SOUTHWEST SCOLIOSIS INSTITUTE, PLLC (NPI# 1790290484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790290484 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST SCOLIOSIS INSTITUTE, PLLC |
| Other Organization Name | SOUTHWEST PEDIATRIC ORTHOPEDICS |
| Practice Address |
1600 Coit Rd Ste 104 Plano TX 75075-6171 |
| Practice Telephone | 9729852797 |
| Practice Fax Number | 9729854797 |
| Mailing Telephone | 9729852797 |
| Mailing Fax Number | 9729854797 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | CHRISTINA STOREY (BILLING/AR MANAGER) |
| Authorized Official Telephone | 9729852797 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST SCOLIOSIS INSTITUTE, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southwest Pediatric Orthopedics | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7777 Forest Ln Ste C135, Dallas, TX 752306825 | 9723474783 | 9723474916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023343134 | Southwest Scoliosis Institute, Pllc | Orthopaedic Surgery | 4708 Alliance Blvd, Suite 810, Plano, TX 75093-5340 | 2009-10-07 |
| Street Address |
1600 COIT RD STE 104 |
| City | PLANO |
| State | TX |
| Zip Code | 75075-6171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475903 | Devin Keith Mccoy | Physician Assistant | 1600 Coit Rd Ste 104, Plano, TX 75075 | 2006-04-11 |
| 1538636444 | Jessica Lee Whitis | Nurse Practitioner | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2018-10-29 |
| 1649677410 | Imran Farooqui | Psychiatry & Neurology | 1600 Coit Rd Ste 104, Plano, TX 75075 | 2014-11-22 |
| 1043630080 | Christian Eduardo Cajavilca | Psychiatry & Neurology | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2014-04-17 |
| 1962843441 | Mary-ann Fares | Psychiatry & Neurology | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2013-07-11 |
| 1295178648 | Jennifer Hope Gerk | Nurse Practitioner | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2013-04-15 |
| 1992937106 | Keyur Krishnakant Patel | Psychiatry & Neurology | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2009-08-20 |
| 1457513012 | Ioannis Alexander Avramis | Orthopaedic Surgery | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2008-06-25 |
| 1487823720 | Norman Ajiboye | Neurological Surgery | 1600 Coit Rd Ste 104, Plano, TX 75075 | 2008-02-20 |
| 1922017474 | Eric Scott Sims | Physician Assistant | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477182681 | Epic Spine & Orthopedics | Orthopaedic Surgery | 6200 Preston Rd Ste 401, Plano, TX 75024-2629 | 2020-04-08 |
| 1679056972 | Excel Sports Medicine Institute and Orthopedic Institute Pllc | Orthopaedic Surgery | 4825 Alliance Blvd Ste 210, Plano, TX 75093-5504 | 2018-09-12 |
| 1538506464 | David Quan Sun | Orthopaedic Surgery | 3509 Dripping Springs Dr, Plano, TX 75025-6805 | 2013-06-01 |
| 1629355946 | Renaissance Neurodiagnostics Pa | Orthopaedic Surgery | 7712 San Jacinto Place, Suite 200, Plano, TX 75024-3212 | 2011-11-15 |
| 1356508733 | Jayson P Bell | Orthopaedic Surgery | 7715 San Jacinto Pl Ste 200, Plano, TX 75024-3215 | 2008-05-22 |
| 1861671257 | Roger Z Taylor M.d. | Orthopaedic Surgery | 1212 Coit Road, Suite 105, Plano, TX 75075 | 2007-11-01 |
| 1417096199 | Khalid Mohammed Yousuf | Orthopaedic Surgery | 4716 Alliance Blvd Ste 600, Plano, TX 75093-5378 | 2007-02-06 |
| 1427126408 | Geoffrey G. Glidden,md Pa | Orthopaedic Surgery | 5038 Tennyson Pkwy, Suite B, Plano, TX 75024-2954 | 2006-11-30 |
| 1063596997 | Kendall Edward Carll II | Orthopaedic Surgery | 8080 Independence Pkwy Ste 230, Plano, TX 75025 | 2006-10-25 |
| 1932281441 | Richard A Marks | Orthopaedic Surgery | 2301 Marsh Ln., Suite 300, Plano, TX 75093 | 2006-10-20 |
| Find all providers in PLANO | ||||
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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.