UT SOUTHWESTERN MEDICAL CENTER (NPI# 1104102888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104102888 |
| Entity Type | Organization |
| Organization Name | UT SOUTHWESTERN MEDICAL CENTER |
| Practice Address |
5161 Harry Hines Boulevard Dallas TX 75390-8855 |
| Practice Telephone | 2146487580 |
| Practice Fax Number | 2146482204 |
| Mailing Telephone | 2146487580 |
| Mailing Fax Number | 2146482204 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |
| Authorized Official Name | DR. BRUCE MICKEY (CO CHAIR DEPT. NEUROSURGERY) |
| Authorized Official Telephone | 2146487894 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 589350 | TX | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093257891 | Ut Southwestern Medical Center | Clinic/Center | 2201 Inwood Rd, Dallas, TX 75235-7320 | 2016-11-09 |
| 1962755017 | Ut Southwestern Medical Center | Clinic/Center | Ut Southwestern Medical Ctr, Neuropsychology 8846, 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2012-10-25 |
| 1245592997 | Ut Southwestern Medical Center | General Acute Care Hospital | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2012-06-08 |
| 1720362502 | Ut Southwestern Medical Center | Medicare Defined Swing Bed Unit | 5303 Harry Hines Blvd, Dallas, TX 75390-8855 | 2011-09-28 |
| 1194984757 | Ut Southwestern Medical Center | General Acute Care Hospital | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2008-06-08 |
| 1710153234 | Ut Southwestern Medical Center | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2008-05-05 |
| 1710159371 | Ut Southwestern Medical Center | General Acute Care Hospital | 1801 Inwood Rd, Suite W16.516, Dallas, TX 75390-0001 | 2008-03-24 |
| Street Address |
5161 HARRY HINES BOULEVARD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-8855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619524568 | Intermed Rcm, LLC | General Acute Care Hospital | 539 W Commerce St # 310, Dallas, TX 75208-1953 | 2019-08-23 |
| 1821523648 | University of Texas Southwestern | General Acute Care Hospital | Utsw Department of Psychiatry, 5323 Harry Hines Blvd, Suite Nc5.804, Dallas, TX 75390-0001 | 2017-04-30 |
| 1073054250 | Baylor College of Medicine | General Acute Care Hospital | 6504 Barkwood Ln, Dallas, TX 75248-3911 | 2017-03-20 |
| 1467805887 | George P. Shropulos, M.d. | General Acute Care Hospital | 4634 Rockaway Dr, Dallas, TX 75214-2564 | 2016-07-20 |
| 1497107601 | Amanda Maxey | General Acute Care Hospital | 7616 Lyndon B Johnson Fwy Ste 640, Dallas, TX 75251-1184 | 2016-07-12 |
| 1538531769 | New Gen of Healthcare Pllc | General Acute Care Hospital | 8609 Southwestern Blvd, 623, Dallas, TX 75206-2675 | 2015-10-27 |
| 1952795577 | Tyler Mcdonald | General Acute Care Hospital | 7418 Marquette St, Dallas, TX 75225-4519 | 2015-03-20 |
| 1437591153 | West Coast University | General Acute Care Hospital | 8435 N Stemmons Fwy, Dallas, TX 75247-3900 | 2013-07-23 |
| 1356691489 | Dallas Emergency Physicians | General Acute Care Hospital | 11042 Wallbrook Dr., Dallas, TX 75238 | 2012-09-17 |
| 1508199621 | Serge Lartchenko M.d., Pllc | General Acute Care Hospital | 2320 Hugo St, #1901, Dallas, TX 75204-2801 | 2009-09-08 |
| Find all providers in DALLAS | ||||
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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.