MR. JON DAVID SUNDE (NPI# 1114936200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114936200 |
Entity Type | Individual |
Full Name | MR. JON DAVID SUNDE |
Credential | PA-C |
Practice Address |
2600 Lone Star Dr Dallas TX 75212-6336 |
Mailing Address |
902 Yukon Dr Mansfield TX 76063-6345 |
Practice Telephone | 2146894420 |
Mailing Telephone | 8174733560 |
Enumeration Date | 2006-08-06 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00730 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2600 LONE STAR DR |
City | DALLAS |
State | TX |
Zip Code | 75212-6336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154754240 | Kristen Medina | Student in an Organized Health Care Education/Training Program | 2600 Lone Star Dr, Dallas, TX 75212 | 2013-08-13 |
1134450208 | Priscilla Drew Souza | Counselor | 2600 Lone Star Dr, Dallas, TX 75212-6326 | 2010-01-28 |
1861637092 | Dallas County Juvenile Department | Public Health or Welfare | 2600 Lone Star Dr, Dallas, TX 75212-6336 | 2008-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710505698 | Madeline Michele Howell | Speech-Language Pathologist | 2535 Lone Star Drvie, Dallas, TX 75212 | 2020-07-08 |
1669015327 | Friendly Companion and Homemakers LLC | Home Health Aide | 2424 Poinciana Ln, Dallas, TX 75212 | 2019-10-24 |
1801455415 | Crystal Rose Arriola | Marriage & Family Therapist | 2200 Dennison Street, Dallas, TX 75212 | 2019-06-07 |
1326580341 | Lauren Diaz | Specialist/Technologist | 2614 Jim St, Dallas, TX 75212 | 2016-11-08 |
1598160715 | Lw Alf Ops Co, LLC | Assisted Living Facility | 3494 Kingbridge Street, Dallas, TX 75212 | 2014-10-30 |
1275941171 | Julius Hamilton IIi | Speech-Language Pathologist | 3030 North Hampton Road, Apt. 4303, Dallas, TX 75212 | 2014-07-24 |
1255596532 | Navaneetha Brindha Natchimuthu | Dentist | 2223 Singleton Blvd #212, Dallas, TX 75212 | 2008-07-25 |
1538335708 | Nina S. Ray | Dentist | 2223 Singleton Blvd Ste 212, Dallas, TX 75212 | 2008-05-07 |
1346468998 | Maureen Rae Nall | Speech-Language Pathologist | 2535 Lone Star Dr., Dallas, TX 75212 | 2007-04-20 |
1467571117 | Yeisha Celeste Culp | Physical Therapist | 2535 Lone Star Drive, Dallas, TX 75212 | 2007-03-27 |
Find all providers in zip 75212 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821641051 | Kelsey Young | Physician Assistant | 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 | 2019-07-17 |
1558863555 | Kyra Nicole Logan | Physician Assistant | 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 | 2018-03-06 |
1386169175 | Lauren Moore | Physician Assistant | 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 | 2017-08-14 |
1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
1881123909 | One Healthcare LLC | Physician Assistant | 1722 Routh St Ste 900, Dallas, TX 75201-2588 | 2017-06-12 |
1972037307 | Morrison Medical | Physician Assistant | 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 | 2017-04-12 |
1205297652 | Keri Miller | Physician Assistant | 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 | 2016-03-14 |
1275907776 | Aleshia Mutai | Physician Assistant | 5800 E Lovers Ln, Dallas, TX 75206-2901 | 2015-11-20 |
1588049613 | Yvonne Conard | Physician Assistant | 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 | 2015-07-30 |
1699174599 | John Michael Cline | Physician Assistant | 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 | 2014-08-15 |
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.