ADAM L KOUYOUMJIAN (NPI# 1538152764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538152764 |
| Entity Type | Individual |
| Full Name | ADAM L KOUYOUMJIAN |
| Credential | D.O. |
| Practice Address |
4031 W Plano Pkwy Suite 100 Plano TX 75093-5617 |
| Practice Telephone | 9729851072 |
| Practice Fax Number | 9725965382 |
| Mailing Telephone | 9729851072 |
| Mailing Fax Number | 9725965382 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | L0353 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS TX 02/01/11 | 8CR153 | 01 |
| TX | MEDICARE RAILROAD - EFFECT 02/01/2011 | P00913353 | 01 |
| Street Address |
4031 W PLANO PKWY SUITE 100 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851384077 | Alexander I Glogau | Orthopaedic Surgery | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5617 | 2005-08-23 |
| 1750934261 | Michelle Taylor | Physician Assistant | 4031 W Plano Pkwy, Plano, TX 75093-5619 | 2019-07-23 |
| 1467997627 | Family and Child Guidance Center | Counselor | 4031 W Plano Pkwy, Suite 211, Plano, TX 75093-5619 | 2016-12-27 |
| 1184169351 | Jacqueline Ann Romanies | Chiropractor | 4031 W Plano Pkwy, Suite 201, Plano, TX 75093-5619 | 2016-12-27 |
| 1558790139 | Brent Sather | Chiropractor | 4031 W Plano Pkwy, Plano, TX 75093-5619 | 2013-11-05 |
| 1821427725 | Morgan B Howard | Physician Assistant | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5619 | 2013-11-01 |
| 1174964241 | Hoic Enterprises LLC | Pharmacy | 4031 W Plano Pkwy, Suite 211, Plano, TX 75093-5619 | 2013-07-17 |
| 1144666793 | Kelly Peters | Physician Assistant | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5619 | 2013-05-21 |
| 1851638126 | Jake H Kreck | Physician Assistant | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5619 | 2013-01-07 |
| 1124382429 | Anne Marie Howell | Counselor | 4031 W Plano Pkwy, Ste 211, Plano, TX 75093-5619 | 2012-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477182681 | Epic Spine & Orthopedics | Orthopaedic Surgery | 6200 Preston Rd Ste 401, Plano, TX 75024-2629 | 2020-04-08 |
| 1679056972 | Excel Sports Medicine Institute and Orthopedic Institute Pllc | Orthopaedic Surgery | 4825 Alliance Blvd Ste 210, Plano, TX 75093-5504 | 2018-09-12 |
| 1538506464 | David Quan Sun | Orthopaedic Surgery | 3509 Dripping Springs Dr, Plano, TX 75025-6805 | 2013-06-01 |
| 1629355946 | Renaissance Neurodiagnostics Pa | Orthopaedic Surgery | 7712 San Jacinto Place, Suite 200, Plano, TX 75024-3212 | 2011-11-15 |
| 1356508733 | Jayson P Bell | Orthopaedic Surgery | 7715 San Jacinto Pl Ste 200, Plano, TX 75024-3215 | 2008-05-22 |
| 1861671257 | Roger Z Taylor M.d. | Orthopaedic Surgery | 1212 Coit Road, Suite 105, Plano, TX 75075 | 2007-11-01 |
| 1417096199 | Khalid Mohammed Yousuf | Orthopaedic Surgery | 4716 Alliance Blvd Ste 600, Plano, TX 75093-5378 | 2007-02-06 |
| 1427126408 | Geoffrey G. Glidden,md Pa | Orthopaedic Surgery | 5038 Tennyson Pkwy, Suite B, Plano, TX 75024-2954 | 2006-11-30 |
| 1063596997 | Kendall Edward Carll II | Orthopaedic Surgery | 8080 Independence Pkwy Ste 230, Plano, TX 75025 | 2006-10-25 |
| 1932281441 | Richard A Marks | Orthopaedic Surgery | 2301 Marsh Ln., Suite 300, Plano, TX 75093 | 2006-10-20 |
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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.