JEFFREY A FEARON MD P A (NPI# 1851439780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851439780 |
| Entity Type | Organization |
| Organization Name | JEFFREY A FEARON MD P A |
| Other Organization Name | THE CRANIOFACIAL CENTER |
| Practice Address |
7777 Forest Ln Ste C700 Dallas TX 75230-2518 |
| Practice Telephone | 9725666464 |
| Practice Fax Number | 9725666279 |
| Mailing Telephone | 9725666464 |
| Mailing Fax Number | 9725666279 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | ALONDRA E TIPPS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9725666464 |
| Authorized Official Credential | MBA CFO CMOM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
H8638 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 093725201 | 05 |
| Other Name | Type Code |
|---|---|
| The Craniofacial Center | Doing Business As Name - Organization |
| Street Address |
7777 FOREST LN STE C700 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538113592 | Jeffrey A Fearon | Surgery | 7777 Forest Ln Ste C700, Dallas, TX 75230-2518 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699179390 | Sam T. Hamra M.d. P. A. | Surgery | 4131 N Central Expy # 950, Dallas, TX 75204-2102 | 2014-10-09 |
| 1669819736 | Travis Guthrie Boyd | Surgery | 1801 Inwood Rd Fl 4, Dallas, TX 75235-7202 | 2013-05-30 |
| 1104950443 | A and M Surgery Center Rllp | Surgery | 7777 Forest Ln Ste C637, Dallas, TX 75230-6869 | 2007-03-16 |
| 1699851923 | Ben J Tittle | Surgery | 10743 Preston Rd, Dallas, TX 75230 | 2006-10-30 |
| 1538113592 | Jeffrey A Fearon | Surgery | 7777 Forest Ln Ste C700, Dallas, TX 75230-2518 | 2006-05-22 |
| 1225002538 | Plastic and Craniofacial Surgery for Infants and Children, P.a. | Surgery | 6300 Harry Hines Blvd, #600, Dallas, TX 75235-5259 | 2006-02-14 |
| 1881670172 | Jeffrey Donald Hopkins | Surgery | 3450 W Wheatland Road, Suite 425, Dallas, TX 75237 | 2005-12-19 |
| 1164422481 | Charles Alan Wallace | Surgery | 17110 Dallas Pkwy, Suite 100, Dallas, TX 75248-1167 | 2005-07-28 |
| 1093171761 | Reconstructive Microsurgery and Lymphedema Associates | Surgery | 7777 Forest Ln Ste B216, Dallas, TX 75230-6810 | 2016-01-11 |
| 1083023303 | Stephanie K. Teotia Md Pa | Surgery | 4231 Cedar Springs Rd, Dallas, TX 75219-2691 | 2014-08-12 |
| 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.