TEXAS NEONATOLOGY ASSOCIATES LLC (NPI# 1790020071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790020071 |
| Entity Type | Organization |
| Organization Name | TEXAS NEONATOLOGY ASSOCIATES LLC |
| Practice Address |
4215 Joe Ramsey Blvd E Greenville TX 75401-7852 |
| Mailing Address |
1 Lochleven Richardson TX 75082-2671 |
| Practice Telephone | 9034085178 |
| Practice Fax Number | 9034085166 |
| Mailing Telephone | 9034085178 |
| Mailing Fax Number | 9034085166 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2013-08-06 |
| Authorized Official Name | ASIF Z KHATTAK (OWNER/PROVIDER) |
| Authorized Official Telephone | 9034085178 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
L6464 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4215 JOE RAMSEY BLVD E |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-7852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528020310 | Michelle Rene Karlin | Nurse Practitioner | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2006-04-05 |
| 1801401922 | Madrina Mcmahan | Registered Nurse | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2020-09-15 |
| 1447877717 | Eric Eugene Duffin | Podiatrist | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2020-07-02 |
| 1568088128 | Savannah Elizabeth Vinson | Registered Nurse | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2020-06-19 |
| 1225657026 | Kathryn Zweck | Student in an Organized Health Care Education/Training Program | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2020-04-11 |
| 1558990853 | Garima Bhatia | Physical Therapist | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2020-04-07 |
| 1700417466 | Samantha Rae Gwin | Nurse Practitioner | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2020-01-31 |
| 1639719123 | Melinda Faye Lawhorn | Registered Nurse | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2020-01-13 |
| 1548809700 | Teri Singleterry | Registered Nurse | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2020-01-04 |
| 1003468398 | Christine Joshua | Podiatrist | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2019-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053568246 | Shivani Desai | Pediatrics | 10 Sable Glen Dr, Greenville, SC 29615-6739 | 2008-08-19 |
| 1396776225 | Gerald Joseph Ferlauto | Pediatrics | 29 North Academy Street, Greenville, SC 29601-2629 | 2006-07-06 |
| 1639131485 | Kenneth Koschnitzki | Pediatrics | 125 Commonwealth Dr, Greenville, SC 29615-4812 | 2006-04-05 |
| 1376535450 | Stephen C Engelke | Pediatrics | Children's Hospital 227, Ecu Physicians Pediatric Neonatology PCmh Neonatal, Greenville, NC 27834 | 2005-08-16 |
| 1841695095 | Juan Luis Guillen Hernandez | Pediatrics | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2014-10-30 |
| 1497188189 | Uduak Akpan | Pediatrics | 600 Moye Blvd, Ecu Peds/neonatology, Greenville, NC 27834-4300 | 2013-08-16 |
| 1730479767 | Joshua Matthew Cooper | Pediatrics | 701 Grove Rd, Greenville, SC 29605-4210 | 2011-04-11 |
| 1407150089 | Michael Scott Stewart | Pediatrics | 701 Grove Rd, Neonatology Division, Greenville, SC 29605-4210 | 2010-12-22 |
| 1528386851 | Matthew Frederic Halliday | Pediatrics | 701 Grove Rd, Greenville, SC 29605-4210 | 2010-05-11 |
| 1851520258 | Nicole Ann Cothran | Pediatrics | 701 Grove Road, Greenville, SC 29605-5601 | 2009-07-07 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
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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.