THOMAS LEE HEADSTREAM (NPI# 1053300863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053300863 |
| Entity Type | Individual |
| Full Name | THOMAS LEE HEADSTREAM |
| Credential | M.D. |
| Practice Address |
1665 Antilley Rd Suite 200 Abilene TX 79606-5265 |
| Mailing Address |
Po Box 5409 Abilene TX 79608-5409 |
| Practice Telephone | 3257935130 |
| Practice Fax Number | 3257935133 |
| Mailing Telephone | 3257935130 |
| Mailing Fax Number | 3256705133 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G2148 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 103700402 | 05 |
| Street Address |
1665 ANTILLEY RD SUITE 200 |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-5265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242567 | Abilene Diagnostic Clinic, Pllc | Specialist | 1665 Antilley Rd, # 200, Abilene, TX 79606-5265 | 2005-06-01 |
| 1801203203 | Sycamore Home Health Care LLC | Home Health | 1665 Antilley Rd, Suite 240, Abilene, TX 79606-5265 | 2014-07-17 |
| 1780090688 | Amber Taff | Nurse Practitioner | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5265 | 2014-07-11 |
| 1467863837 | Imperium Consulting, LLC | Clinical Nurse Specialist | 1665 Antilley Rd, 240, Abilene, TX 79606-5265 | 2014-05-19 |
| 1760893606 | Karen Szabo | Physician Assistant | 1665 Antilley Rd, Suite 180, Abilene, TX 79606-5265 | 2014-05-14 |
| 1366873671 | Jennifer Abney | Nurse Practitioner | 1665 Antilley Rd, Suite 150, Abilene, TX 79606-5265 | 2013-12-12 |
| 1992143325 | Monica Morris Smola | Nurse Practitioner | 1665 Antilley Rd, Suite 150, Abilene, TX 79606-5265 | 2013-06-07 |
| 1669816591 | Mark B. Reedy, M.d., Pllc | Obstetrics & Gynecology | 1665 Antilley Rd, Suite 250, Abilene, TX 79606-5265 | 2013-04-22 |
| 1114205408 | Integracare Hospice of Abilene, LLC | Hospice Care, Community Based | 1665 Antilley Rd, Ste 300, Abilene, TX 79606-5265 | 2011-08-03 |
| 1184919110 | Vincent Leonard Van Acht | Family Medicine | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5265 | 2011-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334936 | Samantha H. Goodman, Md, Pllc | Internal Medicine | 3926 S Treadaway Blvd Ste B2, Abilene, TX 79602-6939 | 2020-10-23 |
| 1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
| 1427311679 | Adlene Jenita Jebakumar | Internal Medicine | 1850 Hickory St Ste 200f, Abilene, TX 79601-2305 | 2012-06-22 |
| 1255693529 | Sheetal Patel | Internal Medicine | 6200 Regional Plz Ste 1675, Abilene, TX 79606-5260 | 2012-06-13 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| 1144517269 | Kirtan S Patel | Internal Medicine | 2334 La Cantera Ct, Abilene, TX 79606-4380 | 2011-07-10 |
| 1548499098 | Jorge Javier Figueroa Flores | Internal Medicine | 5302 Buffalo Gap Rd Ste 104, Abilene, TX 79606-4251 | 2009-07-06 |
| 1437326527 | Paul A. Borgfeld M.d. Pa | Internal Medicine | 1446 Woodland Trl, Abilene, TX 79605-4721 | 2008-05-08 |
| 1336354331 | Robert Asamoah Totoe | Internal Medicine | 1904 Pine Street, Suite 200, Abilene, TX 79601-2344 | 2007-05-12 |
| 1588746309 | Robert S. Leverton, M.d., P.a. | Internal Medicine | 6200 Regional Plaza, Suite 1250, Abilene, TX 79606-5258 | 2006-10-20 |
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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.