DR. L KEITH ROUTH (NPI# 1053375550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053375550 |
| Entity Type | Individual |
| Full Name | DR. L KEITH ROUTH |
| Credential | MD |
| Practice Address |
700 Walter Reed Blvd Suite 208 Garland TX 75042-3701 |
| Mailing Address |
16980 Dallas Pkwy Suite 200 Dallas TX 75248-1908 |
| Practice Telephone | 9722768994 |
| Practice Fax Number | 9722768284 |
| Mailing Telephone | 9722768994 |
| Mailing Fax Number | 9722768284 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2013-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
H2741 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
H2741 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 133781804 | 05 |
| Street Address |
700 WALTER REED BLVD SUITE 208 |
| City | GARLAND |
| State | TX |
| Zip Code | 75042-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832326 | William Daniel Nicholson IIi | Surgery | 700 Walter Reed Blvd, Ste 301, Garland, TX 75042-3716 | 2005-06-23 |
| 1982095329 | Vascular Care of Texas, Pllc | Surgery | 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3701 | 2015-02-06 |
| 1215209721 | Biren H Parikh, Md, Pa | Internal Medicine | 700 Walter Reed Blvd, Suite 301a, Garland, TX 75042-3701 | 2012-01-30 |
| 1447540976 | Terry W. Sergison | Physical Therapist | 700 Walter Reed Blvd, Garland, TX 75042-3701 | 2011-04-18 |
| 1164673893 | Safia Raza | Internal Medicine | 700 Walter Reed Blvd, Suite #204, Garland, TX 75042-3701 | 2008-09-30 |
| 1801056924 | Hong B Dang | Internal Medicine | 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701 | 2008-06-12 |
| 1063687259 | Srilakshmi Chavali | Internal Medicine | 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701 | 2008-04-28 |
| 1134306590 | Vijayavalli Little | Internal Medicine | 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-5743 | 2008-01-29 |
| 1952596900 | Shilpa Gupta | Internal Medicine | 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701 | 2007-09-12 |
| 1245442128 | Sandra V. Moore Mdpa | Surgery | 700 Walter Reed Blvd, Suite 301, Garland, TX 75042-3701 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
| Find all providers in zip 75042 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
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| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
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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.