MARY MATHAI (NPI# 1528122686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528122686 |
| Entity Type | Individual |
| Full Name | MARY MATHAI |
| Credential | WHCNP |
| Practice Address |
3320 Live Oak St Fl 5 East Dallas Women's Health Center Dallas TX 75204-6109 |
| Mailing Address |
Po Box 660599 Dallas TX 75266-0599 |
| Practice Telephone | 2142661200 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
592720 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 197049301 | 05 | |
| TX | 197049306 | 05 | |
| TX | 197049304 | 05 | |
| TX | 197049307 | 05 | |
| TX | 197049310 | 05 | |
| TX | 197049305 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8Y3522 | 01 |
| TX | 197049308 | 05 | |
| TX | 197049309 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568484574 | Mary Mathai | Physical Medicine & Rehabilitation | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2006-07-25 |
| Street Address |
3320 LIVE OAK ST FL 5 EAST DALLAS WOMEN'S HEALTH CENTER |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331534 | Hoa L. Truong | Nurse Practitioner | 3320 Live Oak St Fl 5, East Dallas Women's Health Center, Dallas, TX 75204-6109 | 2005-07-28 |
| 1003970161 | Palestine M. Howie | Nurse Practitioner | 3320 Live Oak St Fl 5, East Dallas Women's Health Center, Dallas, TX 75204-6109 | 2006-12-21 |
| 1902960073 | Emma L. Korshukin | Nurse Practitioner | 3320 Live Oak St Fl 5, East Dallas Women's Health Center, Dallas, TX 75204-6109 | 2006-12-21 |
| 1407910599 | Cathy A. Little | Nurse Practitioner | 3320 Live Oak St Fl 5, East Dallas Women's Health Center, Dallas, TX 75204-6109 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988461 | Sarah Elizabeth Higgins | Nurse Practitioner | 8060 Park Ln, Dallas, TX 75231-5912 | 2020-03-27 |
| 1285284323 | Barbara E Mauk | Nurse Practitioner | 13516 Waterfall Way, Dallas, TX 75240-5831 | 2019-09-19 |
| 1447720941 | Rlj Visiting Housecalls LLC | Nurse Practitioner | 3603 Creek View Dr, Dallas, TX 75233-1709 | 2018-11-28 |
| 1396295051 | Melody Lin | Nurse Practitioner | 7424 Greenville Ave Ste 206, Dallas, TX 75231-4534 | 2016-10-06 |
| 1467766055 | Courtney Puff Sherman | Nurse Practitioner | 2701 Reagan St, Dallas, TX 75219-3403 | 2010-08-06 |
| 1437486297 | Lydia Vincent Hathorn | Nurse Practitioner | 7012 Wakefield St, Dallas, TX 75231-7306 | 2009-11-14 |
| 1407912009 | Annika J. Evans | Nurse Practitioner | 3600 Gaston Ave Ste 558, Dallas, TX 75246-1905 | 2006-12-28 |
| 1295735637 | Paula V. Reid | Nurse Practitioner | 1936 Amelia Ct, Hiv-aids Clinic, Dallas, TX 75235-7711 | 2005-07-28 |
| 1255331534 | Hoa L. Truong | Nurse Practitioner | 3320 Live Oak St Fl 5, East Dallas Women's Health Center, Dallas, TX 75204-6109 | 2005-07-28 |
| 1598765794 | Joanne Lashmet | Nurse Practitioner | 6303 Harry Hines Blvd Ste 101, Maple Women's Health Center, Dallas, TX 75235-5228 | 2005-07-28 |
| 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.