PREMIER DOC ASSIST, PLLC (NPI# 1609334994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609334994 |
| Entity Type | Organization |
| Organization Name | PREMIER DOC ASSIST, PLLC |
| Practice Address |
3540 E. Broad St Ste 120 Pmb 194 Mansfield TX 76063 |
| Practice Telephone | 8175925798 |
| Practice Fax Number | 8177178011 |
| Mailing Telephone | 8175925798 |
| Mailing Fax Number | 8177178011 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | BRANDI JONES (OWNER) |
| Authorized Official Telephone | 8175925798 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
3540 E. BROAD ST STE 120 PMB 194 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285009803 | Kendall Polk | Surgery | 205 Crenshaw Dr, Mansfield, TX 76063-3451 | 2015-12-08 |
| 1912346024 | Niraj Badhiwala | Surgery | 309 Regency Pkwy Ste 103, Mansfield, TX 76063-5165 | 2013-06-21 |
| 1154656460 | James Bruce Jackson | Surgery | 2004 Lexington Ave, Mansfield, OH 44907-3024 | 2009-10-05 |
| 1801087093 | Daniel Esteban Lopez | Surgery | 5 Addison Ct, Mansfield, TX 76063-5511 | 2007-08-05 |
| 1760684195 | Joshua Kyle Trussell | Surgery | 2800 E Broad Street, Suite 304, Mansfield, TX 76063-6412 | 2007-06-05 |
| 1902007917 | Garish Kurian Alexander | Surgery | 2975 E Broad St Ste 200, Mansfield, TX 76063-9147 | 2007-05-29 |
| 1851509145 | Uzoma Ben Gbulie | Surgery | 1021 Matlock Rd Ste 103, Mansfield, TX 76063-3443 | 2007-05-18 |
| 1376577304 | Douglas Clayton Sawyer | Surgery | 119 Jefferson St, Mansfield, LA 71052 | 2006-07-10 |
| 1851333785 | Michael L Thornton | Surgery | 1301 E Debbie Ln, Ste 102-318, Mansfield, TX 76063-3305 | 2006-06-12 |
| 1740267798 | Antoine Said Munther | Surgery | 215 Wood St, Mansfield, OH 44903-2260 | 2005-12-29 |
| Find all providers in MANSFIELD | ||||
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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.