MATRIX MEDICAL ASSISTANTS, PLLC (NPI# 1669079174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669079174 |
| Entity Type | Organization |
| Organization Name | MATRIX MEDICAL ASSISTANTS, PLLC |
| Practice Address |
4518 Irvin Simmons Dr Dallas TX 75229-4249 |
| Practice Telephone | 8179696030 |
| Mailing Telephone | 8179696030 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | MARK LUNDGREN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8179696030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Matrix Medical Assistants, PLLC | Other Name - Individual/Organization |
| Street Address |
4518 IRVIN SIMMONS DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75229-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454602 | Obioma Anyogu | Nurse Practitioner | 1521 East Royal Lane, Apt 3208, Farmersbrabch, TX 75229 | 2020-03-30 |
| 1700399003 | Margaret F Wangsgaard | Dietitian, Registered | 3262 Dothan Ln, Dallas, TX 75229 | 2017-11-08 |
| 1710333075 | Egma LLC | Eyewear Supplier (Equipment, not the service) | 11234 Goodnight Lane, Dallas, TX 75229 | 2016-05-05 |
| 1770955924 | Sarah Loucks | Occupational Therapist | 3265 Dartmoor Ct, Dallas, TX 75229 | 2015-10-28 |
| 1750711222 | Maureen Elizabeth Veysset | Nurse Practitioner | 3207 Rotan Ln, Dallas, TX 75229 | 2013-11-20 |
| 1811248826 | Virginia F. Velez | Counselor | 2636 Walnut Hill Ln., Suite #330, Dallas, TX 75229 | 2012-10-01 |
| 1306128210 | Marshal Neil Decker | Technician, Other | 11034 Shady Trail, Suite 112, Dallas, TX 75229 | 2011-09-16 |
| 1275785883 | Rc Chiropractic and Sports Injury Care | Chiropractor | 11029 Shady Trail, 113, Dallas, TX 75229 | 2008-10-14 |
| 1639335672 | Young An Church | Durable Medical Equipment & Medical Supplies | 11445 Emerald St, Dallas, TX 75229 | 2008-07-30 |
| 1336345347 | Sung Ae Lee | Dentist | 2560 Royal Lane, #222, Dallas, TX 75229 | 2007-06-26 |
| Find all providers in zip 75229 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1811274053 | Abbey Care Residential Homes | Point of Service | 7615 Meadow Rd, Dallas, TX 75230-4828 | 2011-11-15 |
| 1033494240 | Padron Wellness Clinic Pllc | Point of Service | 1000 Emerald Isle Dr Ste 107, Dallas, TX 75218-3949 | 2011-10-19 |
| 1588958029 | Noorani and Noorani LLC | Point of Service | 11601 Lago Vis W, 1301, Dallas, TX 75234-6806 | 2011-06-01 |
| 1437487865 | Konektz LLC | Point of Service | 13521 Method St, Dallas, TX 75243-1409 | 2009-11-23 |
| 1306083134 | Rehab Now Inc. | Point of Service | 4333 Gannon Ln Ste 107, Dallas, TX 75237-4224 | 2009-01-15 |
| 1730357799 | Heart To Heart Provider LLC | Point of Service | 3836 Morning Springs Trl, Dallas, TX 75224-5014 | 2008-02-13 |
| 1023130226 | Metrocare Services | Point of Service | 9821 Summerwood Cir, Apt 1307, Dallas, TX 75243-5709 | 2007-04-06 |
| 1376885939 | Stretch Rehabilitation | Point of Service | 8330 Lbj Fwy, 255, Dallas, TX 75243-1166 | 2013-03-21 |
| 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.