PEDIATRIC PERIOPERATIVE CONSULTANTS OF N. TX., PLLC (NPI# 1578970307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578970307 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PERIOPERATIVE CONSULTANTS OF N. TX., PLLC |
| Practice Address |
7777 Forest Ln Ste D569 Dallas TX 75230-6903 |
| Practice Telephone | 9725668340 |
| Practice Fax Number | 9725668338 |
| Mailing Telephone | 9725668340 |
| Mailing Fax Number | 9725668338 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |
| Authorized Official Name | DR. JAMES R MATSON (PRESIDENT) |
| Authorized Official Telephone | 9725668340 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
7777 FOREST LN STE D569 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-6903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962442087 | Jeffrey J. Fanning | Pediatrics | 7777 Forest Ln Ste D569, Dallas, TX 75230-6903 | 2006-06-07 |
| 1023127131 | Gokul K Bysani | Anesthesiology | 7777 Forest Ln Ste D569, Dallas, TX 75230-6903 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962442087 | Jeffrey J. Fanning | Pediatrics | 7777 Forest Ln Ste D569, Dallas, TX 75230-6903 | 2006-06-07 |
| 1447235684 | Andrew Scott Gelfand | Pediatrics | 7777 Forest Ln Ste B309, Dallas, TX 75230-2540 | 2005-12-09 |
| 1255954129 | Hannah Lee Vinh | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-05-26 |
| 1740824796 | Kaitlin Hukill | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2019-11-03 |
| 1124556501 | Markie A Campfield | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235 | 2017-05-30 |
| 1649685215 | Abdelaziz Farhat | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2014-06-23 |
| 1255652079 | Raeley Rinderknecht Guess | Pediatrics | 7777 Forest Ln, D569, Dallas, TX 75230-2571 | 2010-06-16 |
| 1881911196 | Ali Bv Mcmichael | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2010-04-26 |
| 1457500381 | Margaret Schwarz | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2008-09-16 |
| 1649447251 | Joshua Seth Wolovits | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7280 | 2008-05-13 |
| 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.