RAPHAELLE D. VALLERA (NPI# 1790777365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790777365 |
| Entity Type | Individual |
| Full Name | RAPHAELLE D. VALLERA |
| Credential | MD |
| Practice Address |
3417 Gaston Ave Suite 980 Dallas TX 75246-2016 |
| Practice Telephone | 4698008020 |
| Practice Fax Number | 4698008030 |
| Mailing Telephone | 4698008020 |
| Mailing Fax Number | 4698008030 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | K1711 | TX | Other Service Providers |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
K1711 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PACIFICARE | 15857566 | 01 |
| TX | UNITED | 1420298 | 01 |
| TX | CIGNA | 4242788002 | 01 |
| TX | AETNA | 5487391 | 01 |
| TX | RAILROAD MEDICARE | 900003262 | 01 |
| TX | 031518601 | 05 |
| Street Address |
3417 GASTON AVE SUITE 980 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700512 | Healthtexas-med Provider | Internal Medicine | 3417 Gaston Ave, Suite 1000, Dallas, TX 75246-2016 | 2005-06-20 |
| 1013428366 | Rhonda Choi | Nurse Practitioner | 3417 Gaston Ave, Dallas, TX 75246-2022 | 2017-10-13 |
| 1013332246 | Kasey Pomposelli Keene | Physician Assistant | 3417 Gaston Ave, Suite 830, Dallas, TX 75246-0830 | 2014-02-25 |
| 1285070573 | Jun Zhao | Dietitian, Registered | 3417 Gaston Ave, Suite 1000, Dallas, TX 75246-2016 | 2013-05-14 |
| 1801230701 | John Robert Dale | Internal Medicine | 3417 Gaston Ave, Suite 1100, Dallas, TX 75246-2016 | 2013-04-22 |
| 1871851220 | Elecia Eunju Kim | Internal Medicine | 3417 Gaston Ave, Suite 1000, Dallas, TX 75246-2016 | 2012-04-23 |
| 1629369772 | Daniel Gregory Benson | Urology | 3417 Gaston Ave, Suite 830, Dallas, TX 75246 | 2011-04-25 |
| 1689964215 | Kyle Lamar Gummelt | Internal Medicine | 3417 Gaston Ave, Suite 1100, Dallas, TX 75246-2016 | 2011-04-16 |
| 1528360021 | George Vinu Ipe | Internal Medicine | 3417 Gaston Ave, Suite 1100, Dallas, TX 75246-2016 | 2010-12-03 |
| 1093034126 | Gregory Robert Thoreson | Urology | 3417 Gaston Ave, Suite 830, Dallas, TX 75246-0830 | 2010-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023428968 | Mumtaheena Miah | Internal Medicine | 10260 N Central Expy Ste 100n, Dallas, TX 75231-3437 | 2014-04-30 |
| 1871910505 | Thrive LLC | Internal Medicine | 4020 Oak Lawn Ave, Dallas, TX 75219-3134 | 2014-03-19 |
| 1932542776 | Rebecca Ann Herbst | Internal Medicine | 3417 Gaston Ave Ste 980, Dallas, TX 75246-2022 | 2013-04-11 |
| 1093072548 | Li Song | Internal Medicine | 5939 Harry Hines Blvd Suit 925, Dallas, TX 75390 | 2012-04-20 |
| 1023266459 | Stanley Feld | Internal Medicine | 7310 Hillwood Ln, Dallas, TX 75248-5240 | 2008-08-27 |
| 1538320072 | Asra Kermani Md, Pa | Internal Medicine | 6810 Lakeshore Drive, Dallas, TX 75214 | 2008-06-18 |
| 1073707667 | Polina Kaloyanova | Internal Medicine | 7777 Forest Ln Ste C206, Dallas, TX 75230-6834 | 2007-08-28 |
| 1245432582 | Steve Vincent Estoy Fordan | Internal Medicine | 1018 N Zang Blvd Ste 110, Dallas, TX 75208-4123 | 2007-05-31 |
| 1194820266 | Asra Kermani | Internal Medicine | 8611 Hillcrest Ave Ste 300, Dallas, TX 75225 | 2006-09-14 |
| 1689628257 | Audrey Bettina Miklius | Internal Medicine | 10260 N Central Expy, Suite 100n, Dallas, TX 75231-3437 | 2006-05-19 |
| 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.