MEDISOURCE PARTNERS LLC (NPI# 1811441595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811441595 |
| Entity Type | Organization |
| Organization Name | MEDISOURCE PARTNERS LLC |
| Practice Address |
9535 Forest Ln Suite 100a Dallas TX 75243-5900 |
| Practice Telephone | 2149540406 |
| Mailing Telephone | 2149540406 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | TRAVIS H BIRD (OWNER) |
| Authorized Official Telephone | 2149540406 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 331L00000X | Blood Bank | Suppliers |
| Street Address |
9535 FOREST LN SUITE 100A |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013042035 | Associated Rehabilitation Services, Inc. | Clinic/Center | 9535 Forest Ln, Suite 212, Dallas, TX 75243-5900 | 2007-02-22 |
| 1487280327 | Radishing Recovery Nutrition Counseling | Clinic/Center | 9535 Forest Ln, Dallas, TX 75243-5900 | 2020-03-22 |
| 1124653233 | Nicholette Shawn | Dietitian, Registered | 9535 Forest Ln, Dallas, TX 75243-5900 | 2020-03-09 |
| 1477004117 | Opes Revenue Cycle Management LLC | Durable Medical Equipment & Medical Supplies | 9535 Forest Ln, Suite 100a, Dallas, TX 75243-5900 | 2016-10-18 |
| 1235683921 | Pantheon Medical LLC | Blood Bank | 9535 Forest Ln, Suite 100a, Dallas, TX 75243-5900 | 2016-08-10 |
| 1306216833 | Jenny Chisholm | Counselor | 9535 Forest Ln, Suite 212, Dallas, TX 75243-5900 | 2015-09-26 |
| 1386029890 | Stephanie Michelle Cone | Nurse Practitioner | 9535 Forest Ln, Suite 100, Dallas, TX 75243-5900 | 2015-07-26 |
| 1811236391 | Rachael Mcbride | Dietitian, Registered | 9535 Forest Ln, Suite 251, Dallas, TX 75243-5900 | 2013-02-04 |
| 1144567363 | Health Rejuvenation Specialists | Family Medicine | 9535 Forest Ln, Suite 100, Dallas, TX 75243-5900 | 2013-01-08 |
| 1588915490 | Leslie Laws | Counselor | 9535 Forest Ln, Dallas, TX 75243-5900 | 2012-10-02 |
| Find all providers in the same location | ||||
| 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 | 331L00000X |
| Grouping | Suppliers |
| Classification | Blood Bank |
| An institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage and/or issuance of human blood and blood components, intended for transfusion. The institution may also collect, process, and/or distribute human tissue, including bone marrow and peripheral blood progenitor cells, intended for transplantation. |
| Notes: Source: American Association of Blood Banks, Standards for Blood Banks and Tranfusion, 17th ed. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457381352 | Laboratory Physicians Association | Blood Bank | 1441 North Beckley Ave, Dallas, TX 75203-1201 | 2006-07-04 |
| 1235683921 | Pantheon Medical LLC | Blood Bank | 9535 Forest Ln, Suite 100a, Dallas, TX 75243-5900 | 2016-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154656213 | Carter Bloodcare | Blood Bank | 2205 Highway 121, Bedford, TX 76021-5950 | 2009-10-07 |
| 1750534236 | Okiko | Blood Bank | 1000 Nora Ln, Desoto, TX 75115-5466 | 2008-10-29 |
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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.