NISHENDU M. VASAVADA, M.D., P.A. (NPI# 1700901022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700901022 |
| Entity Type | Organization |
| Organization Name | NISHENDU M. VASAVADA, M.D., P.A. |
| Other Organization Name | LAKESIDE LIFE CENTER |
| Practice Address |
560 W Main St Ste. 101 Lewisville TX 75057-3629 |
| Practice Telephone | 9722211741 |
| Practice Fax Number | 9722190057 |
| Mailing Telephone | 9722211741 |
| Mailing Fax Number | 9722190057 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2011-08-03 |
| Authorized Official Name | DEBBIE K. JOHNSON (OFFICE MANAGER) |
| Authorized Official Telephone | 9722211741 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
F2490 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200105540A | 05 | |
| TX | 220087501 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 0072MW | 01 |
| Other Name | Type Code |
|---|---|
| Lakeside Life Center | Doing Business As Name - Organization |
| Street Address |
560 W MAIN ST STE. 101 |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75057-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808601 | Barry Sanders | Specialist | 560 W Main St, Suite 106, Lewisville, TX 75057-3629 | 2005-08-19 |
| 1457662876 | Ajijo Inc Dba Lewisville Medical Pharmacy | Pharmacy | 560 W Main St, Ste 105, Lewisville, TX 75057-3629 | 2010-06-30 |
| 1912165218 | Jack L. Johnson Jr., M.d., P.a. | Family Medicine | 560 W Main St, Suite 100, Lewisville, TX 75057-3629 | 2008-05-23 |
| 1043495088 | Timothy C Pringle Md Pa | Surgery | 560 W Main St, Suite 200, Lewisville, TX 75057-3629 | 2008-01-09 |
| 1235333402 | Tae Young Lee | Psychiatry & Neurology | 560 W Main St, Suite 101, Lewisville, TX 75057-3629 | 2007-06-12 |
| 1023143872 | Barry Sanders M.d. and Associatess | Internal Medicine | 560 W Main St, Suite 106, Lewisville, TX 75057-3629 | 2007-02-22 |
| 1366474793 | Schulz Surgical Associates, P.a. | Surgery | 560 W Main St, Suite 203, Lewisville, TX 75057-3629 | 2006-07-07 |
| 1801859996 | Jack Leegon Johnson Jr. | Family Medicine | 560 W Main St, Suite 100, Lewisville, TX 75057-3629 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932681889 | Creekview Pharmacy LLC | Pharmacy | 880 Hebron Pkwy # 170, Lewisville, TX 75057 | 2018-09-06 |
| 1518450352 | Dorene Ebangha Etarock | Pediatrics | 860 Hebron Pkwy Ste 202, Lewisville, TX 75057 | 2018-06-06 |
| 1346691227 | Janet Swain | Registered Nurse | 860 Hebron Pkwy Ste 1101, Lewisville, TX 75057 | 2016-06-22 |
| 1124486204 | Gold Star Home Healthcare | Home Health | 960 E Hwy 121 Business, Lewisville, TX 75057 | 2016-02-04 |
| 1093173163 | Lifeview Counseling | Community/Behavioral Health | 751 Hebron Pkwy, Ste 320, Lewisville, TX 75057 | 2016-02-04 |
| 1376969766 | Kyle Nix | Chiropractor | 363 W. Main St., Lewisville, TX 75057 | 2014-03-10 |
| 1386082725 | Drew Alan Ratner | Orthopaedic Surgery | 500 W Main St Ste 260, Lewisville, TX 75057 | 2013-06-07 |
| 1194074377 | Cheryl Ann Rayl | Counselor | 401 E. Corporate Drive, Ste. 100, Lewisville, TX 75057 | 2012-09-05 |
| 1053669259 | Vikas Patel | Pharmacist | 880 Hebron Pkwy Ste 170, Lewisville, TX 75057 | 2012-08-17 |
| 1093043507 | Golden Triangle Anesthesia Services, PC | Nurse Anesthetist, Certified Registered | 591 W. Main St., Lewisville Surgery Center, Lewisville, TX 75057 | 2009-11-20 |
| Find all providers in zip 75057 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184720799 | Louis E Costello | Psychiatry & Neurology | 190 Civic Cir Ste 250, Lewisville, TX 75067-3648 | 2006-09-15 |
| 1255380176 | Horizon Mental Health Management LLC | Psychiatry & Neurology | 1965 Lakepointe Dr, Suite 100, Lewisville, TX 75057-6424 | 2006-05-08 |
| 1841248846 | Asad Ul Islam | Psychiatry & Neurology | 860 Hebron Pkwy, Unit # 1101, Lewisville, TX 75057-5151 | 2006-05-04 |
| 1811394612 | Novant Medical Group, Inc | Psychiatry & Neurology | 6620 Shallowford Rd, Suite 200, Lewisville, NC 27023-9504 | 2014-11-24 |
| 1700112331 | Louis E. Costello, M.d., P.a. | Psychiatry & Neurology | 190 Civic Cir, Suite 250, Lewisville, TX 75067-3424 | 2009-11-02 |
| 1235333402 | Tae Young Lee | Psychiatry & Neurology | 560 W Main St, Suite 101, Lewisville, TX 75057-3629 | 2007-06-12 |
| 1316065204 | Cornelio Roderick Ruperto | Psychiatry & Neurology | 6620 Shallowford Rd, Suite 200, Lewisville, NC 27023-9504 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997920 | Pearland Psychiatric Associates Pllc | Psychiatry & Neurology | 2743 Smith Ranch Rd Unit 101, Pearland, TX 77584-5205 | 2020-09-22 |
| 1821604364 | Mindful Brain Health Pllc | Psychiatry & Neurology | 4012 Hoyer Cv, Round Rock, TX 78681-1045 | 2020-09-21 |
| 1013523604 | Stephen Oravec | Psychiatry & Neurology | 952 Danny Sanchez Pl, Anthony, TX 79821-7365 | 2020-09-18 |
| 1063028884 | West Texas Tms Pllc | Psychiatry & Neurology | 4601 Buffalo Gap Rd Ste B3, Abilene, TX 79606-3362 | 2020-09-17 |
| 1386267466 | Sharon Marjorie Tomlinson | Psychiatry & Neurology | 705 Bray Central Dr Apt 9306, Allen, TX 75013-6377 | 2020-05-22 |
| 1821610528 | Dr Erum Psychiatry, Pllc | Psychiatry & Neurology | 2425 N Central Expy Ste 700, Richardson, TX 75080-2860 | 2020-05-15 |
| 1366062358 | Luckhart Psychiatry, Pllc | Psychiatry & Neurology | 7100 Boulevard 26 Ste 101, Richland Hills, TX 76180-8687 | 2020-04-20 |
| 1093334104 | Phoenix Mental Health Tms | Psychiatry & Neurology | 19707 Ih 10 W Ste 314, San Antonio, TX 78257-1746 | 2020-04-09 |
| 1104445220 | Neogen Mental Health and Behavioral Services, Pa. | Psychiatry & Neurology | 2141 Kirkwood Blvd Ste 130, Southlake, TX 76092-1464 | 2020-04-09 |
| 1154950459 | Compass Psychiatry Solutions | Psychiatry & Neurology | 2026 Wirt Rd Fl 2, Houston, TX 77055-1626 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
| City | LEWISVILLE |
| Zip Code | 75057 |
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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.