JAN S RISDEN (NPI# 1679776959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679776959 |
| Entity Type | Individual |
| Full Name | JAN S RISDEN |
| Credential | MD |
| Practice Address |
399 W Campbell Rd Medical Plaza II, Suite 410 Richardson TX 75080-3595 |
| Mailing Address |
9101 Lbj Fwy Suite 710 Dallas TX 75243-2057 |
| Practice Telephone | 9722387799 |
| Practice Fax Number | 9722387135 |
| Mailing Telephone | 9727925700 |
| Mailing Fax Number | 2143497707 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2013-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
M5492 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8BJ292 | 01 |
| TX | 189247302 | 05 | |
| TX | 189247306 | 05 | |
| TX | 189247307 | 05 | |
| TX | 189247304 | 05 | |
| TX | 189247301 | 05 | |
| TX | MEDICARE PTAN | 613337 | 01 |
| TX | 189247303 | 05 |
| Street Address |
399 W CAMPBELL RD MEDICAL PLAZA II, SUITE 410 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-3595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558354712 | Trung Nguyen Dao | Internal Medicine | 399 W Campbell Rd, #212, Richardson, TX 75080-3595 | 2005-08-23 |
| 1497386882 | A-1 Behavioral Health Services Pllc | Clinic/Center | 399 W Campbell Rd, Richardson, TX 75080-3595 | 2020-02-04 |
| 1457885238 | Loren Albritton | Hospitalist | 399 W Campbell Rd, Ste 206 A, Richardson, TX 75080-3595 | 2017-04-18 |
| 1861808438 | Richard A. Marks,m.d.p.a | Specialist | 399 W Campbell Rd, #408, Richardson, TX 75080-3595 | 2014-07-03 |
| 1518257294 | Jessica Ann Dean | Family Medicine | 399 W Campbell Rd, Suite 101, Richardson, TX 75080-3595 | 2011-04-14 |
| 1093029324 | Alisa K Ward, Md Pa | Specialist | 399 W Campbell Rd, Suite 410, Richardson, TX 75080-3595 | 2010-07-28 |
| 1639401417 | Ronald J. Bell, M.d., P.a. | Psychiatry & Neurology | 399 W Campbell Rd, Ste 106, Richardson, TX 75080-3595 | 2010-02-04 |
| 1619208394 | Susan B Rogers Md Pa | Specialist | 399 W Campbell Rd, Suite 101, Richardson, TX 75080-3595 | 2010-01-20 |
| 1972830909 | Denise Blackard Russell | Nurse Practitioner | 399 W Campbell Rd, Suite 101, Richardson, TX 75080-3595 | 2009-11-12 |
| 1982835112 | Pavan Kumar Reddy Pamadurthi | Psychiatry & Neurology | 399 W Campbell Rd, 303, Richardson, TX 75080-3595 | 2009-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063754109 | Women's Health Associates of Richardson, Pllc | Obstetrics & Gynecology | 2821 George Bush Hwy, Suite 300, Richardson, TX 75082-4266 | 2013-03-26 |
| 1992046270 | John Irvin Brady Jr. | Obstetrics & Gynecology | 101 W Buckingham Rd, Richardson, TX 75081-4802 | 2013-03-11 |
| 1659591196 | Health Care for Women Pa | Obstetrics & Gynecology | 399 W Campbell Rd, Ste # 304, Richardson, TX 75080-3595 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129458 | Bloom Gynecology LLC | Obstetrics & Gynecology | 3540 E Broad St # 262, Mansfield, TX 76063-5633 | 2020-09-21 |
| 1861003170 | North Texas Cosmetic Surgery, LLC | Obstetrics & Gynecology | 4401 Coit Rd Ste 205, Frisco, TX 75035-0504 | 2020-08-11 |
| 1285279208 | Jill Bynum Farmar | Obstetrics & Gynecology | 4611 Travis St Apt 7, Dallas, TX 75205-5581 | 2019-11-13 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1851745459 | Holly Eliason | Obstetrics & Gynecology | 4085 Ohio Dr Ste 100, Frisco, TX 75035-6245 | 2016-04-20 |
| 1861807968 | Ruby L Holloway, M.d.p.a | Obstetrics & Gynecology | 710 S 8th St Ste B, Beaumont, TX 77701-4634 | 2014-06-26 |
| 1851731319 | Annabelle Lopez M.d., P.a. | Obstetrics & Gynecology | 913 S Airport Dr Ste 201, Weslaco, TX 78596-6629 | 2013-06-28 |
| 1679815286 | Andrew Gene Dillard | Obstetrics & Gynecology | 1717 Weiskopf Dr, Heath, TX 75032-7749 | 2013-03-21 |
| 1689916553 | Peter K Thompson | Obstetrics & Gynecology | 307 Fall River Ct, Houston, TX 77024-5611 | 2013-03-19 |
| 1003158916 | Robert J Morrow | Obstetrics & Gynecology | 2202 Running Springs Dr, Kingwood, TX 77339-3125 | 2013-03-19 |
| Find all providers with the same taxonomy | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
Please comment or provide details below to improve the information on JAN S RISDEN.
| 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.