CITIMED EAST (NPI# 1053551580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053551580 |
| Entity Type | Organization |
| Organization Name | CITIMED EAST |
| Practice Address |
3310 S. Watson Road Arlington TX 76014 |
| Mailing Address |
3310 S.watson Road Arlington TX 76014 |
| Practice Telephone | 8177046930 |
| Practice Fax Number | 8177046935 |
| Mailing Telephone | 8177046930 |
| Mailing Fax Number | 8177046935 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |
| Authorized Official Name | DR. POHN P INTHANOUSAY (OWNER/DOCTOR) |
| Authorized Official Telephone | 8177046930 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J9103 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUECROSS AND BLUE SHIELD | 8H8600 | 01 |
| Street Address |
3310 S. WATSON ROAD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629454574 | Melissa Higgins | Physical Therapist | 3050 Center St, Suite 140, Arlington, TX 76014 | 2015-08-03 |
| 1801228739 | A&i Pharmacy LLC | Pharmacy | 100 West Pioneer Pkwy #113b, Arlington, TX 76014 | 2013-08-02 |
| 1275972382 | Dentacare Dental of Collins Pa | Dentist | 2440 S Collins Street, Suite #140, Arlington, TX 76014 | 2013-06-21 |
| 1770826596 | Terry Ngoc Le | Internal Medicine | 3305 Meredith Dr, Arlington, TX 76014 | 2013-03-29 |
| 1407127194 | Top Rx Pharmacy | Pharmacy | 2381 S Collins St, Arlington, TX 76014 | 2012-01-26 |
| 1528344173 | Central Park Dental | Dentist | 3101 S. Center St, Suite #151, Arlington, TX 76014 | 2011-10-27 |
| 1902036239 | Prime Surgical Services | Physician Assistant | 3216 Winston Terrace #411, Arlington, TX 76014 | 2009-07-21 |
| 1588892251 | Yolanda Meashell Snell | Physician Assistant | 3216 Winston Terrace, 411, Arlington, TX 76014 | 2009-07-01 |
| 1780810259 | Cornerstone Pain Management | Anesthesiology | 501 N. Rita Ln, Suite 101, Arlington, TX 76014 | 2009-06-10 |
| 1588827604 | Bilal Ayub | Internal Medicine | 515 W Mayfield Rd Ste 210, Arlington, TX 76014 | 2008-07-09 |
| Find all providers in zip 76014 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683467 | Amy Haddad | Family Medicine | 2500 Hunter Hill Dr, Arlington, TX 76012-5519 | 2019-11-13 |
| 1689227233 | Casper Regenerative and Physical Medicine, Pllc | Family Medicine | 701 Highlander Blvd Ste 150, Arlington, TX 76015-4602 | 2019-07-23 |
| 1609432764 | Ifeanyi Duruewuru | Family Medicine | 3132 Matlock Rd Ste 311, Arlington, TX 76015-2922 | 2019-05-14 |
| 1366911034 | Quynhanh Thi Vo | Family Medicine | 501 Rita Ln Ste 109, Arlington, TX 76014-2010 | 2018-11-25 |
| 1003394396 | Mariana Stone | Family Medicine | 52a Montague St, Arlington, MA 02474-2508 | 2018-07-30 |
| 1982108312 | Premierhealth Family Medicine Pllc | Family Medicine | 601 Omega Dr Ste 203, Arlington, TX 76014-2075 | 2018-03-21 |
| 1881106607 | Yourfamilydoc Pllc | Family Medicine | 903 Medical Centre Dr Ste A, Arlington, TX 76012-4754 | 2017-11-02 |
| 1497288518 | Billiken T Lin | Family Medicine | 6515 Virginia Sq, Arlington, TX 76017-4948 | 2017-04-05 |
| 1609314392 | Post Acute Specialists, Pa | Family Medicine | 835 E Lamar Blvd # 141, Arlington, TX 76011 | 2017-02-02 |
| 1235685793 | America Medical Diagnostics, Inc | Family Medicine | 610 Crownpoint Ln, Arlington, TX 76002-4776 | 2016-08-25 |
| Find all providers in ARLINGTON | ||||
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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.