MEGAN DIANNE GILLEM (NPI# 1093005704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093005704 |
| Entity Type | Individual |
| Full Name | MEGAN DIANNE GILLEM |
| Credential | D.O. |
| Practice Address |
4921 Long Prairie Rd Suite 100 Flower Mound TX 75028-2716 |
| Practice Telephone | 9726918700 |
| Practice Fax Number | 9726918782 |
| Mailing Telephone | 9726918700 |
| Mailing Fax Number | 9726918782 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | P8476 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 340101001 | 05 |
| Street Address |
4921 LONG PRAIRIE RD SUITE 100 |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75028-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841226172 | Jelena Bucan Kurepa | Internal Medicine | 4921 Long Prairie Rd, Suite 100, Flower Mound, TX 75028-2782 | 2006-06-26 |
| 1891184875 | Kelly Bennett | Nurse Practitioner | 4921 Long Prairie Rd, Suite 100, Flower Mound, TX 75028-2716 | 2015-01-14 |
| 1285044487 | Munawar Hayat | Family Medicine | 4921 Long Prairie Rd, Flower Mound, TX 75028-2716 | 2014-04-28 |
| 1225301773 | Jessica Salfiti | Pharmacist | 4921 Long Prairie Rd, Suite 105, Flower Mound, TX 75028-9998 | 2012-02-14 |
| 1275810681 | Robert A Handley Md Pllc | Radiology | 4921 Long Prairie Rd, (fm 2499) Suite 110, Flower Mound, TX 75028-2782 | 2011-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185047 | Too Health LLC | Home Health | 1404 Mimosa Ct, Flower Mound, TX 75028 | 2020-05-07 |
| 1417448127 | Kyle Miller | Physical Therapist | 4401 Long Prairie Rd Ste 300, Flower Mound, TX 75028 | 2018-05-29 |
| 1659898450 | Daniel De Armas | Optometrist | 5801 Long Prairie Rd Ste 360, Flower Mound, TX 75028 | 2017-08-23 |
| 1740727114 | Darya Ilushin | Chiropractor | 4305 Windsor Centre Trl Ste 100, Flower Mound, TX 75028 | 2017-01-24 |
| 1033661194 | Rsquared Healthcare Solutions & Consulting | Dentist | 2121 Lavender Lane, Flower Mound, TX 75028 | 2016-10-25 |
| 1912450578 | Jeannie Jin Wang | Dentist | 4421 Long Prairie Rd., #400, Flower Mound, TX 75028 | 2016-08-01 |
| 1700232121 | Carla Upperman-xu | Pediatrics | 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028 | 2016-05-05 |
| 1487015731 | Bincy Philip | Nurse Practitioner | 500 Flower Mound Rd, Suite 102, Flower Mound, TX 75028 | 2016-03-15 |
| 1710369491 | Medical Massage Rx | Chiropractor | 2616 Long Prairie Rd., Suite 101, Flower Mound, TX 75028 | 2015-06-18 |
| 1821485673 | Audrey Morris | Nurse Practitioner | 4441 Long Prairie Road, Suite 400, Flower Mound, TX 75028 | 2015-04-20 |
| Find all providers in zip 75028 | ||||
| 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 |
|---|---|---|---|---|
| 1134755838 | Bijal Patel | Family Medicine | 3632 Timothy Dr, Flower Mound, TX 75022-1015 | 2020-03-14 |
| 1801398375 | Lumincare Physician Group, Pa | Family Medicine | 2628 Long Prairie Road Suite 107, Flower Mound, TX 75022 | 2018-03-01 |
| 1477946614 | Calvert Clinic of North Texas Pllc | Family Medicine | 3517 Castlewood Ct, Flower Mound, TX 75022-7814 | 2015-03-12 |
| 1689094955 | Optum Clinic, Pa | Family Medicine | 3810 Long Prairie Road, Flower Mound, TX 75028 | 2014-04-24 |
| 1013293083 | Curt Family Medicine | Family Medicine | 1201 Shamrock Dr, Flower Mound, TX 75028-4315 | 2011-10-22 |
| 1124324744 | Melanie Gray | Family Medicine | 3101 Churchill Dr Ste 115, Flower Mound, TX 75022-2717 | 2011-01-28 |
| 1780987370 | Mousumy Khan Rashid | Family Medicine | 2800 Corporate Cir, Flower Mound, TX 75028-5640 | 2010-12-21 |
| 1366755944 | Anna Janelle Denooyer Broadnax | Family Medicine | 2201 Long Prairie Rd Ste 107-713, Flower Mound, TX 75022-4832 | 2010-07-23 |
| 1518288901 | Margaret Apostol | Family Medicine | 4370 Medical Arts Dr Ste 315, Flower Mound, TX 75028-1746 | 2010-06-20 |
| 1154506780 | Tambra R Garrett Md Pa | Family Medicine | 5870 Long Prairie Rd, Suite 200, Flower Mound, TX 75028-2282 | 2008-01-02 |
| Find all providers in FLOWER MOUND | ||||
| City | FLOWER MOUND |
| Zip Code | 75028 |
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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.