230-5214 | 2016-01-04 |
| 1679784524 | Nebu V Koshy | Internal Medicine | 3410 Worth St Ste 300, Dallas, TX 75246-2012 | 2007-05-24 |
| 1942424528 | Farrukh T Awan | Internal Medicine | 6201 Harry Hines Blvd Mail Code 8565, Dallas, TX 75390 | 2007-04-12 |
| 1518029073 | Suzanne D Conzen | Internal Medicine | 2201 Inwood Road 3rd Floor -nc3.500, Dallas, TX 75390-6686 | 2006-12-14 |
| 1164512414 | Thomas W. Froehlich | Internal Medicine | Ut Southwestern, 5323 Harry Hines Blvd., Dallas, TX 75390-8852 | 2006-10-14 |
| 1669494134 | Katherine Chiyu Wang | Internal Medicine | 8196 Walnut Hill Ln Ste 100, Dallas, TX 75231 | 2006-07-24 |
| 1609811751 | Volker H Gressler | Internal Medicine | 6542 Turner Way, Dallas, TX 75230-1934 | 2006-06-20 |
| 1801847991 | Elizabeth Anne Maher | Internal Medicine | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7208 | 2006-05-13 |
| 1568423978 | Joan H Schiller | Internal Medicine | 5323 Harry Hines Bv, Dallas, TX 75390-7208 | 2006-03-28 |
| 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.