MR. KEITH MUSSOG (NPI# 1992132609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992132609 |
Entity Type | Individual |
Full Name | MR. KEITH MUSSOG |
Credential | RT (R) |
Practice Address |
13154 Coit Rd Dallas TX 75240-5773 |
Mailing Address |
12573 Granite Falls Trl Frisco TX 75035-0086 |
Practice Telephone | 4432354991 |
Mailing Telephone | 4432354991 |
Enumeration Date | 2013-09-26 |
Last Update Date | 2016-08-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
96693 | TX | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGIST | 457059 | 01 | |
TX | CERTIFIED MEDICAL RADIOLOGIC TECHNOLOGIST | 96693 | 01 |
Street Address |
13154 COIT RD |
City | DALLAS |
State | TX |
Zip Code | 75240-5773 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992790604 | Cindy Corpier | Internal Medicine | 13154 Coit Rd, Suite 100, Dallas, TX 75240-5773 | 2005-09-19 |
1700263993 | Artem Gurevich | Physical Therapist | 13154 Coit Rd, Suite 106, Dallas, TX 75240-5773 | 2015-04-27 |
1891122503 | Universal Imaging Services LLC | Radiologic Technologist | 13154 Coit Rd, #202, Dallas, TX 75240-5773 | 2013-09-26 |
1336384577 | Uzma Fatima Mehdi | Internal Medicine | 13154 Coit Rd, Suite 100, Dallas, TX 75240-5773 | 2008-12-02 |
1063615136 | Archana Rao | Internal Medicine | 13154 Coit Rd, Ste 100, Dallas, TX 75240-5773 | 2007-06-07 |
1942402227 | Tapan J Patel | Internal Medicine | 13154 Coit Rd, Suite 100, Dallas, TX 75240-5773 | 2007-05-31 |
1669555140 | Thai Nguyen | Internal Medicine | 13154 Coit Rd, Ste 100, Dallas, TX 75240-5773 | 2006-10-20 |
1861446130 | Bruce Wall | Internal Medicine | 13154 Coit Rd, Ste 100, Dallas, TX 75240-5773 | 2006-05-20 |
1932158128 | Jayanti Venkatesan | Internal Medicine | 13154 Coit Rd, Dallas, TX 75240-5787 | 2006-05-08 |
1184695819 | Michael Stephens | Internal Medicine | 13154 Coit Rd, Ste 100, Dallas, TX 75240-5773 | 2006-01-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
Find all providers in zip 75240 |
Taxonomy Code | 2471C3402X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Radiography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700432267 | Amira Karriem | Radiologic Technologist | 256 Valley View Cir, Dallas, GA 30132-9806 | 2019-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144842980 | Brandi Bentley | Radiologic Technologist | 10605 Camillia Blossom Ln, Austin, TX 78748-3009 | 2020-05-14 |
1013480961 | Eclipse Massage Therapy | Radiologic Technologist | 4321 Center St., Deer Park, TX 77536 | 2019-01-03 |
1013484286 | Anissa Dusenberry | Radiologic Technologist | 8702 17th St, Lubbock, TX 79416-1930 | 2018-10-25 |
1538529946 | Christopher Smith | Radiologic Technologist | 3600 W Loop 250 N Apt 1059, Midland, TX 79707-3437 | 2016-02-26 |
1417222159 | Gina Bernal | Radiologic Technologist | 1022 Huey, Corpus Christi, TX 78418-1606 | 2012-03-13 |
1336476514 | Trey Colin Petty | Radiologic Technologist | 4508 37th St, Lubbock, TX 79414-2615 | 2009-11-10 |
1609031897 | Julio Morales Maldonado | Radiologic Technologist | 2403 Naomi St, Unit 12, Houston, TX 77054-4022 | 2008-07-28 |
1972763662 | Sergio Garcia | Radiologic Technologist | 618 W 12th St, Weslaco, TX 78596-7408 | 2008-06-16 |
1942460985 | Vanessa Kay Magness | Radiologic Technologist | 774 Airway Ave, Tyler, TX 75704-7806 | 2008-06-12 |
1598959355 | Kanu Kanu Nwankwo | Radiologic Technologist | 11311 Bayou Place Ln, Houston, TX 77099-4243 | 2007-09-04 |
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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.