DALLAS EAR, NOSE & THROAT CENTER PA (NPI# 1144418690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144418690 |
| Entity Type | Organization |
| Organization Name | DALLAS EAR, NOSE & THROAT CENTER PA |
| Practice Address |
9301 N Central Expy Suite 560 Dallas TX 75231-0806 |
| Practice Telephone | 2148211809 |
| Practice Fax Number | 2148279037 |
| Mailing Telephone | 2148211809 |
| Mailing Fax Number | 2148279037 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2012-12-27 |
| Authorized Official Name | MARK A HARDIN (DOCTOR) |
| Authorized Official Telephone | 2148211809 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | H1440 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0011DU | 01 |
| TX | 080401501 | 05 |
| Street Address |
9301 N CENTRAL EXPY SUITE 560 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-0806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287119 | Angela M Northcutt | Physician Assistant | 9301 N Central Expy, Suite 400, Dallas, TX 75231-0806 | 2005-06-30 |
| 1538785761 | Emily Pierce | Physical Medicine & Rehabilitation | 9301 N Central Expy, Dallas, TX 75231-0806 | 2020-06-23 |
| 1962051383 | Emmanuel Fasanya Jr. | Physical Therapist | 9301 N Central Expy, Dallas, TX 75231-0806 | 2019-09-09 |
| 1497307581 | Su Mckenzie | Surgery | 9301 N Central Expy, Dallas, TX 75231-0806 | 2019-07-10 |
| 1942861984 | Olsv7 Pllc | Orthopaedic Surgery | 9301 N Central Expy, Dallas, TX 75231-0806 | 2019-06-20 |
| 1518434372 | Kyle Callahan | Orthopaedic Surgery | 9301 N Central Expy, Dallas, TX 75231-0806 | 2018-10-30 |
| 1811480668 | Tommy Weesner Jr. | Nurse Practitioner | 9301 N Central Expy, Dallas, TX 75231-0806 | 2018-06-07 |
| 1508383118 | Zargon-child Investments LLC. | Nurse Anesthetist, Certified Registered | 9301 N Central Expy, Dallas, TX 75231-0806 | 2017-08-24 |
| 1790210474 | Adeeb Khalfe | Physical Therapist | 9301 N Central Expy, Dallas, TX 75231-0806 | 2017-05-01 |
| 1972040350 | Bulger Medical and Scientific, LLC | Pain Medicine | 9301 N Central Expy, Tower 1, Ste 200, Dallas, TX 75231-0806 | 2017-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942778253 | Donelson Neal Shannon | Otolaryngology | 2704 Hanover St, Dallas, TX 75225-7922 | 2018-11-05 |
| 1134527153 | Ahmad Salman Alroqi | Otolaryngology | 5657 Amesbury Dr, Apt 807, Dallas, TX 75206-3000 | 2014-12-08 |
| 1649693565 | Martin John Corsten | Otolaryngology | 4300 N Central Expy Ste 110, Dallas, TX 75206-6533 | 2014-01-29 |
| 1760728588 | Sinus Registry, Pllc | Otolaryngology | 3112 Greenbrier Dr, Dallas, TX 75225-4602 | 2012-12-26 |
| 1659682680 | Andrew T Day | Otolaryngology | Department of Otolaryngology - Head and Neck Surgery, 5323 Harry Hines Blvd., Dallas, TX 75390-9035 | 2010-06-24 |
| 1689990228 | Dylan Corey Lippert | Otolaryngology | 411 N. Washington Avenue, Suite 6400, Dallas, TX 75246 | 2010-04-07 |
| 1346444072 | Dallas Otolaryngology Associates | Otolaryngology | 7777 Forest Ln Ste A103, Dallas, TX 75230-6800 | 2007-06-14 |
| 1639226525 | Lesley French Childs | Otolaryngology | Utsw Department of Otolaryngology, 5323 Harry Hines Blvd, Dallas, TX 75390-9035 | 2007-01-04 |
| 1831295021 | Henry Maurice Carder | Otolaryngology | 8315 Walnut Hill Lane, Suite 135, Dallas, TX 75231 | 2006-09-15 |
| 1821103177 | William Monroe Crutcher | Otolaryngology | 4548 Shady Hill Dr, Dallas, TX 75229-2951 | 2006-08-20 |
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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.