THEODORA SUZANNE ROSS (NPI# 1700959715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700959715 |
| Entity Type | Individual |
| Full Name | THEODORA SUZANNE ROSS |
| Credential | M.D. |
| Practice Address |
5323 Harry Hines Blvd. Dallas TX 75390-7208 |
| Mailing Address |
P.o. Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2146454673 |
| Practice Fax Number | 2146452610 |
| Mailing Telephone | 2146454673 |
| Mailing Fax Number | 2146452610 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | P2161 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4301075061 | MI | Allopathic & Osteopathic Physicians |
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
4301075061 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
P2161 | TX | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
4301075061 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE ID/TYPE UNSPECIFIED | TXB147854 | 01 |
| TX | 295867001 | 05 | |
| MI | 4129067 | 05 |
| Street Address |
5323 HARRY HINES BLVD. |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896543 | Jerry Allen Powell | Radiology | 5323 Harry Hines Blvd., Dallas, TX 75390 | 2005-07-22 |
| 1558978015 | Kristin Wilmoth | Clinical Neuropsychologist | 5323 Harry Hines Blvd., Dallas, TX 75390 | 2020-09-29 |
| 1972121242 | Kathryn Marie Kaihlanen | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd., Dallas, TX 75390-9003 | 2020-07-13 |
| 1164985735 | Jonathan Henry Brewer | Emergency Medicine | 5323 Harry Hines Blvd., Dallas, TX 75390-8579 | 2019-04-10 |
| 1053872051 | Michael Edward Hook | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd., Dallas, TX 75390-9063 | 2019-03-31 |
| 1679079735 | Mary Ashley Qing Liu | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd., Dallas, TX 75390 | 2018-04-05 |
| 1003315458 | Casey Paul Lee | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd., Dallas, TX 75390-7201 | 2018-02-12 |
| 1821596321 | Ellie Prosser Hakim | Psychologist | 5323 Harry Hines Blvd., Dallas, TX 75390-9312 | 2018-01-30 |
| 1750810958 | Hussam Eddin Banna | Ophthalmology | 5323 Harry Hines Blvd., Dallas, Texas 75390-7208, Dallas, TX 75390-7208 | 2017-06-09 |
| 1447786694 | Divya Rahul Shah | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd., Dallas, TX 75390-9036 | 2017-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861958704 | Thi of Texas At Samaritan Hospice LLC | Internal Medicine | 12001 N Central Expy Ste 550, Dallas, TX 75243-3943 | 2019-02-15 |
| 1508222720 | Maurizio Bendandi | Internal Medicine | 6722 Mimosa Ln, Dallas, TX 75230-5214 | 2016-01-04 |
| 1679784524 | Nebu V Koshy | Internal Medicine | 3410 Worth St Ste 300, Dallas, TX 75246-2012 | 2007-05-24 |
| 1942424528 | Farrukh T Awan | Internal Medicine | 6201 Harry Hines Blvd Mail Code 8565, Dallas, TX 75390 | 2007-04-12 |
| 1518029073 | Suzanne D Conzen | Internal Medicine | 2201 Inwood Road 3rd Floor -nc3.500, Dallas, TX 75390-6686 | 2006-12-14 |
| 1164512414 | Thomas W. Froehlich | Internal Medicine | Ut Southwestern, 5323 Harry Hines Blvd., Dallas, TX 75390-8852 | 2006-10-14 |
| 1669494134 | Katherine Chiyu Wang | Internal Medicine | 8196 Walnut Hill Ln Ste 100, Dallas, TX 75231 | 2006-07-24 |
| 1609811751 | Volker H Gressler | Internal Medicine | 6542 Turner Way, Dallas, TX 75230-1934 | 2006-06-20 |
| 1801847991 | Elizabeth Anne Maher | Internal Medicine | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7208 | 2006-05-13 |
| 1568423978 | Joan H Schiller | Internal Medicine | 5323 Harry Hines Bv, Dallas, TX 75390-7208 | 2006-03-28 |
| 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.