MAGNOLIA OBSTETRICS & GYNECOLOGY PLLC (NPI# 1639336787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639336787 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA OBSTETRICS & GYNECOLOGY PLLC |
| Practice Address |
3600 Gaston Ave 601 Dallas TX 75246-1800 |
| Practice Telephone | 2143771699 |
| Practice Fax Number | 2148248365 |
| Mailing Telephone | 2143771699 |
| Mailing Fax Number | 2148248365 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2009-08-05 |
| Authorized Official Name | MRS. LEANN E HADDOCK (PARTNER) |
| Authorized Official Telephone | 2143771699 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
TX | Allopathic & Osteopathic Physicians |
| Street Address |
3600 GASTON AVE 601 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215429 | Norman Slusher | Ophthalmology | 3600 Gaston Ave, Ste 964, Dallas, TX 75246-1909 | 2005-06-14 |
| 1669032561 | Julia Przybyszewski | Physician Assistant | 3600 Gaston Ave, Dallas, TX 75246-1800 | 2019-06-13 |
| 1164934865 | Stephen Daniel Krivan | Physician Assistant | 3600 Gaston Ave, Wadley Tower Suite 550, Dallas, TX 75246 | 2017-11-02 |
| 1013451608 | Mary Elise Wallace | Dietitian, Registered | 3600 Gaston Ave, Suite 656, Dallas, TX 75246-1800 | 2016-12-15 |
| 1508226382 | Jessica Osipenko | Nurse Practitioner | 3600 Gaston Ave, Wadley Tower, Suite 960, Dallas, TX 75246-1800 | 2016-03-07 |
| 1952773178 | Erin Davidson | Pharmacist | 3600 Gaston Ave, Suite 109, Dallas, TX 75246-1800 | 2015-10-27 |
| 1871960146 | Krista Heinrich | Pharmacist | 3600 Gaston Ave, Suite 109, Dallas, TX 75246-1800 | 2015-08-21 |
| 1417339177 | Jami Mckinney | Physician Assistant | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2015-06-18 |
| 1780065755 | Evan Koesler | Physician Assistant | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2015-06-15 |
| 1851772958 | Alexandra Lee Bewley | Physician Assistant | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2015-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780902809 | Zachary Thomas Ripp | Obstetrics & Gynecology | 2959 S. Buckner Ste 100, Mi Doctor/ Women's Specialty Center, Dallas, TX 75227 | 2010-05-13 |
| 1225085202 | David M. Bookout | Obstetrics & Gynecology | 8305 Walnut Hill, Suite 100, Dallas, TX 75231-4217 | 2006-05-27 |
| 1225541162 | Lauren Elizabeth New | Obstetrics & Gynecology | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2017-11-14 |
| 1912153065 | B.n. Griffin, M.d. P.a. | Obstetrics & Gynecology | 4101 High Star Ln, Dallas, TX 75287-6737 | 2008-08-08 |
| 1689724379 | Darrel Jordan, Md, Pa | Obstetrics & Gynecology | 7424 Greenville Ave, Dallas, TX 75231 | 2007-01-12 |
| 1659446060 | Oscar R Andujo | Obstetrics & Gynecology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-11-21 |
| 1154493609 | Naseem N Jagani | Obstetrics & Gynecology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-11-13 |
| 1952354375 | Nathan Truett Thomas | Obstetrics & Gynecology | 5315 Ross Ave, Dallas, TX 75206-7418 | 2006-05-18 |
| 1720036973 | Vanessa Irene Daros | Obstetrics & Gynecology | 8160 Walnut Hill Ln, Suite 328, Dallas, TX 75231-4339 | 2006-05-04 |
| 1083671481 | Clarice Leavon Grimes | Obstetrics & Gynecology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-28 |
| 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.