MASS EFFECT MEDICAL GROUP PLLC (NPI# 1144511353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144511353 |
| Entity Type | Organization |
| Organization Name | MASS EFFECT MEDICAL GROUP PLLC |
| Practice Address |
401 Ame Dr Apt 1103 Denton TX 76207 |
| Mailing Address |
12015 Quincy Ln Dallas TX 75230-2121 |
| Practice Telephone | 2142607745 |
| Practice Fax Number | 8774429313 |
| Mailing Telephone | 9402020789 |
| Mailing Fax Number | 9402414022 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | SHERIF M LATIF (OWNER) |
| Authorized Official Telephone | 5202507440 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | N2620 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GRP NPI | 1144511353 | 01 |
| Street Address |
401 AME DR APT 1103 |
| City | DENTON |
| State | TX |
| Zip Code | 76207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477843 | Callis Investments LLC | Clinical Medical Laboratory | 4234 I-35 Frontage Rd, Denton, TX 76207 | 2020-11-04 |
| 1639704042 | Tahnee Rae Beal | Family Medicine | 1301 S Bonnie Brae St., Athc Building # 0320., Denton, TX 76207 | 2020-03-05 |
| 1942776216 | Tonia Nicole Smith | Counselor | 4222 N I-35 Frontage Road, Denton, TX 76207 | 2018-10-15 |
| 1124529490 | Maria Tranquilina Jimenez | Nurse Practitioner | 4206 S Interstate 35 E, Denton, TX 76207 | 2018-02-22 |
| 1124538442 | Health Services of North Texas, Inc | Clinic/Center | 4304 Mesa Drive, Denton, TX 76207 | 2017-10-02 |
| 1356866594 | Salvaging Teens At Risk Inc Dba North Texas Collegiate Academy | Local Education Agency (LEA) | 4601 I-35, Denton, TX 76207 | 2017-08-09 |
| 1861841553 | Mp3 Labs Inc. | Clinical Medical Laboratory | 1500 I-35 W, Suite 120, Denton, TX 76207 | 2016-06-03 |
| 1821446550 | Tdm Laboratories of Katy, LLC | Clinical Medical Laboratory | 1500 Interstate 35 West, Suite 110, Denton, TX 76207 | 2016-06-03 |
| 1114391711 | Samuel Adams | Specialist/Technologist | 1301 S. Bonnie Brae St., Denton, TX 76207 | 2015-11-19 |
| 1770815961 | Absolute Smile Dental | Dentist | 2700 West University Dr, Suite 1060, Denton, TX 76207 | 2010-02-12 |
| Find all providers in zip 76207 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164804068 | Katyayan Dwivedi | Internal Medicine | 2900 N Interstate 35 Ste 118, Denton, TX 76201-5143 | 2015-06-26 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1790107282 | Bayy Hospitalist Medical Group, LLC | Internal Medicine | 912d Market St, Denton, MD 21629-2141 | 2014-01-17 |
| 1861776015 | North Texas Inpatient Physicians, Pllc | Internal Medicine | 3535 I35, Denton, TX 76210 | 2011-10-06 |
| 1134419682 | Charles Vincent Kurkul | Internal Medicine | 2900 N I 35 Ste 401, Denton, TX 76201-5148 | 2011-04-18 |
| 1386891315 | Ranjit K Dhelaria | Internal Medicine | 2214 Emery St Ste 220, Denton, TX 76201-2470 | 2008-08-21 |
| 1104002484 | Kamran A Rizvi | Internal Medicine | 3537 S I 35 E Ste 305, Denton, TX 76210-6803 | 2008-01-16 |
| 1154522209 | Anant Sharma | Internal Medicine | 2900 N I-35 Ste 100, Denton, TX 76201-5142 | 2007-05-29 |
| 1114142403 | Siva Prasad Sontineni | Internal Medicine | 802 N Bonnie Brae St # 104, Denton, TX 76201-2499 | 2007-04-13 |
| 1952429144 | Yoon K. Kim | Internal Medicine | 813 Sandpiper Dr, Denton, TX 76205-8019 | 2007-03-26 |
| Find all providers in DENTON | ||||
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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.