GREATER DALLAS HEALTHCARE ENTERPRISES (NPI# 1689031387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689031387 |
| Entity Type | Organization |
| Organization Name | GREATER DALLAS HEALTHCARE ENTERPRISES |
| Other Organization Name | PROVIDENCE MEDICAL PARTNERS |
| Practice Address |
9870 Gateway Blvd N Ste. A El Paso TX 79924-4425 |
| Mailing Address |
Po Box 840711 Dallas TX 75284-0711 |
| Practice Telephone | 9158813368 |
| Practice Fax Number | 9157510464 |
| Mailing Telephone | 9158813368 |
| Mailing Fax Number | 9157510464 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | MR. TIMOTHY ADAMS (SVP REGIONAL OPERATIONS, TENET) |
| Authorized Official Telephone | 4698932563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Providence Medical Partners | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255542122 | Greater Dallas Healthcare Enterprises | Durable Medical Equipment & Medical Supplies | 1445 Ross Ave Ste 1400, Dallas, TX 75202-2703 | 2007-05-24 |
| 1518485721 | Greater Dallas Healthcare Enterprises | Pediatrics | 2702 N University Dr, Nacogdoches, TX 75965-2922 | 2017-09-07 |
| 1255798385 | Greater Dallas Healthcare Enterprises | Pediatrics | 3270 Joe Battle Blvd, Ste. 120, El Paso, TX 79938-2639 | 2016-01-20 |
| 1770983074 | Greater Dallas Healthcare Enterprises | Pediatrics | 713 W Broad St, Suite 100, Forney, TX 75126-9147 | 2014-08-25 |
| 1225437684 | Greater Dallas Healthcare Enterprises | Pediatrics | 9540 Garland Rd, Ste. 410, Dallas, TX 75218-5004 | 2014-08-21 |
| 1689073470 | Greater Dallas Healthcare Enterprises | Pediatrics | 6301 Gaston Ave, Suite 190p, Dallas, TX 75214-3922 | 2014-08-18 |
| 1568871432 | Greater Dallas Healthcare Enterprises | Pediatrics | 11301 Fallbrook Dr, Ste. 130, Houston, TX 77065-4237 | 2014-08-05 |
| 1831500776 | Greater Dallas Healthcare Enterprises | Pediatrics | 1700 Curie Dr, Ste. 1000, El Paso, TX 79902-2905 | 2014-05-14 |
| 1114338175 | Greater Dallas Healthcare Enterprises | Pediatrics | 2311 N Mesa St, Ste. G, El Paso, TX 79902-3666 | 2014-05-13 |
| 1558772517 | Greater Dallas Healthcare Enterprises | Pediatrics | 9540 Garland Rd, Ste. C408b, Dallas, TX 75218-5004 | 2014-05-13 |
| Street Address |
9870 GATEWAY BLVD N STE. A |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850118 | Kathryn Anne Reveles | Nurse Practitioner | 9870 Gateway Blvd N, Ste B7, El Paso, TX 79924-4425 | 2005-06-09 |
| 1104299189 | Janeth Carolina Moldes | Nurse Practitioner | 9870 Gateway Blvd N, El Paso, TX 79924-4425 | 2015-11-12 |
| 1437585379 | O'meara Rosado, Dpm., Pllc | Podiatrist | 9870 Gateway Blvd N, B-7, El Paso, TX 79924-4425 | 2013-09-24 |
| 1386985125 | Helena H. Liptakova, Md., Pllc | Pediatrics | 9870 Gateway Blvd N, Suite B - 7, El Paso, TX 79924-4425 | 2013-03-04 |
| 1184865107 | Shirlina Lia Alcala | Nurse Practitioner | 9870 Gateway Blvd N, Suite B7, El Paso, TX 79924-4425 | 2009-03-20 |
| 1700077658 | Valerie Valdez | Physical Therapist | 9870 Gateway Blvd N, Ste B-7, El Paso, TX 79924-4425 | 2007-08-06 |
| 1275641292 | Jessica Rodriguez | Physical Therapist | 9870 Gateway Blvd N, Ste. B7, El Paso, TX 79924-4425 | 2006-08-29 |
| 1609882596 | Dempsey D Gordon | Family Medicine | 9870 Gateway Blvd N, Ste B-7, El Paso, TX 79924-4425 | 2006-07-31 |
| 1316930407 | Charles William Haegele | Optometrist | 9870 Gateway Blvd N, Suite B-4, El Paso, TX 79924-4414 | 2005-08-24 |
| 1306840970 | Magdalena Ramirez | Nurse Practitioner | 9870 Gateway Blvd N, Ste B7, El Paso, TX 79924-4425 | 2005-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| Find all providers in zip 79924 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526050 | 915 Pediatrics Pllc | Pediatrics | 3261 Joe Battle Blvd, El Paso, TX 79936-1156 | 2020-10-21 |
| 1053951665 | Desert Pediatrics, LLC | Pediatrics | 2601 E Yandell Dr Ste 117, El Paso, TX 79903-3724 | 2020-01-11 |
| 1366098949 | Evelyn Dannielle Acosta | Pediatrics | 6901 Helen of Troy Ste E1, El Paso, TX 79911-3130 | 2019-08-10 |
| 1023536109 | Cna Medical Care Pllc | Pediatrics | 12360 Montwood Drive, Ste B, El Paso, TX 79928 | 2017-09-08 |
| 1669908570 | Bhs Physicians Network, Inc | Pediatrics | 9870 Gateway Blvd N Ste A, El Paso, TX 79924-4414 | 2017-05-11 |
| 1659807568 | Bhs Physicians Network, Inc. | Pediatrics | 3270 Joe Battle Blvd Ste 120, El Paso, TX 79938-2655 | 2017-05-11 |
| 1801247473 | Laura Alejandra Moreno Garcia | Pediatrics | 6974 Gateway Blvd E Ste F, El Paso, TX 79915 | 2016-06-24 |
| 1255789616 | Texas Tech University Health Sciences Center El Paso | Pediatrics | 2000 B Transmountain Road, El Paso, TX 79911 | 2016-05-26 |
| 1275929556 | Jazmin Gonzalez | Pediatrics | 650 Belvidere St, El Paso, TX 79912-1761 | 2015-04-13 |
| 1396130571 | Jason Wang | Pediatrics | 1416 Murchison Dr, El Paso, TX 79902-2824 | 2015-04-03 |
| Find all providers in EL PASO | ||||
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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.