ETHICUS HOSPITAL DFW, LLC (NPI# 1891308763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891308763 |
| Entity Type | Organization |
| Organization Name | ETHICUS HOSPITAL DFW, LLC |
| Practice Address |
3405 Midway Rd Plano TX 75093-8138 |
| Mailing Address |
1401 E Trinity Mills Rd Carrollton TX 75006-1442 |
| Practice Telephone | 9724730229 |
| Practice Fax Number | 9724737273 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | JORDAN FOWLER (PRESIDENT & CEO) |
| Authorized Official Telephone | 8174211066 |
| Is Organization Subpart | Y |
| Parent Organization Name | ETHICUS HOSPITAL DFW, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Plano Therapy Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1223 W Mcdermott Dr Ste 50, Allen, TX 750136400 | 9723591288 | 9723599652 |
| 2040 E President George Bush Hwy, Richardson, TX 750821001 | 8174211066 | |
| 6363 Dallas Pkwy Ste 207, Frisco, TX 750349683 | 9722505777 | 8552712432 |
| Street Address |
3405 MIDWAY RD |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740226380 | Vascular One Diagnostics, LLC | Physiological Laboratory | 3405 Midway Rd, Suite 400, Plano, TX 75093-8138 | 2006-06-21 |
| 1992014567 | Lauren Joe Bailey | Optometrist | 3405 Midway Rd, Suite 421, Plano, TX 75093-8138 | 2010-09-30 |
| 1780864066 | Midway Eye Associates | Optometrist | 3405 Midway Rd, Suite 421, Plano, TX 75093-8138 | 2007-11-05 |
| 1528250214 | Mark A Mcquaid Md Pa | Surgery | 3405 Midway Rd, Suite 400, Plano, TX 75093-8138 | 2007-08-16 |
| 1427182716 | Deborah Lee Cox | Specialist | 3405 Midway Rd, Suite 500, Plano, TX 75093-8138 | 2007-03-16 |
| 1396828075 | Helen Holmes Prentice | Occupational Therapist | 3405 Midway Rd, Suite 500, Plano, TX 75093-8138 | 2006-10-24 |
| 1588748917 | Julie Messner | Pediatrics | 3405 Midway Rd, Suite 650, Plano, TX 75093-8138 | 2006-10-24 |
| 1396844270 | Jenelle C. Wong | Pediatrics | 3405 Midway Rd, Suite 650, Plano, TX 75093-8138 | 2006-09-21 |
| 1205935186 | Charles D. Goebel | Pediatrics | 3405 Midway Rd, Suite 650, Plano, TX 75093-8138 | 2006-09-21 |
| 1114026093 | Jeffrey B. Berkowitz | Pediatrics | 3405 Midway Rd, Suite 650, Plano, TX 75093-8138 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306419 | Victory Wellness Pllc | Clinic/Center | 7209 Fair Valley Way, Plano, TX 75024-3487 | 2020-11-02 |
| 1609488691 | Agilitas Usa, Inc | Clinic/Center | 1921 Preston Rd Ste 2074, Plano, TX 75093-5124 | 2020-08-20 |
| 1255709622 | Arm Therapies Dba | Clinic/Center | 2500 Dallas Pkwy, Suite 111, Plano, TX 75093-4867 | 2015-09-02 |
| 1447686449 | Rosipal Institute for Pelvic Therapy Solutions, Pllc | Clinic/Center | 5136 Village Creek Dr Ste 502, Plano, TX 75093-4460 | 2013-09-23 |
| 1962551341 | Physiotherapy Associates Inc | Clinic/Center | 4709 W Parker Rd Ste 515, Plano, TX 75093-3382 | 2007-01-09 |
| 1194757666 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 701 E. Plano Parkway, Suite 103, Plano, TX 75074 | 2006-07-07 |
| 1386642650 | Outpatient Sports and Spine Rehabilitation. LLC | Clinic/Center | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2005-07-12 |
| 1134739865 | Andy Qifeng Lin | Clinic/Center | 1300 N Central Expy, Plano, TX 75074-1009 | 2020-08-06 |
| 1164937116 | Concentra Health Services | Clinic/Center | 6573 Headquarters Dr, Plano, TX 75024 | 2017-12-12 |
| 1700250701 | Jones Elite Athletes LLC | Clinic/Center | 3209 Premier Dr, Suite 109, Plano, TX 75075-2355 | 2015-11-14 |
| Find all providers in PLANO | ||||
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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.