AEON HEALTH, INC. (NPI# 1154564383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154564383 |
| Entity Type | Organization |
| Organization Name | AEON HEALTH, INC. |
| Practice Address |
4809 Cole Ave Ste 110 Dallas TX 75205-3553 |
| Practice Telephone | 2145268600 |
| Practice Fax Number | 2144433897 |
| Mailing Telephone | 2145268600 |
| Mailing Fax Number | 2144433897 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |
| Authorized Official Name | IRENE RAE WILLINGHAM (OWNER) |
| Authorized Official Telephone | 2145268600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | H0463 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4809 COLE AVE STE 110 |
| City | DALLAS |
| State | TX |
| Zip Code | 75205-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710129192 | Stay Strong Physical Therapy - Argyle Pllc | Clinic/Center | 4809 Cole Ave Ste 110, Dallas, TX 75205-3553 | 2009-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487298337 | Nap Diagnostics, Pllc | Electrodiagnostic Medicine | 4514 Cole Avenue Suite 600, Dallas, TX 75205 | 2019-11-04 |
| 1639578123 | Adam Martin | Specialist/Technologist, Other | 3001 Monticello, 210, Dallas, TX 75205 | 2014-08-20 |
| 1639598725 | Henry Brown Mobley | Internal Medicine | 3416 Cornell Ave., Dallas, TX 75205 | 2014-04-16 |
| 1780016857 | Heather Gano, Md, Pllc | Anesthesiology | 4447 N Central Expy Suite 110 #264, Dallas, TX 75205 | 2013-07-31 |
| 1134463961 | Dallas Emergency Dental | Dentist | 3001 Knox Ste. # 300 B, Dallas, TX 75205 | 2012-11-16 |
| 1982957270 | Ziba Tarighi Tarighi | Physician Assistant | 3414 Milton, University Park, TX 75205 | 2012-10-24 |
| 1154671113 | Bk Neuromonitoring, Pllc | Psychiatry & Neurology | 25 Highland Park Village, Suite 100 #566, Dallas, TX 75205 | 2012-09-17 |
| 1548574148 | Gd Radiology, Pa | Radiology | 5709 Hillcrest Ave. #d, Dallas, TX 75205 | 2010-08-06 |
| 1063746006 | Andrew W Randall Dds & Assoicates, PC | Dentist | 6805 Hillcrest Avenue, Suite 218, Dallas, TX 75205 | 2009-09-23 |
| 1902031875 | Dan Allen Myers | Psychiatry & Neurology | 5110 Tracy Street, Dallas, TX 75205 | 2009-05-21 |
| Find all providers in zip 75205 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033260740 | Northwest Medical & Rehab Clinic Pa | Neuromusculoskeletal Medicine, Sports Medicine | 2829 W Northwest Hwy, Suite 904, Dallas, TX 75220-6219 | 2007-01-16 |
| 1215911524 | Frank Corry Payne IIi | Neuromusculoskeletal Medicine, Sports Medicine | 7115 Greenville Avenue, Suite 310, Dallas, TX 75231 | 2005-11-30 |
| 1902826688 | Richard B Lawrence IIi | Neuromusculoskeletal Medicine, Sports Medicine | 7502 Greenville Ave, Suite 600, Dallas, TX 75231-3832 | 2006-07-19 |
| 1154341865 | Sarkis J Kechejian | Neuromusculoskeletal Medicine, Sports Medicine | 200 W Colorado Blvd, Dallas, TX 75208-2326 | 2006-07-19 |
| 1376570101 | Irene Rae Willingham | Neuromusculoskeletal Medicine, Sports Medicine | 4809 Cole Ave, Suite 110, Dallas, TX 75205-3578 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124273222 | Potential Services Pllc | Neuromusculoskeletal Medicine, Sports Medicine | 8801 North Tarrant Parkway, North Richland Hills, TX 79182 | 2008-11-18 |
| 1730383324 | Norberto Alvarez Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 1419 Clark Blvd, Laredo, TX 78040-3417 | 2007-06-14 |
| 1407971591 | Larry Omar Goldbeck | Neuromusculoskeletal Medicine, Sports Medicine | 29601 No Le Hace Dr, Fair Oaks Ranch, TX 78015-4518 | 2007-03-20 |
| 1205950953 | Wright Wiley Singleton | Neuromusculoskeletal Medicine, Sports Medicine | 121 N E Loop 820, 100, Hurst, TX 76053 | 2007-03-19 |
| 1063562635 | Nick J Patzakis | Neuromusculoskeletal Medicine, Sports Medicine | 9725 Homestead Rd, Houston, TX 77016-4403 | 2007-01-12 |
| 1174533889 | Richard F. Haenke | Neuromusculoskeletal Medicine, Sports Medicine | 2008 L Don Dodson Dr Ste 100, Bedford, TX 76021-1844 | 2006-08-08 |
| 1114931847 | Winifred Rene King | Neuromusculoskeletal Medicine, Sports Medicine | 15 Veilwood Cir, The Woodlands, TX 77382-4500 | 2006-07-28 |
| 1235155813 | Norbert Poquiz | Neuromusculoskeletal Medicine, Sports Medicine | 205 E Airport Fwy, Irving, TX 75062-6317 | 2006-07-15 |
| 1497790273 | Richard G Stoval | Neuromusculoskeletal Medicine, Sports Medicine | 1111 River Rd, Cuero, TX 77954-6641 | 2006-06-17 |
| 1154386829 | Jerett Aaron Zipin | Neuromusculoskeletal Medicine, Sports Medicine | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660 | 2006-04-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AEON HEALTH, INC..
| 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.