JUSTINE K WYRZYKOWSKA (NPI# 1114564036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114564036 |
Entity Type | Individual |
Full Name | JUSTINE K WYRZYKOWSKA |
Credential | PA-C |
Practice Address |
800 Medical Center Dr Decatur TX 76234-3843 |
Mailing Address |
7520 Creek Meadow Dr Fort Worth TX 76123-1980 |
Practice Telephone | 9406262110 |
Mailing Telephone | 8172296663 |
Enumeration Date | 2019-12-10 |
Last Update Date | 2019-12-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Street Address |
800 MEDICAL CENTER DR |
City | DECATUR |
State | TX |
Zip Code | 76234-3843 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649886292 | Jessica Elizabeth Dominguez | Physician Assistant | 800 Medical Center Dr, Decatur, TX 76234-3843 | 2020-09-18 |
1619444163 | Ashley Renee Cardenas | Physician Assistant | 800 Medical Center Dr, Decatur, TX 76234-3843 | 2018-11-01 |
1841775814 | Hannah Lewis | Physician Assistant | 800 Medical Center Dr, Decatur, TX 76234-3843 | 2018-09-26 |
1356837264 | Kaylee Ann Davis | Physician Assistant | 800 Medical Center Dr, Decatur, TX 76234-3843 | 2018-07-03 |
1598298077 | John Mark Tohlen | Family Medicine | 800 Medical Center Dr, Ste C, Decatur, TX 76234-3844 | 2017-04-11 |
1881064301 | Robert Blaine Rozell | Physician Assistant | 800 Medical Center Dr, Decatur, TX 76234-3843 | 2015-09-26 |
1821407313 | Megan Marie Coston | Physician Assistant | 800 Medical Center Dr, Suite C, Decatur, TX 76234-3843 | 2014-08-08 |
1982984001 | North Central Texas Advanced Neurology Pa | Psychiatry & Neurology | 800 Medical Center Dr, Suite D, Decatur, TX 76234-3843 | 2011-08-20 |
1548428766 | Jon W Walker, M.d. | Family Medicine | 800 Medical Center Dr, Suite C-1, Decatur, TX 76234-3843 | 2008-05-23 |
1528112356 | Wise County Health Services | Durable Medical Equipment & Medical Supplies | 800 Medical Center Dr, Ste B, Decatur, TX 76234-3843 | 2007-01-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
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Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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1740899111 | Smitmar Health Entities, LLC | Clinic/Center | 443 Pine Ave Sw, Decatur, AL 35601-7631 | 2020-07-30 |
1992185573 | Smartcare, LLC | Clinic/Center | 1829 Lawrenceville Hwy, Decatur, GA 30033-5728 | 2015-06-09 |
1770592206 | Decatur Med-surg Clinic, LLC | Clinic/Center | 2828 Highway 31 S, Decatur, AL 35603-1510 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
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1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
1528666153 | Rapid Med Argyle | Clinic/Center | 391 Us Highway 377, Argyle, TX 76226 | 2020-10-15 |
1649877655 | Hero Medical Services, Pllc | Clinic/Center | 12621 Hero Way West, Leander, TX 78641 | 2020-10-02 |
1992302194 | Home Care Coverage Team Pllc | Clinic/Center | 8200 Liberty Grove Rd Ste 102, Rowlett, TX 75089-2322 | 2020-10-01 |
1649886466 | Goldfish Pediatric Urgent Care PC | Clinic/Center | 2302 Sam Rayburn Hwy # 202, Melissa, TX 75454-2696 | 2020-09-17 |
1336754753 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 125 Davis Blvd, Southlake, TX 76092-8209 | 2020-09-11 |
1831704253 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 2855 Preston Rd, Frisco, TX 75034-9438 | 2020-09-11 |
1053926477 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 4635 Frankford Rd, Dallas, TX 75287-7108 | 2020-09-11 |
1972118388 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 3805 W University Dr Ste 100, Mckinney, TX 75071-2944 | 2020-09-11 |
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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.