PEDIATRICIANS OF DALLAS, PA (NPI# 1619036845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619036845 |
| Entity Type | Organization |
| Organization Name | PEDIATRICIANS OF DALLAS, PA |
| Other Organization Name | PEDIATRICIANS OF DALLAS |
| Practice Address |
8325 Walnut Hill Ln Suite 225 Dallas TX 75231-4208 |
| Practice Telephone | 2146913535 |
| Practice Fax Number | 2146911044 |
| Mailing Telephone | 2146913535 |
| Mailing Fax Number | 2146911044 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-07-28 |
| Authorized Official Name | MRS. DONNA MARIE RYDE (CREDENTIAL MANAGER) |
| Authorized Official Telephone | 2146913535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pediatricians of Dallas | Doing Business As Name - Organization |
| Street Address |
8325 WALNUT HILL LN SUITE 225 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902529 | Karen Ruth Halsell | Specialist | 8325 Walnut Hill Ln, Ste 225, Dallas, TX 75231-4263 | 2005-06-20 |
| 1114148715 | Amy Horton | Dentist | 8325 Walnut Hill Ln, Suite 215, Dallas, TX 75231-4208 | 2007-05-01 |
| 1992824684 | Jack L Freudenfeld Jr. | Dentist | 8325 Walnut Hill Ln, Suite 215, Dallas, TX 75231-4208 | 2007-03-27 |
| 1356483879 | Ali Bolouri | Dentist | 8325 Walnut Hill Ln, Dallas, TX 75231-4208 | 2007-02-12 |
| 1477636744 | Gayle Glenn Dds Msd Pa | Dentist | 8325 Walnut Hill Ln, Suite 111, Dallas, TX 75231-4208 | 2006-10-23 |
| 1154385755 | Mark Hirsh Kogut | Dentist | 8325 Walnut Hill Ln, Ste 111, Dallas, TX 75231 | 2006-04-12 |
| 1790745586 | Michael Joseph Biavati | Otolaryngology | 8325 Walnut Hill Ln, Ste 100, Dallas, TX 75231 | 2006-03-24 |
| 1679574917 | Matthew M Yaeger | Specialist | 8325 Walnut Hill Ln, Suite 225, Dallas, TX 75231-4208 | 2005-08-09 |
| 1144220625 | James W Watkins | Specialist | 8325 Walnut Hill Ln, Suite 225, Dallas, TX 75231-4208 | 2005-07-27 |
| 1427058908 | Joe B Neely | Specialist | 8325 Walnut Hill Ln, Suite 225, Dallas, TX 75231-4208 | 2005-07-27 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| 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 |
| 1285275560 | Heavenly Hands Family Medical Clinic, Pllc | Clinic/Center | 7602 Great Trinity Forest Way, Dallas, TX 75217-6650 | 2019-10-08 |
| 1740831098 | Careatc | Clinic/Center | 1500 Marilla St Rm 1cs, Dallas, TX 75201-6318 | 2019-09-26 |
| 1063077824 | Onepeak Medical Clinic, Inc | Clinic/Center | 1910 Greenville Ave, Dallas, TX 75206-7439 | 2019-05-07 |
| 1972068526 | Inkure U LLC | Clinic/Center | 8204 Elmbrook Dr Ste 202, Dallas, TX 75247-4067 | 2019-02-07 |
| 1548752850 | Susan Bacsik Do Pllc | Clinic/Center | 730 N Bishop Ave, Dallas, TX 75208-4338 | 2018-06-01 |
| 1255820239 | Fitzgerald Family Medicine | Clinic/Center | 289 E Ellendale Ave Ste 602, Dallas, OR 97338-1570 | 2018-05-06 |
| 1447759212 | Quadmed Medical Clinics of Texas, P.a. D/b/a Quadmed Medical Grou | Clinic/Center | 17655 Waterview Parkway, Dallas, TX 75252 | 2018-02-07 |
| 1700328325 | Daniel Health & Wellness, Pllc | Clinic/Center | 17762 Preston Rd Ste 114, Dallas, TX 75252-5730 | 2016-11-14 |
| 1407205222 | Jayshri Health Services | Clinic/Center | 6315 Lindsley Ave, Dallas, TX 75223-1312 | 2016-06-13 |
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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.