OGP HEALTHCARE, INC. (NPI# 1821351958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821351958 |
| Entity Type | Organization |
| Organization Name | OGP HEALTHCARE, INC. |
| Other Organization Name | SANTA MARIA DE GUADALUPE CLINIC |
| Practice Address |
200 N Carrier Pkwy Ste 100 Grand Prairie TX 75050-5476 |
| Mailing Address |
10818 Nantucket Dr Rowlett TX 75089-8468 |
| Practice Telephone | 2146794475 |
| Practice Fax Number | 9722839104 |
| Mailing Telephone | 2146794475 |
| Mailing Fax Number | 9722839104 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2013-09-22 |
| Authorized Official Name | OLIVA G PACANA (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2146794475 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
TX | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Santa Maria de Guadalupe Clinic | Doing Business As Name - Organization |
| Street Address |
200 N CARRIER PKWY STE 100 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75050-5476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316983893 | Norberto J C Montani | Internal Medicine | 200 N Carrier Pkwy, Ste 109, Grand Prairie, TX 75050 | 2006-06-21 |
| 1871049353 | Csn Healthcare Solutions LLC | Durable Medical Equipment & Medical Supplies | 200 N Carrier Pkwy, Suite 204, Grand Prairie, TX 75050-5476 | 2016-08-25 |
| 1730569872 | Quan Dang Le Md Pa | Physical Medicine & Rehabilitation | 200 N Carrier Pkwy, Ste 101, Grand Prairie, TX 75050-5476 | 2015-06-03 |
| 1043698327 | Crc Compression Solutions LLC | Durable Medical Equipment & Medical Supplies | 200 N Carrier Pkwy, Ste# 200a, Grand Prairie, TX 75050-5476 | 2015-05-07 |
| 1346688546 | Lynn Michelle Clark | Pharmacist | 200 N Carrier Pkwy, Suite 112, Grand Prairie, TX 75050 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539695 | Christopher Bachman | Physical Therapy Assistant | 2045 Hwy 360, #100b, Grand Prarie, TX 75050 | 2018-02-21 |
| 1003335233 | L & B Group Home LLC | In Home Supportive Care | 605 E Palace Pkwy Ste, B4, Grand Prairie, TX 75050 | 2017-09-19 |
| 1073054748 | Smileeasy Dental Grand Prairie, Pllc | Dentist | 2650 S Hwy 161, Grand Prairie, TX 75050 | 2017-03-15 |
| 1164966651 | Prime Diagnostic Imaging of Irving, LLC | Clinic/Center | 2210 Paddock Way, Grand Prairie, TX 75050 | 2016-12-19 |
| 1366801037 | Monica Simpson | Counselor | 2080 N Hwy 360, Ste 430, Grand Prairie, TX 75050 | 2016-02-23 |
| 1437545845 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock Street, #305, Grand Prairie, TX 75050 | 2015-04-13 |
| 1912304593 | Tenishia Chintankwa | Non-emergency Medical Transport (VAN) | 2403 Doreen St, Grand Prairie, TX 75050 | 2014-11-26 |
| 1780023192 | Holland Surgical Group | Physician Assistant | 201 West Tarrant Rd. #1420, Grand Prairie, TX 75050 | 2013-06-19 |
| 1174962823 | Occumed Plus-grand Prairie | General Practice | 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050 | 2013-06-17 |
| 1497099618 | Sorai Susanne S Stuart | Counselor | 2825 N. State Hwy 360, 710, Grand Prairie, TX 75050 | 2012-11-15 |
| Find all providers in zip 75050 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191320 | Theresa Ekuirele Oriwo | Nurse Practitioner | 3019 Hideaway Dr, Grand Prairie, TX 75052-0432 | 2020-10-15 |
| 1316554264 | Kellie Ruth King | Nurse Practitioner | 7043 Miramar, Grand Prairie, TX 75054-5563 | 2020-09-24 |
| 1538784004 | Relief Mental Health Consultants Pllc | Nurse Practitioner | 2640 Venice Dr Unit 4, Grand Prairie, TX 75054-6626 | 2020-06-10 |
| 1144867482 | Terrinne Elaine Craft | Nurse Practitioner | 2640 Windward Dr, Grand Prairie, TX 75054-7224 | 2019-12-05 |
| 1235774993 | Anthony K Ngoo | Nurse Practitioner | 2856 Conrad Ln, Grand Prairie, TX 75052-8531 | 2019-11-16 |
| 1649829862 | Tatiana Alawadat | Nurse Practitioner | 7031 Northstar Dr, Grand Prairie, TX 75054-7239 | 2019-09-10 |
| 1225699572 | Cedith Adelowo | Nurse Practitioner | 200 N Carrier Pkwy Ste 100, Grand Prairie, TX 75050-5468 | 2019-06-27 |
| 1457912446 | Cynthia Diann Smalling | Nurse Practitioner | 2014 Juniper Dr, Grand Prairie, TX 75050-2206 | 2019-06-21 |
| 1861954802 | Lara G Stahl | Nurse Practitioner | 1701 W Marshall Dr Bldg M-1, Grand Prairie, TX 75051-2704 | 2019-04-01 |
| 1013476779 | Bina Regi | Nurse Practitioner | 5090 Tersk Ct, Grand Prairie, TX 75052-2573 | 2019-03-12 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75050 |
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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.