KENNETH R KOLLMEYER (NPI# 1982700068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982700068 |
| Entity Type | Individual |
| Full Name | KENNETH R KOLLMEYER |
| Credential | MD |
| Practice Address |
221 W Colorado Blvd Suite 625 Dallas TX 75208-2363 |
| Practice Telephone | 2149465165 |
| Mailing Telephone | 2149465165 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
E8638 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 130277008 | 05 | |
| TX | 130277007 | 05 | |
| TX | BLUE CROSS PPO | 8AD480 | 01 |
| TX | CHAMPUS/TRICARE | 208087232 | 01 |
| Street Address |
221 W COLORADO BLVD SUITE 625 |
| City | DALLAS |
| State | TX |
| Zip Code | 75208-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388815 | James Michael Morrissey | Plastic Surgery | 221 W Colorado Blvd, Pav 2, Ste 727, Dallas, TX 75208-2363 | 2005-07-05 |
| 1982248548 | Kellie Edwardsen | Nurse Practitioner | 221 W Colorado Blvd, Dallas, TX 75208-2363 | 2019-11-06 |
| 1316426588 | Amanda Indalecia Jimenez | Nurse Practitioner | 221 W Colorado Blvd, Dallas, TX 75208-2363 | 2018-08-08 |
| 1851826473 | Margaret Bondoc | Nurse Practitioner | 221 W Colorado Blvd, Ste#845, Dallas, TX 75208-2363 | 2017-04-21 |
| 1770014771 | Dallas Pulmonary Associates Critical Care | General Acute Care Hospital | 221 W Colorado Blvd, Ste 845, Dallas, TX 75208-2363 | 2017-03-22 |
| 1952859126 | Divali Docs, Pllc | Surgery | 221 W Colorado Blvd, Ste 943, Dallas, TX 75208-2363 | 2016-09-16 |
| 1003261512 | Daryl Keith Motsenbocker | Registered Nurse | 221 W Colorado Blvd, Pavillion 2, Suite 929, Dallas, TX 75208-2363 | 2016-05-03 |
| 1821443409 | Emily Alice Lowrance | Physician Assistant | 221 W Colorado Blvd, Pavilion II, Suite 425, Dallas, TX 75208-2363 | 2016-05-02 |
| 1093175390 | Center for Cardiovascular Health Pllc | Clinic/Center | 221 W Colorado Blvd, Ste. 729, Dallas, TX 75208-2363 | 2016-02-29 |
| 1518325133 | Heather Rose Nugent | Registered Nurse | 221 W Colorado Blvd, Pav II, Suite 630, Dallas, TX 75208-2363 | 2016-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1316506025 | Molecular Innovations Neo-designs Laboratories, LLC | Clinical Medical Laboratory | 839 W. Commerce, Dallas, TX 75208 | 2019-06-07 |
| 1477023430 | Amber M James Dmd, Pllc | Dentist | 650 Fort Worth Ave, Ste 130, Dallas, TX 75208 | 2018-12-03 |
| 1659841237 | Andrea Pavia-jimenez | Physician Assistant | 817 Jefferson Blvd, Dallas, TX 75208 | 2018-11-27 |
| 1841716859 | Jennifer Atherton | Midwife | 618 S Rosemont Ave, Dallas, TX 75208 | 2017-08-22 |
| 1659815892 | Texas Traumatic Brain Injury Rehab | Counselor | 214 W. Colorado Blvd., Dallas, TX 75208 | 2016-12-07 |
| 1295120111 | Silva Pharmacy, Inc | Pharmacy | 939 W Jefferson Blvd Ste 101, Dallas, TX 75208 | 2015-03-30 |
| 1487052478 | Kassandra Sanchez | Counselor | 210 West 10th Street, Dallas, TX 75208 | 2014-12-08 |
| 1023458650 | O.c Medical Associates Pa | Internal Medicine | 737 N. Bishop Avenue, Ste B, Dallas, TX 75208 | 2013-06-27 |
| 1306105135 | Sts Dental, Pllc | Dentist | 909 S. Tyler St., Dallas, TX 75208 | 2012-05-14 |
| Find all providers in zip 75208 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205488632 | Usa Vein Clinics of Dallas Pllc | Surgery | 3128 Forest Ln Ste 320, Dallas, TX 75234-7761 | 2019-07-16 |
| 1396189932 | Marc Salhanick | Surgery | 7777 Forest Ln Ste C516, Dallas, TX 75230-6846 | 2013-04-25 |
| 1891744629 | Muthiah Sankaran | Surgery | 10300 N Central Expy, Suite 205, Dallas, TX 75231-8600 | 2006-05-09 |
| 1790734457 | Vein Center for Excellence of Dallas | Surgery | 4222 Trinity Mills Rd, Suite 212, Dallas, TX 75287-7603 | 2006-05-09 |
| 1851350227 | Robert Warren Feldtman | Surgery | 221 W. Colorado Suite 625, Dfw Vascular LLP, Dallas, TX 75208 | 2006-03-22 |
| 1285145532 | Cla Physicians Group Inc | Surgery | 17950 Preston Rd Ste 120, Dallas, TX 75252 | 2017-10-13 |
| 1346668233 | Michael Cyrus Siah | Surgery | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2014-03-28 |
| 1558608174 | Gregory Norman Messner. | Surgery | 17950 Preston Rd, Suite 120, Dallas, TX 75252-5793 | 2013-01-16 |
| 1427314780 | Robert Steven Corn | Surgery | 621 N Hall St, Dallas, TX 75226-1339 | 2012-04-11 |
| 1639446891 | Charles A Iliya Md Pa | Surgery | 9330 Poppy Dr, Suite 500, Dallas, TX 75218-4612 | 2011-11-16 |
| 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.