Damien B Mallat (NPI# 1568421212, PAC ID# 5496709479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
Nation Provider ID (NPI) | 1568421212 |
PAC ID by PECOS | 5496709479 |
Professional Enrollment ID | I20050311000836 |
Full Name | Damien B Mallat |
Address |
2700 W Pleasant Run Rd Suite 240 Lancaster TX 75146-1004 |
Gender | M |
Credential | MD |
Graduation Year | 1993 |
Primary Specialty | GASTROENTEROLOGY |
Secondary Specialties | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450672 | MEDICAL CITY FORT WORTH |
670090 | CRESCENT MEDICAL CENTER LANCASTER |
450647 | MEDICAL CITY DALLAS HOSPITAL |
Address | Phone | Organization |
---|---|---|
12200 Park Central Dr, Suite 240, Dallas, TX 75251-3220 | ||
1001 12th Ave, Suite 171, Fort Worth, TX 76104-3926 | ||
2700 W Pleasant Run Rd, Suite 240, Lancaster, TX 75146-1004 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 11% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 23% | |
MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 23% |
Street Address |
2700 W PLEASANT RUN RD SUITE 240 |
City | LANCASTER |
State | TX |
Zip | 75146-1004 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alejandro Santos | General Surgery | 2700 W Pleasant Run Rd, Suite 240, Lancaster, TX 75146-1004 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott Moulton | Nurse Practitioner | 3250 W Pleasant Run Rd, Suite 130, Lancaster, TX 75146-1041 | |
Jennifer A Weatherly | Family Medicine | 3250 W Pleasant Run, Suite 160, Lancaster, TX 75146-1071 | |
Michael L Gibson | Anesthesiology | Champion Anesthesia Consultants Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
Chengrong Zhang | Certified Registered Nurse Anesthetist (crna) | Zenith Anesthesia Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
David B Serota | Anesthesiology | Champion Anesthesia Consultants Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
Raymond T Fulp Iii | Orthopedic Surgery | 2600 W Pleasant Run Rd, Suite Admin, Lancaster, TX 75146-1114 | |
Julie B Greene | Anesthesiology | Anesthesiology Consultants of North Texas Pa | 2600 W Pleasant Run Rd, Crescent Medical Center Lancaster, Lancaster, TX 75146-1114 |
Kenya Nicole Nelson | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1850 W Pleasant Run Rd, Lancaster, TX 75146-1220 |
Ofear Moore Norris | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 1850 W Pleasant Run Rd, Lancaster, TX 75146-1220 |
Anthony Doti | Internal Medicine | 1850 W Pleasant Run Rd, Lancaster, TX 75146-1220 | |
Find all physicians in zip 75146 |
City | LANCASTER |
Zip Code | 75146 |
Specialty | GASTROENTEROLOGY |
City + Specialty | LANCASTER + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Damien B Mallat.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.