ALFRED DI STEFANO (NPI# 1104828664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104828664 |
| Entity Type | Individual |
| Full Name | ALFRED DI STEFANO |
| Credential | MD |
| Practice Address |
906 W Randol Mill Rd Arlington TX 76012-2510 |
| Practice Telephone | 8172610929 |
| Practice Fax Number | 8172657968 |
| Mailing Telephone | 8172614906 |
| Mailing Fax Number | 8175434675 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2017-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
E7891 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 100477202 | 05 | |
| TX | 100477204 | 05 | |
| TX | 100477205 | 05 |
| Street Address |
906 W RANDOL MILL RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423414 | Metroplex Hematology Oncology Associates | Durable Medical Equipment & Medical Supplies | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2005-08-09 |
| 1669828224 | Stacey Renee Jackson | Nurse Practitioner | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2016-05-12 |
| 1366731192 | Texas Health Physicians Group | Durable Medical Equipment & Medical Supplies | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2011-04-01 |
| 1629367453 | Texas Health Physicians Group | Pharmacy | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2011-04-01 |
| 1972822914 | Medical Edge Healthcare Group P A | Pharmacy | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2010-05-28 |
| 1215269659 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2010-02-10 |
| 1659524221 | Laboratory Corporation of America | Clinical Medical Laboratory | 906 W Randol Mill Rd, Suite 160, Arlington, TX 76012-2510 | 2008-10-28 |
| 1114971736 | Mandar V Joshi | Radiology | 906 W Randol Mill Rd, Arlington Cancer Center, Arlington, TX 76012-2510 | 2006-05-19 |
| 1669464848 | Metroplex Hematology Oncology Associates | Radiology | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2005-08-16 |
| 1134121668 | Sohail Akbani | Internal Medicine | 906 W Randol Mill Rd, Arlington Cancer Center, Arlington, TX 76012-2510 | 2005-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033397773 | Metroplex Hematology Oncology Associates | Internal Medicine | 3030 Matlock Rd Ste 206, Arlington Cancer Center The Lakes At Matlock, Arlington, TX 76015-2936 | 2008-02-05 |
| 1962531418 | Alberto Andres Borges | Internal Medicine | 1635 N George Mason Dr Ste 480, Arlington, VA 22205-3676 | 2007-03-02 |
| 1174662332 | Alfred Bennette Brooks | Internal Medicine | 2530 Crystal Dr, 7th Flr, Room 7060, Arlington, VA 22202-3934 | 2007-02-05 |
| 1881130417 | Minnesota Oncology Hematology, Pa | Internal Medicine | 601 W Chandler St, Arlington, MN 55307-2127 | 2017-01-06 |
| 1447541594 | Deepna Deepak Jaiswal | Internal Medicine | 515 W Mayfield Rd, Ste 102, Arlington, TX 76014-2083 | 2011-04-25 |
| 1518103811 | Keeran Ravin Sampat | Internal Medicine | 1635 N George Mason Dr, Ste 170, Arlington, VA 22205-3601 | 2008-12-17 |
| 1497921829 | Revathi Angitapalli | Internal Medicine | 811 W Interstate 20, Suite G14, Arlington, TX 76017-5870 | 2008-05-06 |
| 1861698946 | Neelima Denduluri | Internal Medicine | 1635 N George Mason Dr, Ste 170, Arlington, VA 22205-3633 | 2007-06-25 |
| 1225047657 | Lixin Liao | Internal Medicine | 515 W Mayfield Rd, #101, Arlington, TX 76014-2083 | 2006-08-05 |
| 1700825155 | Linda Anne Verkruyse | Internal Medicine | 515 W Mayfield Rd, Suite 101, Arlington, TX 76014-2083 | 2006-06-04 |
| 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.