IMA SUMAC DUCHICELA TANNER (NPI# 1952744021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952744021 |
| Entity Type | Individual |
| Full Name | IMA SUMAC DUCHICELA TANNER |
| Other Name | IMA SUMAC DUCHICELA TANNER |
| Credential | M.D. |
| Practice Address |
3030 Waterview Pkwy Richardson TX 75080 |
| Mailing Address |
3030 Waterview Pkwy Richardson TX 75080-1400 |
| Practice Telephone | 9726697070 |
| Mailing Telephone | 9726697070 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R2023 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3030 WATERVIEW PKWY |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346333663 | Suzanne Cole | Internal Medicine | 3030 Waterview Pkwy, Richardson, TX 75080 | 2006-09-30 |
| 1386110500 | Lauren Elizabeth Bryan | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2018-10-15 |
| 1356834451 | Richard J Gaeta | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2018-06-13 |
| 1558889402 | Jessica Nita Herbst | Social Worker | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2017-08-30 |
| 1356796155 | Bliss Puthenpurayil | Family Medicine | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2016-04-29 |
| 1043691751 | Nicholas Andreas | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2015-06-18 |
| 1437551447 | Nene Fortune Ugochukwu | Nurse Practitioner | 3030 Waterview Pkwy, Utsw Ambulatory Care Clinical Sevices, Richardson, TX 75080-1400 | 2014-09-22 |
| 1205235819 | Joshua Jay Nash | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2014-08-19 |
| 1356759310 | Jonathan Heydrick | Specialist/Technologist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2014-07-23 |
| 1699112383 | Bryan Paul Morgan | Specialist/Technologist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2013-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650468 | Vital Physician House Calls LLC | Family Medicine | 50 Business Pkwy Ste A, Richardson, TX 75081-5047 | 2020-05-11 |
| 1285122119 | Michelle Thuy Lor | Family Medicine | 3413 Spectrum Blvd # 100, Richardson, TX 75082-9705 | 2018-04-26 |
| 1356872170 | Kevan Lutchman | Family Medicine | 201 Long Canyon Ct, Richardson, TX 75080-2669 | 2017-03-23 |
| 1467815043 | Naga Sai Venkata Hanumantha Rao Madhavapeddi | Family Medicine | 1120 W Campbell Rd Ste 109, Richardson, TX 75080-2978 | 2016-04-01 |
| 1558720383 | Addis Family Clinic Professional LLC | Family Medicine | 2135 Buckingham Rd, Richardson, TX 75081-5459 | 2016-02-22 |
| 1912319427 | John Weaver | Family Medicine | 2821 E President George Bush Hwy Ste 404, Richardson, TX 75082 | 2014-06-02 |
| 1104159177 | Elizabeth Corich Bradshaw | Family Medicine | 406 Provincetown Ln, Richardson, TX 75080-3421 | 2009-09-09 |
| 1306071022 | Shadi Edalati | Family Medicine | 1060 W Campbell Rd Ste 300, Richardson, TX 75080 | 2009-05-26 |
| 1306005582 | Jim P Hussey Dopa | Family Medicine | 399 W Campbell Rd Ste 204, Richardson, TX 75080-3606 | 2008-06-03 |
| 1508065855 | Jimmy Dee Baugh II | Family Medicine | 3661 N Plano Rd Ste 3000, Richardson, TX 75082-2029 | 2007-07-17 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
Please comment or provide details below to improve the information on IMA SUMAC DUCHICELA TANNER.
| 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.