REBECCA SUE GRUCHALLA (NPI# 1023087517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023087517 |
| Entity Type | Individual |
| Full Name | REBECCA SUE GRUCHALLA |
| Credential | MD PHD |
| Practice Address |
5323 Harry Hines Blvd Dallas TX 75390-7208 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2146452866 |
| Practice Fax Number | 2146489102 |
| Mailing Telephone | 2146452866 |
| Mailing Fax Number | 2146489102 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2008-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
H5240 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
5323 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384434 | Wayne Edward Vinton | Nurse Anesthetist, Certified Registered | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2005-05-24 |
| 1134726441 | Franco Hernandez | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-10-08 |
| 1902413313 | Suzanne Largent | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-09-29 |
| 1518574540 | Alexandra Abele | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2020-09-24 |
| 1427660133 | Salman Kazmi | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-24 |
| 1356951800 | Teja Sebastian | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-08 |
| 1891305454 | Usamah Chaudhary | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-07 |
| 1700496999 | Jada Martin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-03 |
| 1790395036 | Glaiza-mae Sande-docor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
| 1326658675 | Allante Jemar Milsap | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 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 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770963233 | Whitney Allison Salinas | Internal Medicine | 5323 Harry Hines Blvd # F4.206, Dallas, TX 75390-8859 | 2015-05-31 |
| 1720035637 | Barbara J Stark Baxter | Internal Medicine | 6114 Sherry Ln, Dallas, TX 75225-6301 | 2006-05-27 |
| 1265877054 | Jeffrey Mason Chambliss | Internal Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-9063 | 2013-05-07 |
| 1346417078 | Christian Allen Wysocki | Internal Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2008-05-12 |
| 1457480055 | Steven Larry Cole | Internal Medicine | 9101 N Central Expy, Suite 430, Dallas, TX 75231-5927 | 2007-03-02 |
| 1891757688 | David Alan Khan | Internal Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548509532 | Benjamin George | Internal Medicine | 1000 College Avenue, Fort Worth, TX 76104 | 2013-02-11 |
| 1538435532 | Elisabeth Anne Clayton | Internal Medicine | 15801 W Highway 71 Bldg 1, Bee Cave, TX 78738-2702 | 2012-03-24 |
| 1376850651 | Asad Omar | Internal Medicine | 1512 N Zaragoza Rd Ste B, El Paso, TX 79936-8903 | 2010-09-08 |
| 1568697134 | Ricardo A. Abraham, Mdpa | Internal Medicine | 5251 Ridgeline Dr, Brownsville, TX 78526-3814 | 2009-05-26 |
| 1053570119 | B Tano, M.d., P.a. | Internal Medicine | 14615 San Pedro Ave Ste 125, San Antonio, TX 78232-4364 | 2008-06-04 |
| 1063679918 | B Tano, M.d., P.a. | Internal Medicine | 1404 Rice Rd Ste 300, Tyler, TX 75703-3621 | 2008-05-19 |
| 1982730719 | Thomas Richard Woehler | Internal Medicine | 101 Westcott St, #1106, Houston, TX 77007-7044 | 2007-02-26 |
| 1912085218 | Allergy & Ent Associates | Internal Medicine | 25250 Northwest Fwy Ste 100, Cypress, TX 77429-1075 | 2006-11-02 |
| 1811005317 | Ward M Prentice | Internal Medicine | 914 Fm 517 West, Dickinson, TX 77539 | 2006-08-26 |
| 1255343133 | Alfred R. Johnson | Internal Medicine | 997 Hampshire Ln, Richardson, TX 75080-8105 | 2006-08-12 |
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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.