DALLAS VETERANS ADMINISTRATION MEDICAL CENTER (NPI# 1003087412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003087412 |
| Entity Type | Organization |
| Organization Name | DALLAS VETERANS ADMINISTRATION MEDICAL CENTER |
| Practice Address |
4500 S Lancaster Rd Dallas TX 75216-7167 |
| Practice Telephone | 2148570130 |
| Practice Fax Number | 2148570129 |
| Mailing Telephone | 2148570130 |
| Mailing Fax Number | 2148570129 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |
| Authorized Official Name | DR. IRFAN FARUKHI (CHIEF NUCLEAR MEDICINE) |
| Authorized Official Telephone | 2148570130 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 25838 | TX | Hospitals |
| Street Address |
4500 S LANCASTER RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-7167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083608178 | Lynn Brooks | Obstetrics & Gynecology | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2005-09-06 |
| 1952909392 | Christy M Jacob | Occupational Therapist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-16 |
| 1861090680 | Jennifer Michelle Dejong | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-14 |
| 1639776511 | Hanh Kimberly Nguyen | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-05 |
| 1871190868 | Nida Khan | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-03 |
| 1720685969 | Elizabeth Anderson | Psychologist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-01 |
| 1780291104 | Regina Reynolds | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-29 |
| 1962018309 | Carl Lonell Lee | Registered Nurse | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-21 |
| 1407462393 | Bing Liu | Nurse Practitioner | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-16 |
| 1508472457 | Dana Martin | Nurse Practitioner | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619524568 | Intermed Rcm, LLC | General Acute Care Hospital | 539 W Commerce St # 310, Dallas, TX 75208-1953 | 2019-08-23 |
| 1821523648 | University of Texas Southwestern | General Acute Care Hospital | Utsw Department of Psychiatry, 5323 Harry Hines Blvd, Suite Nc5.804, Dallas, TX 75390-0001 | 2017-04-30 |
| 1073054250 | Baylor College of Medicine | General Acute Care Hospital | 6504 Barkwood Ln, Dallas, TX 75248-3911 | 2017-03-20 |
| 1467805887 | George P. Shropulos, M.d. | General Acute Care Hospital | 4634 Rockaway Dr, Dallas, TX 75214-2564 | 2016-07-20 |
| 1497107601 | Amanda Maxey | General Acute Care Hospital | 7616 Lyndon B Johnson Fwy Ste 640, Dallas, TX 75251-1184 | 2016-07-12 |
| 1538531769 | New Gen of Healthcare Pllc | General Acute Care Hospital | 8609 Southwestern Blvd, 623, Dallas, TX 75206-2675 | 2015-10-27 |
| 1952795577 | Tyler Mcdonald | General Acute Care Hospital | 7418 Marquette St, Dallas, TX 75225-4519 | 2015-03-20 |
| 1437591153 | West Coast University | General Acute Care Hospital | 8435 N Stemmons Fwy, Dallas, TX 75247-3900 | 2013-07-23 |
| 1356691489 | Dallas Emergency Physicians | General Acute Care Hospital | 11042 Wallbrook Dr., Dallas, TX 75238 | 2012-09-17 |
| 1104102888 | Ut Southwestern Medical Center | General Acute Care Hospital | 5161 Harry Hines Boulevard, Dallas, TX 75390-8855 | 2011-10-26 |
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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.