JEFFREY JAY SUNDBLAD (NPI# 1992000582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992000582 |
| Entity Type | Individual |
| Full Name | JEFFREY JAY SUNDBLAD |
| Credential | M.D. |
| Practice Address |
3409 Worth St Ste 300 Dallas TX 75246 |
| Mailing Address |
3409 Worth St Ste 300 Dallas TX 75246-2039 |
| Practice Telephone | 2148208350 |
| Mailing Telephone | 2148208350 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 4301097026 | MI | Allopathic & Osteopathic Physicians |
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
65503-20 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 130 2nd St, Neenah, WI 549562883 | 9207293100 |
| Street Address |
3409 WORTH ST STE 300 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275004681 | Candice Rose Ariglio | Nurse Practitioner | 3409 Worth St Ste 300, Dallas, TX 75246-2039 | 2018-12-10 |
| 1841702875 | Jordan Michael Bailey | Physician Assistant | 3409 Worth St Ste 300, Dallas, TX 75246-2039 | 2017-10-31 |
| 1689965345 | Elliot Rutledge Row | Orthopaedic Surgery | 3409 Worth St Ste 300, Dallas, TX 75246-2039 | 2011-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568665164 | Ashoke Kasyap Sathy | Orthopaedic Surgery | 4900 Harry Hines Blvd Fl 2, Dept of Orthopaedic Surgery, Dallas, TX 75235-7719 | 2007-06-09 |
| 1326357666 | Niladri Basu | Orthopaedic Surgery | 221 W Colorado Blvd, Dallas, TX 75208-2363 | 2010-10-05 |
| 1245292002 | Charles Marshall Reinert | Orthopaedic Surgery | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-05 |
| 1861454928 | Adam Jennings Starr | Orthopaedic Surgery | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992952857 | Richard Brian Barber | Orthopaedic Surgery | 21 Spurs Ln Ste 300, San Antonio, TX 78240-1679 | 2008-08-22 |
| 1114192473 | Joseph M Hahn | Orthopaedic Surgery | 7121 S Padre Island Dr Ste 106, Corpus Christi, TX 78412 | 2008-04-28 |
| 1386835585 | Justin Fowler | Orthopaedic Surgery | 2606 Hospital Blvd Ste E, Corpus Christi, TX 78405 | 2007-08-05 |
| 1033312632 | Brent J Bauer | Orthopaedic Surgery | 7125 Sanger Rd Ste 516, Waco, TX 76712-4054 | 2007-06-09 |
| 1689694390 | Charisse Y Sparks | Orthopaedic Surgery | 1809 W Loop 281, Suite 100-131, Longview, TX 75604-2571 | 2006-07-19 |
| 1588655799 | Michael Thomas Charlton | Orthopaedic Surgery | 10010 Rogers Xing Ste 308, San Antonio, TX 78251-4776 | 2005-11-04 |
| 1932199759 | Robert O Crous IIi | Orthopaedic Surgery | 5519 Doctors Dr, Edinburg, TX 78539-5563 | 2005-10-24 |
| 1205241965 | Raymond Bradley Kessler | Orthopaedic Surgery | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-06-20 |
| 1962847376 | Jacob Travis Davis | Orthopaedic Surgery | 2201 Macarthur Dr Ste 2205, Waco, TX 76708-3159 | 2013-04-30 |
| 1851633994 | Ashley Elizabeth Levack | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2013-03-26 |
| Find all providers with the same taxonomy | ||||
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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.