JEANELLE LEILANI KAM (NPI# 1104975655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104975655 |
Entity Type | Individual |
Full Name | JEANELLE LEILANI KAM |
Credential | MD |
Practice Address |
1341 W Mockingbird Ln Suite 200 E Dallas TX 75247-6913 |
Practice Telephone | 2146479305 |
Mailing Telephone | 8082339682 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2017-03-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | A95484 | CA | Allopathic & Osteopathic Physicians |
Y | 208U00000X | Clinical Pharmacology | P7790 | TX | Allopathic & Osteopathic Physicians |
Street Address |
1341 W MOCKINGBIRD LN SUITE 200 E |
City | DALLAS |
State | TX |
Zip Code | 75247-6913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346243151 | Michael C Fitzpatrick | Specialist | 1341 W Mockingbird Ln, Mockingbird Towers, Ste 710e, Dallas, TX 75247-6913 | 2005-05-24 |
1083247522 | Nina Anunobi | Nurse Practitioner | 1341 W Mockingbird Ln, Dallas, TX 75247-6913 | 2020-02-12 |
1770046807 | Willybroad Che | Nurse Practitioner | 1341 W Mockingbird Ln, Dallas, TX 75247-6913 | 2019-04-06 |
1417322157 | Premiere Counseling and Recovery Services | Counselor | 1341 W Mockingbird Ln, Suite 600, West Tower, Dallas, TX 75247-6913 | 2015-12-07 |
1215241211 | John G Mchenry Md Mph Pllc | Ophthalmology | 1341 W Mockingbird Ln, Suite 241, Dallas, TX 75247-6913 | 2010-08-02 |
1811223993 | Carestaf of Dallas, Lp | Home Health | 1341 W Mockingbird Ln, Suite 242w, Dallas, TX 75247-6913 | 2009-10-26 |
1588899256 | Peter Choi | Internal Medicine | 1341 W Mockingbird Ln, Suite 240e, Dallas, TX 75247-4971 | 2009-05-24 |
1477725398 | Lifespan Pharmacy Inc | Pharmacy | 1341 W Mockingbird Ln, Suite 304w, Dallas, TX 75247 | 2008-04-01 |
1073654661 | Marcus M Stavchansky | Pharmacist | 1341 W Mockingbird Ln, Suite #400 E, Dallas, TX 75247-6913 | 2007-02-08 |
1548310691 | Bahar Anbar | Physician Assistant | 1341 W Mockingbird Ln, Mockingbird Towers, Ste 710e, Dallas, TX 75247-6913 | 2007-01-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
1750916144 | Sunshine Kids Pediatric Day Center, LLC | Nursing Care | 9127-9131 King Arthur Boulevard, Dallas, TX 75247 | 2020-03-06 |
1740789924 | Jennifer Pauli | Nurse Practitioner | 7610 N Stemmons Fwy Ste 360, Dallas, TX 75247 | 2018-02-02 |
1669991097 | Kai Medical Laboratories, LLC | Pathology | 8230 Elmbrook Dr Ste 200, Dallas, TX 75247 | 2017-09-18 |
1174055610 | Hoa Perkins | Technician/Technologist | 1499 Regal Row Suite 505a, Dallas, TX 75247 | 2017-04-03 |
1376910018 | Integron LLC | Clinical Medical Laboratory | 5139 Sharp Street, Dallas, TX 75247 | 2015-08-28 |
1710364575 | T.e.a.m. | Community/Behavioral Health | 1140 Empire Central Blvd, 520, Dallas, TX 75247 | 2015-04-30 |
1093053126 | Guardian Health Systems Aurora | Pharmacy | 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 | 2013-01-24 |
1457665317 | Pediatric Home Healthcare, LLC | Home Health | 1341 W Mockingbird Ln Ste 245e, Dallas, TX 75247 | 2010-08-03 |
1275846388 | Another Chancee, Inc. | Social Worker | 1140 Empire Central Drive, Suite 260, Dallas, TX 75247 | 2010-07-17 |
Find all providers in zip 75247 |
Taxonomy Code | 208U00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Clinical Pharmacology |
Clinical pharmacology encompasses the spectrum of activities related to the discovery, development, regulation, and utilization of safe and effective drugs. |
Notes: Source: American Society for Clinical Pharmacology and Therapeutics, 2008 [7/1/2008: modified definition] Additional Resources: Clinical pharmacology is a recognized fellowship program for physicians, pharmacists, and post-doctoral researchers delivered through medical education institutions accredited by the American Board of Clinical Pharmacology. http://www.ascpt.org/; American Board of Clinical Pharmacology http://www.abcp.net/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184230252 | Lovina O Irielle | Clinical Pharmacology | 3614 Bill Price Rd Bldg 12del, Del Valle, TX 78617-3630 | 2020-09-23 |
1720342454 | Personalized Prescription Physicians, LLC | Clinical Pharmacology | 7800 Ih 10 West, Suite 612, San Antonio, TX 78230 | 2012-06-27 |
1275851222 | Jeffrey D Lazar | Clinical Pharmacology | 107 Nautilus Ave, Lakeway, TX 78738-1005 | 2010-05-13 |
1831723873 | Jason Yeh | Clinical Pharmacology | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-02-28 |
1164079752 | Derek Smith | Clinical Pharmacology | One Medical Plaza, Pampa, TX 79065 | 2019-08-20 |
1972083053 | Samoeun Anthony Seun | Clinical Pharmacology | 2020 Heights Dr, Harker Heights, TX 76548-2000 | 2018-08-17 |
1164407433 | Gwendolyn H Thompson | Clinical Pharmacology | 3851 Roger Brooke Dr, Mche Qd Creds, Fort Sam Houston, TX 78234-6200 | 2005-12-09 |
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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.