BLACK WILLOW OPERATIONS, LLC (NPI# 1053842641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053842641 |
| Entity Type | Organization |
| Organization Name | BLACK WILLOW OPERATIONS, LLC |
| Practice Address |
6900 Dallas Pkwy Suite 800 Plano TX 75024-7144 |
| Practice Telephone | 2143967227 |
| Practice Fax Number | 4694535192 |
| Mailing Telephone | 2143967227 |
| Mailing Fax Number | 4694535192 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | D RICHARD HENRY (CEO) |
| Authorized Official Telephone | 2143967227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6900 DALLAS PKWY SUITE 800 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-7144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104235985 | Jude Owolabi | Specialist/Technologist, Other | 6900 Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2014-08-06 |
| 1609302934 | Walnut Operations, LLC | Neurological Surgery | 6900 Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2017-05-05 |
| 1174059497 | Sycamore Operations, LLC | Neurological Surgery | 6900 Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2017-05-05 |
| 1467988782 | Chestnut Operations, LLC | Neurological Surgery | 6900 Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2017-05-05 |
| 1245766575 | White Pine Operations, LLC | Neurological Surgery | 6900 Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2017-05-05 |
| 1740716067 | Black Walnut Operations, LLC | Neurological Surgery | 6900 Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2017-05-05 |
| 1801322128 | Oak Operations, LLC | Neurological Surgery | 6900 Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2017-05-05 |
| 1437685757 | Willow Operations, LLC | Neurological Surgery | 6900 Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2017-05-05 |
| 1922532910 | Spruce Operations, LLC | Electrodiagnostic Medicine | 6900 Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2017-04-17 |
| 1144752213 | Red Pine Operations, LLC | Psychiatry & Neurology | 6900 Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2017-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431980 | Holly Elizabeth Yanelli | Specialist/Technologist, Other | 5000 Legacy Dr Ste 494, Plano, TX 75024-3120 | 2017-08-01 |
| 1316481930 | Misty Khachatrian | Specialist/Technologist, Other | 3001 Bullock Dr, Plano, TX 75023-5615 | 2016-12-16 |
| 1598157372 | Michael Meerbrey | Specialist/Technologist, Other | 1602 Canadian Trl, Plano, TX 75023-4318 | 2015-03-03 |
| 1487045712 | Dewey Clay Brown | Specialist/Technologist, Other | 1410 14th Street, Plano, TX 75024-3100 | 2015-02-09 |
| 1033513130 | Neuron Shield Partners, Lp | Specialist/Technologist, Other | 4100 W 15th St Ste 208, Plano, TX 75093-5801 | 2014-10-17 |
| 1770987877 | Neuron Shield LLC | Specialist/Technologist, Other | 4100 W 15th St Ste 220, Plano, TX 75093-5801 | 2014-10-17 |
| 1104235985 | Jude Owolabi | Specialist/Technologist, Other | 6900 Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2014-08-06 |
| 1275773947 | Todd Robert Mann | Specialist/Technologist, Other | 5761 Bernay Ln, Plano, TX 75024-2905 | 2009-02-20 |
| 1114145232 | Lauren E Kovar | Specialist/Technologist, Other | 4100 W 15th St Ste 218, Plano, TX 75093-5801 | 2007-04-23 |
| 1568596377 | Steven M Semich | Specialist/Technologist, Other | 4100 W 15th St Ste 206, Plano, TX 75093-5801 | 2007-03-15 |
| Find all providers in PLANO | ||||
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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.