NORTHSTAR INTERNAL MEDICINE PA (NPI# 1992058705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992058705 |
| Entity Type | Organization |
| Organization Name | NORTHSTAR INTERNAL MEDICINE PA |
| Practice Address |
5720 Appalossa Dr Grand Prairie TX 75052-2522 |
| Practice Telephone | 8177171299 |
| Mailing Telephone | 8177171299 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | IKECHUKWU A NWABUDE (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8177171299 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | N5288 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS LICENSE | N5288 | 01 |
| Street Address |
5720 APPALOSSA DR |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1740717545 | Samer M. Nachawati, LLC | Internal Medicine | 1817 Independence Ct, Grand Prairie, TX 75052-1914 | 2017-05-11 |
| 1023347903 | Arlington Primary Care, Pllc | Internal Medicine | 2950 W. Camp Wisdom Rd., Suite 100, Grand Prairie, TX 75052 | 2009-12-23 |
| 1184950503 | Curtiss Moore | Internal Medicine | 4560 Lake Ridge Pkwy, Grand Prairie, TX 75052-1707 | 2009-10-19 |
| 1700063294 | Evariste B Ngankeu | Internal Medicine | 3227 England Pkwy, Grand Prairie, TX 75054-6721 | 2008-01-28 |
| 1427248426 | Waleed Khan | Internal Medicine | 2709 Hospital Blvd, Grand Prairie, TX 75051-1017 | 2007-07-26 |
| 1932300779 | Deandre A Brown | Internal Medicine | 7227 Cana, Grand Prairie, TX 75054-6860 | 2007-05-30 |
| 1265657571 | Olga S Jones | Internal Medicine | 820 S Carrier Pkwy, Grand Prairie, TX 75051-1517 | 2007-04-13 |
| 1881642536 | Penny C. West | Internal Medicine | 4927 Lake Ridge Parkway, Suite 100, Grand Prairie, TX 75052 | 2006-05-05 |
| 1154863736 | Acute Inpatient Care Pllc | Internal Medicine | 2709 Hospital Blvd, Grand Prairie, TX 75051-1017 | 2016-11-14 |
| 1922431022 | Urgent Plus Care LLC | Internal Medicine | 7227 Cana, Grand Prairie, TX 75054 | 2013-08-13 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
Please comment or provide details below to improve the information on NORTHSTAR INTERNAL MEDICINE PA.
| 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.