KENNETH R DORITY DO PA (NPI# 1689847014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689847014 |
Entity Type | Organization |
Organization Name | KENNETH R DORITY DO PA |
Other Organization Name | OCCUPATIONAL HEALTH SOURCE |
Practice Address |
8414 Flower Meadow Dr Dallas TX 75243-7424 |
Practice Telephone | 2143497440 |
Mailing Telephone | 2143497440 |
Enumeration Date | 2008-04-07 |
Last Update Date | 2008-04-07 |
Authorized Official Name | DR. KENNETH DORITY (PRESIDENT/ PHYSICIAN) |
Authorized Official Telephone | 2143497440 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
K0722 | TX | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Occupational Health Source | Doing Business As Name - Organization |
Street Address |
8414 FLOWER MEADOW DR |
City | DALLAS |
State | TX |
Zip Code | 75243-7424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912396029 | Quinlan Medical Home Visits | Physician Assistant | 8414 Flower Meadow Dr, Dallas, TX 75243-7424 | 2015-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
Find all providers in zip 75243 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316427420 | Angela Dee Killeen-hirschhorn | Family Medicine | 11909 Preston Rd Ste 286, Dallas, TX 75230-6140 | 2018-08-17 |
1457712937 | Martin Kaplan | Family Medicine | 4655 Christopher Pl, Dallas, TX 75204-1610 | 2016-03-11 |
1205177417 | Larry Wayne Gibbons | Family Medicine | 12330 Preston Road, Dallas, TX 75230 | 2013-03-13 |
1346435062 | Claire C Leggatt | Family Medicine | 5411 W Mockingbird Ln, Dallas, TX 75209-5607 | 2007-09-06 |
1447476874 | Nicolas Alfonso Padron | Family Medicine | 1000 Emerald Isle Dr, Dallas, TX 75218-3952 | 2007-04-17 |
1669594834 | Virginia Porras | Family Medicine | 2701 S Hampton Rd Ste 101, Dallas, TX 75224-2363 | 2007-04-06 |
1760528251 | James Bruce Wright | Family Medicine | 8585 N Stemmons Fwy, Suite 720, Dallas, TX 75247-3836 | 2007-01-30 |
1093897316 | Jennifer Ruth Kessmann | Family Medicine | 12240 Inwood Rd Ste 500, Dallas, TX 75244-8007 | 2006-10-19 |
1720172265 | Stefanie Joy Mccann | Family Medicine | 18800 Preston Road, Suite 314, Dallas, TX 75252 | 2006-10-02 |
1487614392 | Luis Palacios | Family Medicine | 6243 Retail Rd, Dallas, TX 75231-7808 | 2006-03-24 |
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.