SUPPLEMENTAL HEALTH CARE (NPI# 1770986762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770986762 |
Entity Type | Organization |
Organization Name | SUPPLEMENTAL HEALTH CARE |
Practice Address |
9441 Lbj Fwy Ste 602 Dallas TX 75243-4545 |
Practice Telephone | 8888008744 |
Practice Fax Number | 8777887505 |
Enumeration Date | 2014-10-03 |
Last Update Date | 2014-10-03 |
Authorized Official Name | VICKI ROGERS (ULTRASONOGRAPHER) |
Authorized Official Telephone | 8888008744 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316315989 | Supplemental Health Care | General Acute Care Hospital | 6851 Caddo Lake Ln, Houston, TX 77083-3505 | 2015-09-12 |
1700276235 | Supplemental Health Care | Skilled Nursing Facility | 25901 115th Street Ct E, Buckley, WA 98321-9345 | 2015-02-04 |
1306260187 | Supplemental Health Care | Local Education Agency (LEA) | 2320 Linwood Ave Apt 2a, Fort Lee, NJ 07024-3807 | 2014-02-13 |
1033540703 | Supplemental Health Care | Skilled Nursing Facility | 1 Stable Gate Rd, Hilton Head, SC 29926-1059 | 2013-12-06 |
1689002263 | Supplemental Health Care | Skilled Nursing Facility | 161 Pope Dr, Wampum, PA 16157-3521 | 2013-10-17 |
1386072940 | Supplemental Health Care | Respiratory Therapist, Registered | 539 Union Blvd, Union, SC 29379-2940 | 2013-10-17 |
1316372089 | Supplemental Health Care | Public Health or Welfare | 5099 W Cortland Ave, Fresno, CA 93722-9773 | 2013-09-12 |
1043562333 | Supplemental Health Care | Local Education Agency (LEA) | 708 3rd Ave Fl 5, New York, NY 10017-4201 | 2012-10-10 |
1396010781 | Supplemental Health Care | Skilled Nursing Facility | 1759 W 5th St, Washington, NC 27889-4003 | 2012-03-19 |
1306121801 | Supplemental Health Care | Exclusive Provider Organization | 2515 Augustine Ln, Placerville, CA 95667 | 2011-10-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SUPPLEMENTAL HEALTH CARE | 1640 W Redstone Ctr Dr Ste 200, Park City, UT 84098-7607 |
Massachusetts Corporations | SUPPLEMENTAL HEALTH CARE SERVICES, LIMITED | 1912 Sidewinder Dr., Ste 210, Park City, UT 84060 |
Washington State Corporations | SUPPLEMENTAL HEALTH CARE SERVICES, LIMITED | 711 Capitol Way S Ste 204, Olympia, WA 98501 |
Street Address |
9441 LBJ FWY STE 602 |
City | DALLAS |
State | TX |
Zip Code | 75243-4545 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578818399 | Dana Wolf | Occupational Therapist | 9441 Lbj Fwy Ste 602, Dallas, TX 75243-4545 | 2012-07-18 |
1275003709 | Jacqueline Lesniak | Occupational Therapist | 9441 Lbj Fwy Ste 602, Dallas, TX 75243-4501 | 2018-11-27 |
1841674835 | David Gilad | Acupuncturist | 9441 Lbj Fwy Ste 602, Dallas, TX 75243-4501 | 2015-07-20 |
1518341916 | Kellie Marks | Radiology | 9441 Lbj Fwy Ste 602, Dallas, TX 75243-4501 | 2015-07-15 |
1770965766 | Margaret Prince | Radiologic Technologist | 9441 Lbj Fwy Ste 602, Dallas, TX 75243-4501 | 2015-06-25 |
1457740771 | Shawn Anthony Wojick | Technician, Other | 9441 Lbj Fwy Ste 602, Dallas, TX 75243-4501 | 2015-01-12 |
1629466289 | Jessica Gibson | Physical Therapist | 9441 Lbj Fwy Ste 602, Dallas, TX 75243-4501 | 2015-01-06 |
1073919692 | Mary Wood | Radiologic Technologist | 9441 Lbj Fwy Ste 602, Dallas, TX 75243-4545 | 2014-11-10 |
1023419603 | Angela Renee Njoroge Mwangi | Radiologic Technologist | 9441 Lbj Fwy Ste 602, Dallas, TX 75243-4545 | 2014-09-15 |
1801202577 | Jill Elizabeth Hanekamp Potts | Occupational Therapist | 9441 Lbj Fwy Ste 602, Dallas, TX 75243-4545 | 2014-07-02 |
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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 | 2471S1302X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972141901 | Reynaldo Reyes | Radiologic Technologist | 9801 Royal Ln Apt 307, Dallas, TX 75231-1825 | 2019-12-20 |
1750573895 | Sandra Houston | Radiologic Technologist | 3650 W Wheatland Rd Ste B, Dallas, TX 75237 | 2007-08-13 |
1154521045 | Ultrasound Technologists, LLC | Radiologic Technologist | 14785 Preston Road, Suite 550, Dallas, TX 75254-7876 | 2007-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952924730 | Michael Testa Jr. | Radiologic Technologist | 3801 N Lamar Blvd # 350, Austin, TX 78756-4080 | 2020-05-27 |
1174143713 | Casey Lunt | Radiologic Technologist | 4621 Dusk Meadow Dr, Carrollton, TX 75010-2069 | 2020-04-23 |
1083242093 | Bridget Andersen | Radiologic Technologist | 4618 Avenue R 1/2, Galveston, TX 77551-5327 | 2020-03-27 |
1588222772 | Tiessa Lurae Self | Radiologic Technologist | 927 Strawberry Rd, Pasadena, TX 77506-4821 | 2019-06-03 |
1790224210 | Makeba Waller | Radiologic Technologist | 1719 Almond Dr, Mansfield, TX 76063-2916 | 2017-02-16 |
1275922445 | Brandon Holbert | Radiologic Technologist | 310 San Mateo Ct, Irving, TX 75062-4509 | 2015-01-12 |
1346657921 | Kellie A Arce | Radiologic Technologist | 2056 Sundance Pkwy Apt 2320, New Braunfels, TX 78130-2790 | 2014-07-16 |
1205242674 | Shiva Ghazizadeh | Radiologic Technologist | 1304 W Branch Hollow Dr, Carrollton, TX 75007-1144 | 2014-07-07 |
1336562461 | Rajesh Mehta | Radiologic Technologist | 3527 Highway 6, Suite 270, Sugar Land, TX 77478-4519 | 2014-01-24 |
1932521697 | Amber Yound | Radiologic Technologist | 350 W Highland Blvd, San Angelo, TX 76903-7313 | 2014-01-15 |
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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.