ANDREW MICHAEL DE LA VEGA (NPI# 1912245184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912245184 |
Entity Type | Individual |
Full Name | ANDREW MICHAEL DE LA VEGA |
Credential | PA-C |
Practice Address |
850 Central Pkwy E 275 Plano TX 75074-5561 |
Practice Telephone | 9728814688 |
Practice Fax Number | 9728814609 |
Mailing Telephone | 9728814688 |
Mailing Fax Number | 9728814609 |
Enumeration Date | 2013-01-23 |
Last Update Date | 2014-01-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | IND PTAN | 288043YNEA | 01 |
TX | GROUP PTAN | TXB140060 | 01 |
TX | BCBS | 8597NC | 01 |
TX | RAILROAD | P01198637 | 01 |
Street Address |
850 CENTRAL PKWY E 275 |
City | PLANO |
State | TX |
Zip Code | 75074-5561 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306942263 | Kathleen M Oneill | Nurse Practitioner | 850 Central Pkwy E, Ste 275, Plano, TX 75074-5561 | 2006-09-16 |
1669015749 | Arlene Martinez | Nurse Practitioner | 850 Central Pkwy E, Plano, TX 75074-5561 | 2019-10-22 |
1285031807 | Solara Medical Group Pllc | Internal Medicine | 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 | 2014-11-25 |
1881090173 | Corrie Virginia St. Pierre | Nurse Practitioner | 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 | 2014-11-13 |
1225437577 | Jane Yun | Nurse Practitioner | 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 | 2014-08-21 |
1295094845 | Avram Aaron Bram-mostyn | Physical Medicine & Rehabilitation | 850 Central Pkwy E, 275, Plano, TX 75074-5561 | 2012-05-15 |
1407187032 | Fiona M Wycoff | Physician Assistant | 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 | 2010-01-21 |
1316273808 | Sonceria Roper | Nurse Practitioner | 850 Central Pkwy E, Ste 275, Plano, TX 75074-5561 | 2009-10-19 |
1194963215 | Augustina B Bonsu | Nurse Practitioner | 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 | 2009-01-27 |
1922296003 | Bobbie J. Simlin | Nurse Practitioner | 850 Central Pkwy E, 275, Plano, TX 75074-5561 | 2007-10-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003433764 | All Meds Rx | Pharmacy | 2520 Avenue K, Suite 600, Suite 600, Plano, TX 75074 | 2020-06-29 |
1457985582 | Neighborhood Portable X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K Suite 109, Plano, TX 75074 | 2020-02-27 |
1063044113 | Q Day Walk In Clinic and Spa, LLC | Clinic/Center | 3560 East Park Blvd., Plano, TX 75074 | 2020-02-06 |
1891326765 | Kelly Joe Stanley | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K, 109, Plano, TX 75074 | 2020-01-30 |
1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
1154804128 | Norte Service Providers LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2917 Duchess Trail, Plano, TX 75074 | 2018-09-14 |
1386124428 | Jakayla Nekelle Price | Occupational Therapist | 3612 Kite Landing Ln., Plano, TX 75074 | 2018-08-17 |
1568948834 | Sarah Lindsey Binion | Counselor | 101 East Park Blvd., Suite 600, Plano, TX 75074 | 2018-07-19 |
1659865327 | Tim Ford | Technician, Other | 6829 Ave K, Suite 105, Plano, TX 75074 | 2018-06-18 |
1043708019 | Oak Point Surgical Suites LLC | Clinic/Center | 2201 K Ave Ste B-100, Plano, TX 75074 | 2018-04-25 |
Find all providers in zip 75074 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
1396223905 | Wheelock Surgical Assist Pllc | Physician Assistant | 3104 Rockbrook Dr, Plano, TX 75074-4625 | 2018-08-06 |
1023512282 | Pas Services Pllc | Physician Assistant | 2805 Dallas Pkwy Ste 640, Plano, TX 75093-8724 | 2018-03-22 |
1235658717 | Devyn Lambell | Physician Assistant | 7000 W Plano Pkwy Ste 200, Plano, TX 75093-8490 | 2017-09-15 |
1932507746 | Nspa of Texas, LLC | Physician Assistant | 5701 Lois Ln, Plano, TX 75024-5840 | 2014-12-10 |
1073740080 | Gabriel Ray Schlebach | Physician Assistant | 3901 W. 15th, Plano, TX 75070-5169 | 2009-06-17 |
1053462978 | Michael T. Timm | Physician Assistant | 1504 Huron Trl, Plano, TX 75075-6824 | 2007-01-16 |
1063475903 | Devin Keith Mccoy | Physician Assistant | 1600 Coit Rd Ste 104, Plano, TX 75075 | 2006-04-11 |
1609837871 | Samantha Parnell | Physician Assistant | 2313 Parkhaven Dr, Plano, TX 75075-2014 | 2006-03-29 |
1114534484 | David Timothy Morris | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2020-09-30 |
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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.