DR. RONNIE A PEZESHK (NPI# 1922369503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922369503 |
Entity Type | Individual |
Full Name | DR. RONNIE A PEZESHK |
Credential | M.D. |
Practice Address |
University of Texas Southwestern Medical Ctr Department of Plastic Surgery 1801 Inwood Road Dallas TX 75390-9132 |
Practice Telephone | 2146488602 |
Practice Fax Number | 2146482550 |
Mailing Telephone | 2146488602 |
Mailing Fax Number | 2146482550 |
Enumeration Date | 2012-05-31 |
Last Update Date | 2016-01-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Q2604 | TX | Allopathic & Osteopathic Physicians |
Street Address |
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CTR DEPARTMENT OF PLASTIC SURGERY 1801 INWOOD ROAD |
City | DALLAS |
State | TX |
Zip Code | 75390-9132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952304529 | Stephen X Skapek | Pediatrics | University of Texas Southwestern Medical Ctr, 5323 Harry Hines Blvd, Dallas, TX 75390-9063 | 2005-05-27 |
1912430430 | Matthew Macallister | Student in an Organized Health Care Education/Training Program | University of Texas Southwestern Medical Ctr, 5323 Harry Hines Blvd., Dallas, TX 75390-8855 | 2017-04-11 |
1992842611 | Jyoti Parmanand Balani | Pathology | University of Texas Southwestern Medical Ctr, 5323 Harry Hines Boulevard, Dallas, TX 75390-0001 | 2007-01-31 |
1891757951 | Paul Cecil Mohl | Psychiatry & Neurology | University of Texas Southwestern Medical Ctr, 5323 Harry Hines Blvd., Dallas, TX 75390-9070 | 2006-04-04 |
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 | 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.