FERTILITY SPECIALISTS OF DALLAS, PA (NPI# 1629184999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629184999 |
| Entity Type | Organization |
| Organization Name | FERTILITY SPECIALISTS OF DALLAS, PA |
| Practice Address |
8315 Walnut Hill Ln Ste. 225 Dallas TX 75231-4218 |
| Practice Telephone | 2147505500 |
| Practice Fax Number | 2147505540 |
| Mailing Telephone | 2147505500 |
| Mailing Fax Number | 2147505540 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JERALD STEVEN GOLDSTEIN (PRESIDENT) |
| Authorized Official Telephone | 2147505500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | J4157 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS GROUP | 0063MQ | 01 |
| Street Address |
8315 WALNUT HILL LN STE. 225 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411163 | Ronald J Chalk | Dentist | 8315 Walnut Hill Ln, Suite 230, Dallas, TX 75231-4218 | 2005-07-20 |
| 1477818409 | Smile Texas Outreach, PC | Dentist | 8315 Walnut Hill Ln, Suite 230, Dallas, TX 75231-4218 | 2012-07-05 |
| 1386877439 | Surgistar Lp | Clinic/Center | 8315 Walnut Hill Ln, Ste 110, Dallas, TX 75231-4218 | 2009-08-24 |
| 1356535314 | John D. Wallace, Dds, Md, Pa | Dentist | 8315 Walnut Hill Ln, Suite 105, Dallas, TX 75231-4218 | 2007-09-04 |
| 1467677344 | Charles W Bradley Dds Pa | Dentist | 8315 Walnut Hill Ln, 200, Dallas, TX 75231-4218 | 2007-04-16 |
| 1710015490 | Bryan Pruitt | Plastic Surgery | 8315 Walnut Hill Ln, Suite 125, Dallas, TX 75231-4218 | 2007-03-02 |
| 1982779443 | Jeremy Newton | Nurse Anesthetist, Certified Registered | 8315 Walnut Hill Ln, Suite 120, Dallas, TX 75231-4218 | 2006-11-21 |
| 1659384105 | Charles Wesley Bradley | Dentist | 8315 Walnut Hill Ln, Suite 200, Dallas, TX 75231-4218 | 2006-08-15 |
| 1811922610 | J. Marcus Downs | Colon & Rectal Surgery | 8315 Walnut Hill Ln, Suite 220, Dallas, TX 75231-4218 | 2006-07-11 |
| 1043257686 | David H Ewalt | Urology | 8315 Walnut Hill Ln, Suite 205, Dallas, TX 75231-4218 | 2006-06-01 |
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| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172827 | Tina Mone Patterson | Specialist | 8501 Old Hickory Trl Apt 2106, Dallas, TX 75237-3821 | 2019-12-31 |
| 1225670862 | Camerin J Cole | Specialist | 4701 Haverwood Ln Apt 112, Dallas, TX 75287-4206 | 2019-10-15 |
| 1356833198 | Diana Denise Demasi | Specialist | 4411 Lemmon Ave Ste 102, Dallas, TX 75219-2390 | 2018-06-06 |
| 1942718242 | Kristy Prieto | Specialist | 18809 Lina St Apt 10209, Dallas, TX 75287-2519 | 2018-01-21 |
| 1306354600 | Johnneshia Donald | Specialist | 3702 Frankford Rd Apt 12303, Dallas, TX 75287-7808 | 2018-01-21 |
| 1841740404 | Surgical Associates of Dallas | Specialist | 621 N Hall St Ste 520, Dallas, TX 75226-1315 | 2016-10-07 |
| 1194198101 | Surepoint Emergency Physicians Denton, Pllc | Specialist | 5005 Lbj Fwy, Suite 1200, Dallas, TX 75244 | 2015-11-12 |
| 1316329071 | Southern Spine Institute Pllc | Specialist | 11970 N Central Expy Ste 450, Dallas, TX 75243-3787 | 2015-06-18 |
| 1760886345 | Wls Surgical Associates of North Texas Pllc | Specialist | 7777 Forest Ln Ste C400, Dallas, TX 75230-7516 | 2014-10-10 |
| 1952731804 | Aw Sleep Diagnostic Center Inc | Specialist | 13154 Coit Road, Suite 105, Dallas, TX 75240-5787 | 2013-11-13 |
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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.