DR. TIMOTHY ALLAN GONG (NPI# 1992023188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992023188 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY ALLAN GONG |
| Credential | M.D. |
| Practice Address |
3410 Worth St Ste 250 Dallas TX 75246-2073 |
| Mailing Address |
3500 Gaston Ave Va Long Beach Dallas TX 75246-2017 |
| Practice Telephone | 2148206856 |
| Mailing Telephone | 2148202362 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2017-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
R1373 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3410 WORTH ST STE 250 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396896189 | Howard Jeng Huang | Internal Medicine | 3410 Worth St Ste 250, Dallas, TX 75246-2073 | 2007-01-16 |
| 1790263036 | Jodi Flynn | Speech-Language Pathologist | 3410 Worth St Ste 250, Dallas, TX 75246-2073 | 2018-07-30 |
| 1639575285 | Valerie Darst | Nurse Practitioner | 3410 Worth St Ste 250, Dallas, TX 75246-2073 | 2014-11-10 |
| 1245467737 | Susan K Mathai | Internal Medicine | 3410 Worth St Ste 250, Dallas, TX 75246 | 2009-06-11 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740802 | Premier Heart Center, Pllc | Internal Medicine | 10440 N Central Expy Ste 1400, Dallas, TX 75231-2235 | 2019-09-21 |
| 1528576451 | Texas Heart Center, Pllc | Internal Medicine | 3600 Gaston Ave Ste 851, Dallas, TX 75246-1908 | 2018-01-12 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1780036749 | Solocare Texas Pllc | Internal Medicine | 10218 Boedeker St, Dallas, TX 75230-5401 | 2016-07-01 |
| 1578926796 | Skilled Specialty Consultants Pllc | Internal Medicine | 5803 Hudson St, #1, Dallas, TX 75206-8084 | 2016-04-04 |
| 1760855100 | Remote Cardiology Services, Pllc | Internal Medicine | 6464 Royalton Dr, Dallas, TX 75230-3500 | 2015-11-06 |
| 1326430513 | Brian Eades Md Pllc | Internal Medicine | 5628 Encore Dr, Dallas, TX 75240-4642 | 2015-02-24 |
| 1205246931 | Jeomi Maduka Okwara | Internal Medicine | Msc Cardiovascular Medicine 1 University Of, 6201 Harry Hines Blvd, Dallas, TX 75235-5202 | 2014-05-02 |
| 1497097984 | Nicholas Cooper Macpherson | Internal Medicine | 12740 Hillcrest Rd., Ste. 265, Dallas, TX 75230 | 2013-03-22 |
| 1891084729 | Ambarish Pandey | Internal Medicine | 5939 Harry Hines Blvd 9th Fl Ste 935, Dallas, TX 75390-7708 | 2011-03-31 |
| 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.