DAVID ROODHUYZEN (NPI# 1770710964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770710964 |
| Entity Type | Individual |
| Full Name | DAVID ROODHUYZEN |
| Credential | PA-C |
| Practice Address |
2300 Marie Curie Dr Emergency Department Garland TX 75042-5706 |
| Practice Telephone | 9724875332 |
| Mailing Telephone | 2147125200 |
| Mailing Fax Number | 2147122487 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2013-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA06329 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2300 MARIE CURIE DR EMERGENCY DEPARTMENT |
| City | GARLAND |
| State | TX |
| Zip Code | 75042-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255303269 | Scott A Garoutte | Radiology | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2006-02-03 |
| 1588263602 | Courtney Samantha Wayne | Specialist/Technologist | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2020-10-20 |
| 1932729803 | Dallas Vamc | General Acute Care Hospital | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2020-04-21 |
| 1962902981 | Sally Koshy | Registered Nurse | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2018-02-16 |
| 1114398922 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2015-10-20 |
| 1528444924 | Jennifer Nicole Adams | Nurse Practitioner | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2015-08-07 |
| 1770963571 | John Nuss | Physician Assistant | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2015-06-05 |
| 1578957254 | Laila Madhani | Nurse Practitioner | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2015-03-20 |
| 1790189942 | Select Specialty Hospital Dallas Inc | Long Term Care Hospital | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2014-10-17 |
| 1770826166 | Suja Kaleekal Mathew | Counselor | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2013-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
| Find all providers in zip 75042 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578032355 | Matthew Wainwright | Physician Assistant | 7026 Christina Ln, Garland, TX 75043-6617 | 2018-11-21 |
| 1477827087 | Dipesh Ramesh Rana | Physician Assistant | 5025 Glen Vista Dr, Garland, TX 75044-5511 | 2012-02-28 |
| 1437475514 | Mark Urish | Physician Assistant | 3050 S 1st St Ste 209, Garland, TX 75041-3442 | 2010-04-14 |
| 1639340144 | Jesse Trevino | Physician Assistant | 401 W Centerville Rd Ste 1, Garland, TX 75041-5400 | 2008-03-12 |
| 1396102240 | Kimberly Gayle Anand | Physician Assistant | 7145 N George Bush Hwy, Garland, TX 75044-2988 | 2016-01-23 |
| 1639574395 | Mahnaz Shambayati | Physician Assistant | 7145 N George Bush Hwy, Garland, TX 75044-2988 | 2014-10-23 |
| 1144647140 | Sanam Zaidi | Physician Assistant | 3465 W Walnut St, #225, Garland, TX 75042-7153 | 2014-03-27 |
| 1750603569 | Smitha Susan Thankachan | Physician Assistant | 565 W I 30, Garland, TX 75043-5702 | 2010-02-20 |
| 1184712499 | Cynthia Chernyakhovsky | Physician Assistant | 700 Walter Reed Blvd, Suite 311, Garland, TX 75042-3701 | 2006-10-11 |
| 1811081490 | Maria Esther Solares | Physician Assistant | 2636 W Walnut St, Garland, TX 75042 | 2006-10-03 |
| Find all providers in GARLAND | ||||
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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.