CANYON OAKS HOSPITALIST MEDICAL GROUP PLLC (NPI# 1992294417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992294417 |
| Entity Type | Organization |
| Organization Name | CANYON OAKS HOSPITALIST MEDICAL GROUP PLLC |
| Practice Address |
9440 Poppy Dr Dallas TX 75218-3652 |
| Mailing Address |
Po Box 12250 Daytona Beach FL 32120-2250 |
| Practice Telephone | 2143246100 |
| Practice Fax Number | 3862747801 |
| Mailing Telephone | 3862747800 |
| Mailing Fax Number | 3862747801 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | STEVEN P MARON (PRESIDENT) |
| Authorized Official Telephone | 9254828233 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Street Address |
9440 POPPY DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75218-3652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104880640 | William Larry Elder | Emergency Medicine | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2006-04-13 |
| 1255944310 | Christopher Gerald Scott | Specialist/Technologist, Other | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2020-08-28 |
| 1265057376 | Johnathan Mckennis | Counselor | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2020-06-15 |
| 1548892714 | City Hospital Physician Group Inc | Clinic/Center | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2020-02-06 |
| 1700443421 | Pipeline East Dallas LLC | Clinic/Center | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2019-05-29 |
| 1578057212 | Kevin Laval Burchfield | Specialist/Technologist, Other | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2018-06-16 |
| 1083103501 | Kingston Emergency Physicians Medical Group Pllc | Emergency Medicine | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2018-05-10 |
| 1083112023 | Pipeline East Dallas LLC | General Acute Care Hospital | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2018-01-24 |
| 1598138919 | Bt East Dallas Jv, LLP | General Acute Care Hospital | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2015-11-06 |
| 1003288069 | Fortress Emergency Physicians, Pplc | Physician Assistant | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2015-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412034 | Sunaina Shalu Gill | Specialist/Technologist | 718 North Buckner Boulevard, #312, Dallas, TX 75218 | 2019-05-20 |
| 1851896492 | Tawana Anderson Floyd | Occupational Therapy Assistant | 718 Buckner Blvd, #312, Dallas, TX 75218 | 2018-03-26 |
| 1164948097 | Behavioral Health Connections, Inc. | Psychiatry & Neurology | 1350 N. Buckner Blvd., Ste. 100, Dallas, TX 75218 | 2017-08-22 |
| 1083988729 | Paras Bharatkumar Patel | Dentist | 12316 Coolmeadow Lane, Dallas, TX 75218 | 2012-02-27 |
| 1881990216 | Dallas Doctors Pain Clinic | Pain Medicine | 1110 N. Buckner Blvd., Suite 100, Dallas, TX 75218 | 2011-02-02 |
| 1861719387 | Mi Familia Medical Pllc | General Practice | 1100 Garland Road, Dallas, TX 75218 | 2010-04-23 |
| 1972832541 | James Ervin Bridges | Chiropractor | 1214 Old Gate Ln, Dallas, TX 75218 | 2009-12-10 |
| 1326291295 | Karl F Woodmansey | Dentist | 1215 Waterside Cir, Dallas, TX 75218 | 2008-10-23 |
| 1679739841 | All About Care Homehealth Services Inc. | Home Health | 12115 Self Plaza Drive, Suite 100, Dallas, TX 75218 | 2008-08-06 |
| 1104035187 | Charlotte Ann Hodges | Surgery | 1151 North Buckner Blvd #308, Dallas, TX 75218 | 2007-05-22 |
| Find all providers in zip 75218 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| 1518343706 | Hospital Medical Management Services, LLC | Hospitalist | 8111 Meadow Rd, Dallas, TX 75231-3514 | 2015-08-11 |
| 1003155151 | Shannon Walker | Hospitalist | 6201 Harry Hines Blvd Utsw, Dallas, TX 75390-0010 | 2013-02-09 |
| 1366771768 | Knd Development 59, LLC | Hospitalist | 9440 Poppy Dr # 5s, Dallas, TX 75218-3652 | 2009-12-14 |
| 1073043188 | Amanda Marie Ray | Hospitalist | 6201 Harry Hines Blvd, Dallas, TX 75390-3220 | 2017-06-13 |
| 1982131256 | Shifa Kanjwal | Hospitalist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2017-05-17 |
| 1609308287 | Bryan Golubski | Hospitalist | 6201 Harry Hines Blvd, Dallas, TX 75390-4699 | 2017-04-01 |
| 1356873335 | Roger Ruojie Fan | Hospitalist | 6201 Harry Hines Blvd, Dallas, TX 75390-7201 | 2017-03-30 |
| 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.