DRIVEN MD, PLLC (NPI# 1811526874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811526874 |
| Entity Type | Organization |
| Organization Name | DRIVEN MD, PLLC |
| Practice Address |
4701 Paxton Ln Frisco TX 75034-2209 |
| Practice Telephone | 4698154142 |
| Mailing Telephone | 4698154142 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | DR. CARRIE DE MOOR (PRESIDENT) |
| Authorized Official Telephone | 2144940177 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 412317601 | 05 | |
| CLIA | 45D2184805 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8501 Wade Blvd Bldg 5, Frisco, TX 750345894 | 2144940177 | 2149752162 |
| Street Address |
4701 PAXTON LN |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922292754 | Carrie E De Moor | Emergency Medicine | 4701 Paxton Ln, Frisco, TX 75034-2209 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477946002 | Clinic 21 of Collin County, Pllc | Emergency Medicine | 5680 Frisco Square Blvd Ste 1200, Frisco, TX 75034-3300 | 2015-03-06 |
| 1871889311 | Navid Behrooz | Emergency Medicine | 544 Bannerdale Blvd, Frisco, TX 75036-4792 | 2011-06-23 |
| 1922292754 | Carrie E De Moor | Emergency Medicine | 4701 Paxton Ln, Frisco, TX 75034-2209 | 2007-09-05 |
| 1821298381 | Jose Rafael Muniz | Emergency Medicine | 5300 Town and Country Blvd Ste 260, Frisco, TX 75034-6913 | 2007-07-23 |
| 1205053964 | Meera Chopra | Emergency Medicine | 6000 Hackberry Ct, Frisco, TX 75034-5134 | 2007-04-20 |
| 1518085299 | Steven Eric Martz | Emergency Medicine | 5378 Beacon Hill Dr, Frisco, TX 75034-1721 | 2007-03-27 |
| 1053337543 | William Joseph Morrissey | Emergency Medicine | 11550 Legacy Dr, #420, Frisco, TX 75034 | 2006-07-15 |
| 1902842172 | Sri Venkateswara Ch Yedlapalli | Emergency Medicine | 3520 Preston Rd, Suite 108, Frisco, TX 75034-9487 | 2006-06-22 |
| 1083656433 | Allan Dean Packer | Emergency Medicine | 10309 Ashmont Dr, Frisco, TX 75035 | 2006-06-11 |
| 1932154275 | Kenneth Wayne Deeb | Emergency Medicine | 5298 Lago Vista Ln, Frisco, TX 75034-1210 | 2006-05-24 |
| Find all providers in FRISCO | ||||
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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.