DR. JAY ROOP (NPI# 1154655876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154655876 |
| Entity Type | Individual |
| Full Name | DR. JAY ROOP |
| Credential | D.O. |
| Practice Address |
2625 E Southlake Blvd Suite 120 Southlake TX 76092-8041 |
| Mailing Address |
230 Miron Dr Suite 110 Southlake TX 76092-8041 |
| Practice Telephone | 8174160970 |
| Practice Fax Number | 8176972277 |
| Mailing Telephone | 8174160970 |
| Mailing Fax Number | 8176972277 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2017-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | P6711 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2625 E SOUTHLAKE BLVD SUITE 120 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-8041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902233125 | Monte Wayne Davenport | Counselor | 2625 E Southlake Blvd, Suite 160, Southlake, TX 76092-8041 | 2013-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407829864 | Stuart F Williams | Neuromusculoskeletal Medicine & OMM | 230 Miron Dr Ste 110, Southlake, TX 76092 | 2006-02-08 |
| 1467868547 | Gregory James Cox | Neuromusculoskeletal Medicine & OMM | 230 Miron Dr Ste 110, Southlake, TX 76092-7846 | 2014-07-09 |
| 1417111691 | Dennis Earl Minotti II | Neuromusculoskeletal Medicine & OMM | 230 Miron Dr Ste 110, Southlake, TX 76092-7846 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902359821 | Blackland Prairie Medical Pllc | Neuromusculoskeletal Medicine & OMM | 9330 Valley Gate, San Antonio, TX 78250-5773 | 2016-07-27 |
| 1841676376 | Intuitive Practice Solutions, LLC | Neuromusculoskeletal Medicine & OMM | 3124 N Tarrant Pkwy, Suite 200, Ft Worth, TX 76177-8617 | 2015-08-06 |
| 1922489103 | Dante Paredes | Neuromusculoskeletal Medicine & OMM | 855 Montgomery St Fl 2, Fort Worth, TX 76107-2553 | 2015-06-14 |
| 1710367446 | Marissa May Zajac | Neuromusculoskeletal Medicine & OMM | 5521 Bellaire Dr S Ste 114b, Fort Worth, TX 76109-5855 | 2015-06-08 |
| 1316259278 | Barnes and Powell, Inc. | Neuromusculoskeletal Medicine & OMM | 10109 Mckalla Pl, Suite E, Austin, TX 78758-4462 | 2010-07-08 |
| 1447561691 | Neuropathy Pain Clinic of Fort Worth LLC | Neuromusculoskeletal Medicine & OMM | 919 W Randol Mill Rd, Arlington, TX 76012-2511 | 2010-06-23 |
| 1346425469 | Gulf Coast Center for Neurological Disorders, Pa | Neuromusculoskeletal Medicine & OMM | 11 Pine Lodge Pl, The Woodlands, TX 77382-2015 | 2008-01-08 |
| 1336355924 | Sheri Anne Hull | Neuromusculoskeletal Medicine & OMM | 1212 Clear Lake Rd Ste 300, Weatherford, TX 76086-5879 | 2007-05-14 |
| 1376673780 | Alsbury Family Medicine | Neuromusculoskeletal Medicine & OMM | 780 Ne Alsbury Blvd Ste B, Burleson, TX 76028-2641 | 2007-03-06 |
| 1225182579 | Cheryl L Howard | Neuromusculoskeletal Medicine & OMM | 3000 Richmond Ave Ste 100, Houston, TX 77098 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
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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.