CAMERON TYLER LONGFELLOW (NPI# 1861983959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861983959 |
| Entity Type | Individual |
| Full Name | CAMERON TYLER LONGFELLOW |
| Practice Address |
5323 Harry Hines Blvd Stop 7200 Dallas TX 75390-7200 |
| Mailing Address |
1931 Market Center Blvd Apt 5414 Dallas TX 75207-3496 |
| Practice Telephone | 2146457708 |
| Mailing Telephone | 9032535538 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5201 Harry Hines Blvd, Dallas, TX 752357708 | 2145908000 |
| Street Address |
5323 HARRY HINES BLVD STOP 7200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801847991 | Elizabeth Anne Maher | Internal Medicine | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7208 | 2006-05-13 |
| 1477166429 | Michael Simpson | Audiologist | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-08-28 |
| 1851900567 | Anjali Kalra | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-9006 | 2020-07-28 |
| 1225647399 | Chinmayee K Venkatraman | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-07-24 |
| 1811506090 | Chelsea Anasi | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-07-23 |
| 1750990909 | Anthony Seek | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-9006 | 2020-07-23 |
| 1740899087 | Naomi Mae Cohen | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-9006 | 2020-07-22 |
| 1023626579 | Cameron Thomas Miller | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-07-21 |
| 1932717337 | Ruqiya Sheikh-ali | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-07-21 |
| 1407464811 | Tyler Douglas Anderson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-9003 | 2020-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982144036 | Ditta Solutions LLC | Perfusionist | 4054 Mckinney Ave Ste 202, Dallas, TX 75204-2058 | 2017-03-07 |
| 1134407257 | Marshall Dean Fischer | Perfusionist | 621 N Hall St Ste 510, Dallas, TX 75226-1320 | 2011-07-22 |
| 1881922870 | Karen Ann Witherspoon | Perfusionist | 3329 Royal Ln, Dallas, TX 75229-5062 | 2009-12-02 |
| 1750611299 | Tya Beth Wilkie | Perfusionist | 621 N Hall St, Suite 510, Dallas, TX 75226-1339 | 2010-01-06 |
| 1528244431 | Watson Anonetapipat | Perfusionist | 3409 Worth St, Suite 725, Dallas, TX 75246-2029 | 2008-01-10 |
| 1740492305 | Paul Anthoiny Chalfant | Perfusionist | 3409 Worth St, Suite 725, Dallas, TX 75246-2029 | 2007-05-04 |
| 1417173642 | Christopher Steven Price | Perfusionist | 3409 Worth St, Sammons Tower Suite 725, Dallas, TX 75246-2029 | 2007-04-17 |
| 1053535757 | Glen David Adams | Perfusionist | 3409 Worth St, Suite 725, Dallas, TX 75246-2029 | 2007-04-12 |
| 1215150453 | Daryll Mark Kessler | Perfusionist | 3409 Worth St Ste 725, Dallas, TX 75246-2089 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346132 | Mark Wenborne | Perfusionist | 3904 Broughton, Schertz, TX 78154-2966 | 2020-01-28 |
| 1356989800 | Chandler Stockwell | Perfusionist | 5016 North Highway 75, Denison, TX 75020 | 2019-12-16 |
| 1326695115 | Timothy Ruiz | Perfusionist | 520 E Bluebird Ave, Mcallen, TX 78504-2236 | 2019-08-26 |
| 1356865109 | Dauvon Lamar Mccormick | Perfusionist | 14603 Huebner Rd. Blg 28, Ste 28101, San Antonio, TX 78203 | 2017-08-02 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1386064202 | Sandra Powell Melchor | Perfusionist | 8518 Shooting Quail, San Antonio, TX 78250-4613 | 2014-04-17 |
| 1982020038 | Julie A Dollison | Perfusionist | 301 S Club Dr, Longview, TX 75602-1511 | 2014-03-13 |
| 1053749044 | Randy Vazquez | Perfusionist | 3615 19th St # 151, Lubbock, TX 79410-1203 | 2013-10-29 |
| 1891065793 | Haven Allan Young | Perfusionist | 1331 S Flores St, 308, San Antonio, TX 78204-1655 | 2012-01-09 |
| 1154601821 | Jennifer Meyer | Perfusionist | 7109 King Ranch Rd, North Richland Hills, TX 76182-9300 | 2011-08-25 |
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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.