DR. MOHANNAD BASEM BISHARAT (NPI# 1134459472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134459472 |
| Entity Type | Individual |
| Full Name | DR. MOHANNAD BASEM BISHARAT |
| Credential | M.D. |
| Practice Address |
3023 Perryton Pkwy Suite 101 Pampa TX 79065-2821 |
| Practice Telephone | 8066635523 |
| Practice Fax Number | 8066691491 |
| Mailing Telephone | 8066635523 |
| Mailing Fax Number | 8066691491 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2016-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA08532200 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Q3484 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 345256701 | 05 |
| Street Address |
3023 PERRYTON PKWY SUITE 101 |
| City | PAMPA |
| State | TX |
| Zip Code | 79065-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356329502 | Melinda J Hiscock | Obstetrics & Gynecology | 3023 Perryton Pkwy, Ste 202, Pampa, TX 79065-2821 | 2006-01-06 |
| 1659993145 | Prime Healthcare Services Pampa LLC | Clinic/Center | 3023 Perryton Pkwy, Pampa, TX 79065-2821 | 2020-05-07 |
| 1568849362 | Vanessa Workman | Nurse Practitioner | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2015-04-30 |
| 1023495819 | Pampa Medical Group | Clinic/Center | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2015-04-30 |
| 1841689320 | Melissa Trimmier | Nurse Practitioner | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2015-01-21 |
| 1841610573 | Jeanine Marie Malone | Nurse Practitioner | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2014-04-21 |
| 1114278306 | Family Med Now, Pllc | Physician Assistant | 3023 Perryton Pkwy, Suite 100, Pampa, TX 79065-2821 | 2012-09-27 |
| 1154681484 | Family Medicine Center of Amarillo, P.a. | Family Medicine | 3023 Perryton Pkwy, Suite 100, Pampa, TX 79065-2821 | 2012-05-21 |
| 1427335439 | Nathin Leroy Seals | Pharmacist | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2011-11-05 |
| 1750560298 | Tiffany Dawn Shadle | Nurse Practitioner | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2007-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841317690 | Assisted Living Concepts Inc | Assisted Living Facility | 812 W 25th Street, Pampa, TX 79065 | 2007-03-26 |
| 1225154826 | Assisted Living Concepts Inc | Assisted Living Facility | 3005 Ne 2nd Street, Mineral Wells, TX 79065 | 2007-03-22 |
| 1790851426 | Rene P Grabato | Urology | 2931 Perryton Parkway, Pampa, TX 79065 | 2006-11-27 |
| 1467548040 | Vijay Krishnan Mohan | Surgery | 104 E 30th, Pampa, TX 79065 | 2006-10-04 |
| 1114024858 | Shepards Crook Nursing Agency, Inc. | Home Health | 916 Crest Rd, Suite 101, Pampa, TX 79065 | 2006-09-17 |
| 1740391812 | David M. Hampton | Orthopaedic Surgery | 2931 Perryton Pkwy, Pampa, TX 79065 | 2006-08-31 |
| 1386759561 | Pampa Orthopedics and Rehab, Lp | Physical Therapist | 1201 N Hobart, Space 2j, Lubbock, TX 79065 | 2006-08-20 |
| 1124060967 | Steven Day Correa | Internal Medicine | 3023 Perryton Pkwy Ste 202, Pampa, TX 79065 | 2006-06-12 |
| 1215998661 | Gray Emergency Medicine Associates, Pa | Emergency Medicine | 1 Medical Plaza, Pampa, TX 79065 | 2006-03-28 |
| 1265402077 | Iota Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2545 Perryton Pkwy # 2b, Pampa, TX 79065 | 2006-01-24 |
| Find all providers in zip 79065 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952613051 | Kelvin Osagie Akhigbe | Internal Medicine | 3023 Perryton Pkwy Ste 202, Pampa, TX 79065-2817 | 2010-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198665 | Na Medical, Pllc | Internal Medicine | 4310 James Casey St Ste A, Austin, TX 78745-1251 | 2020-09-09 |
| 1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
| 1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
| 1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
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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.