DR. PRAKASH HEGDE (NPI# 1053382754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053382754 |
| Entity Type | Individual |
| Full Name | DR. PRAKASH HEGDE |
| Credential | MD |
| Practice Address |
11803 South Fwy Ste 201 Burleson TX 76028-7029 |
| Practice Telephone | 8172934800 |
| Practice Fax Number | 8172934808 |
| Mailing Telephone | 8172934800 |
| Mailing Fax Number | 8172934808 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2010-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | L7415 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 5M088 | 01 |
| TX | TEXAS BLUE CROSS | 8P2640 | 01 |
| TX | RAILROAD MEDICARE | P00338137 | 01 |
| TX | 153488506 | 05 | |
| AR | 146401001 | 05 |
| Street Address |
11803 SOUTH FWY STE 201 |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-7029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457399115 | North East Hospitalist Management, Inc | Hospitalist | 11803 South Fwy Ste 201, Burleson, TX 76028-7029 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| 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 |
|---|---|---|---|---|
| 1871927327 | Shoaib Khalil Md Pa | Internal Medicine | 401 Delaware St, Burleson, TX 76028-8189 | 2013-09-02 |
| 1770927253 | Mohamed Ginawi Hussein | Internal Medicine | 11801 South Fwy # I35w, Burleson, TX 76028-7021 | 2013-04-26 |
| 1841559069 | Wade Medical Care Pa | Internal Medicine | 139 Country Vista Cir, Burleson, TX 76028-7877 | 2012-05-08 |
| 1255606679 | Scarlet Yalile Herrarte Fornos | Internal Medicine | 11803 South Fwy Ste 202, Burleson, TX 76028-7029 | 2012-03-19 |
| 1598967606 | Angelo Vu Do Pa | Internal Medicine | 12001 South Highway 35, Suite 200, Burleson, TX 76028 | 2007-06-01 |
| 1316169501 | Jose Rosado Morales | Internal Medicine | 11803 South Fwy Ste 205, Burleson, TX 76028-7030 | 2007-05-03 |
| 1598977761 | Zurisadai Franco | Internal Medicine | 11803 South Fwy Ste 360, Burleson, TX 76028-7012 | 2007-05-03 |
| 1881798270 | Phuc T Nguyen | Internal Medicine | 265 Se John Jones Dr Ste 102, Burleson, TX 76028-8356 | 2006-09-07 |
| 1821006552 | Lawrence Alan Whaley | Internal Medicine | 671 Ne Alsbury Blvd Ste B, Burleson, TX 76028 | 2006-08-05 |
| 1124063995 | Roy L Caivano | Internal Medicine | 714 Sw Wilshire Blvd, Burleson, TX 76028-5711 | 2006-06-17 |
| Find all providers in BURLESON | ||||
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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.