MRS. ELIZABETH EVERSULL (NPI# 1154380517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154380517 |
Entity Type | Individual |
Full Name | MRS. ELIZABETH EVERSULL |
Credential | MD |
Practice Address |
5944 W Parker Rd #400 Plano TX 75093-6421 |
Mailing Address |
Po Box 97 Boyce LA 71409-0097 |
Practice Telephone | 9723092021 |
Practice Fax Number | 9723092023 |
Mailing Telephone | 9723092021 |
Mailing Fax Number | 9723092023 |
Enumeration Date | 2006-03-22 |
Last Update Date | 2008-10-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation | L5328 | TX | Allopathic & Osteopathic Physicians |
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
L5328 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 176702201 | 05 |
Street Address |
5944 W PARKER RD #400 |
City | PLANO |
State | TX |
Zip Code | 75093-6421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942203468 | Peter R. Barnett | Dentist | 5944 W Parker Rd, Ste 500, Plano, TX 75093-6430 | 2005-05-30 |
1093265431 | No Pain Consultants,pllc | Anesthesiology | 5944 W Parker Rd, Suite 400, Plano, TX 75093-6421 | 2016-10-10 |
1013383421 | Tonya Putman | Nurse Practitioner | 5944 W Parker Rd, Plano, TX 75093-6421 | 2015-08-19 |
1700226867 | Dallas Pain Relief Center, PC. | Specialist | 5944 W Parker Rd, Suite 300, Plano, TX 75093-6421 | 2013-07-03 |
1275770356 | Advanced Medical Enterprises Lp | Durable Medical Equipment & Medical Supplies | 5944 W Parker Rd, Suite 300, Plano, TX 75093-6421 | 2009-01-12 |
1326296310 | Jerry Daniel | Anesthesiology | 5944 W Parker Rd, Suite 400, Plano, TX 75093-6421 | 2008-09-03 |
1518149111 | Jeff Eidsvig D.c., Pllc | Clinic/Center | 5944 W Parker Rd, 400, Plano, TX 75093-6421 | 2007-12-05 |
1396934865 | Jeffrey Craig Komenda | Clinic/Center | 5944 W Parker Rd, 100, Plano, TX 75093-6421 | 2007-10-19 |
1316133838 | Jeffrey Charles Eidsvig | Chiropractor | 5944 W Parker Rd, #400, Plano, TX 75093-6421 | 2007-09-18 |
1598983983 | Peter R. Barnett, Dmd, P.a. | Dentist | 5944 W Parker Rd, Suite 500, Plano, TX 75093-6421 | 2007-04-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
Find all providers in zip 75093 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063798148 | Texoma Anesthesia P.a. | Physical Medicine & Rehabilitation | 2713 Zoeller Dr, Plano, TX 75025-5181 | 2011-11-02 |
1639113012 | Mrugeshkumar Kanaiyalal Shah | Physical Medicine & Rehabilitation | 6957 W Plano Pkwy, Suite 2600, Plano, TX 75093-1620 | 2006-06-15 |
1598319329 | Texas Medical Consultants | Physical Medicine & Rehabilitation | 2419 Coit Rd Ste B, Plano, TX 75075-3731 | 2019-07-30 |
1871087643 | Axe Healthcare Pllc | Physical Medicine & Rehabilitation | 7000 Preston Rd Ste 1500, Plano, TX 75024-2512 | 2018-06-15 |
1902291362 | Dustin Ryan Leek | Physical Medicine & Rehabilitation | 2301 Marsh Ln, Plano, TX 75093-8497 | 2015-04-02 |
1073945648 | Sheena Bhuva | Physical Medicine & Rehabilitation | 6020 W Parker Rd Ste 200, Plano, TX 75093 | 2013-08-06 |
1942597109 | Metroplex Pain Partners, Pa | Physical Medicine & Rehabilitation | 6957 W Plano Pkwy, Suite 2600, Plano, TX 75093-1620 | 2011-07-07 |
1639274392 | Mike Shah Md Pa | Physical Medicine & Rehabilitation | 6957 W Plano Pkwy, Suite 2600, Plano, TX 75093-1620 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093314700 | Texas P&a LLC | Physical Medicine & Rehabilitation | 400 S Zang Blvd Ste 1210, Dallas, TX 75208-6624 | 2020-10-23 |
1598300386 | Ppsm Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1700, Houston, TX 77027-7317 | 2019-11-15 |
1942844634 | Bioprorestore LLC | Physical Medicine & Rehabilitation | 3275 College Park Dr, The Woodlands, TX 77384-4501 | 2019-11-05 |
1619511300 | South Garland Medical Pllc | Physical Medicine & Rehabilitation | 1301 Northwest Hwy Ste 209, Garland, TX 75041-5896 | 2019-11-05 |
1295389492 | Complete Pain Solutions | Physical Medicine & Rehabilitation | 1241 Campbell Rd, Houston, TX 77055-6453 | 2019-07-26 |
1063998706 | Advanced Rehab Medicine, Pllc | Physical Medicine & Rehabilitation | 9119 Hwy 6, Suite 230, #127, Missouri City, TX 77479 | 2018-07-16 |
1265922876 | Occmed Centers of El Paso, Pa | Physical Medicine & Rehabilitation | 311 Camino Estancias, El Paso, TX 79912-3424 | 2018-05-18 |
1710475801 | Performance Pain and Sports Medicine, Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1300, Houston, TX 77027-7310 | 2018-04-25 |
1275037574 | Rdt Technologies LLC | Physical Medicine & Rehabilitation | 3701 S Cooper St Ste 161, Arlington, TX 76015-3466 | 2018-03-21 |
1437662145 | Dfw Pain Institute Pllc | Physical Medicine & Rehabilitation | 14908 Devonshire Ln, Frisco, TX 75035-0648 | 2017-11-16 |
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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.