GREGORY ALAN REDISH (NPI# 1194710970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194710970 |
| Entity Type | Individual |
| Full Name | GREGORY ALAN REDISH |
| Credential | MD |
| Practice Address |
9330 Poppy Dr Ste 405 Dallas TX 75218-4621 |
| Practice Telephone | 2143209382 |
| Practice Fax Number | 2143211137 |
| Mailing Telephone | 2143209382 |
| Mailing Fax Number | 2143211137 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2018-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G2006 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 81G602 | 01 |
| TX | 128832602 | 05 | |
| TX | 128832605 | 05 | |
| TX | BCBS | 80A138 | 01 |
| TX | 128832604 | 05 | |
| TX | RAILROAD MEDICARE | 060031201 | 01 |
| TX | RAILROAD MEDICARE | 060035084 | 01 |
| Street Address |
9330 POPPY DR STE 405 |
| City | DALLAS |
| State | TX |
| Zip Code | 75218-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990987 | Mark Allen Co | Internal Medicine | 9330 Poppy Dr, #503, Dallas, TX 75218-4621 | 2005-08-25 |
| 1033500475 | Rockwall Neurology, Pa | Psychiatry & Neurology | 9330 Poppy Dr, Suite 500b, Dallas, TX 75218-4621 | 2015-02-06 |
| 1750782199 | Lisa Carlock | Physical Therapist | 9330 Poppy Dr, Suite 100, Dallas, TX 75218-4621 | 2014-09-04 |
| 1053711564 | Keri Glover Walakovits | Physical Therapist | 9330 Poppy Dr, Suite 100, Dallas, TX 75218-4621 | 2014-09-03 |
| 1619399706 | Neurological Associates of North Texas | Neurological Surgery | 9330 Poppy Dr, 500b, Dallas, TX 75218-4621 | 2014-01-09 |
| 1922438506 | Joe Adrian Pedroza | Nurse Practitioner | 9330 Poppy Dr, Dallas, TX 75218-4621 | 2013-11-19 |
| 1871866087 | James S. Kohn, M.d., Pa | Clinic/Center | 9330 Poppy Dr, Suite 406, Dallas, TX 75218-4621 | 2012-02-17 |
| 1639446891 | Charles A Iliya Md Pa | Surgery | 9330 Poppy Dr, Suite 500, Dallas, TX 75218-4612 | 2011-11-16 |
| 1508074113 | White Rock Internal Medicine | Internal Medicine | 9330 Poppy Dr, Suite 403, Dallas, TX 75218-4621 | 2007-05-18 |
| 1952518326 | Kirk A Brackin | Occupational Therapist | 9330 Poppy Dr, Dallas, TX 75218-4621 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412034 | Sunaina Shalu Gill | Specialist/Technologist | 718 North Buckner Boulevard, #312, Dallas, TX 75218 | 2019-05-20 |
| 1851896492 | Tawana Anderson Floyd | Occupational Therapy Assistant | 718 Buckner Blvd, #312, Dallas, TX 75218 | 2018-03-26 |
| 1164948097 | Behavioral Health Connections, Inc. | Psychiatry & Neurology | 1350 N. Buckner Blvd., Ste. 100, Dallas, TX 75218 | 2017-08-22 |
| 1083988729 | Paras Bharatkumar Patel | Dentist | 12316 Coolmeadow Lane, Dallas, TX 75218 | 2012-02-27 |
| 1881990216 | Dallas Doctors Pain Clinic | Pain Medicine | 1110 N. Buckner Blvd., Suite 100, Dallas, TX 75218 | 2011-02-02 |
| 1861719387 | Mi Familia Medical Pllc | General Practice | 1100 Garland Road, Dallas, TX 75218 | 2010-04-23 |
| 1972832541 | James Ervin Bridges | Chiropractor | 1214 Old Gate Ln, Dallas, TX 75218 | 2009-12-10 |
| 1326291295 | Karl F Woodmansey | Dentist | 1215 Waterside Cir, Dallas, TX 75218 | 2008-10-23 |
| 1679739841 | All About Care Homehealth Services Inc. | Home Health | 12115 Self Plaza Drive, Suite 100, Dallas, TX 75218 | 2008-08-06 |
| 1104035187 | Charlotte Ann Hodges | Surgery | 1151 North Buckner Blvd #308, Dallas, TX 75218 | 2007-05-22 |
| Find all providers in zip 75218 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1831740802 | Premier Heart Center, Pllc | Internal Medicine | 10440 N Central Expy Ste 1400, Dallas, TX 75231-2235 | 2019-09-21 |
| 1528576451 | Texas Heart Center, Pllc | Internal Medicine | 3600 Gaston Ave Ste 851, Dallas, TX 75246-1908 | 2018-01-12 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1780036749 | Solocare Texas Pllc | Internal Medicine | 10218 Boedeker St, Dallas, TX 75230-5401 | 2016-07-01 |
| 1578926796 | Skilled Specialty Consultants Pllc | Internal Medicine | 5803 Hudson St, #1, Dallas, TX 75206-8084 | 2016-04-04 |
| 1760855100 | Remote Cardiology Services, Pllc | Internal Medicine | 6464 Royalton Dr, Dallas, TX 75230-3500 | 2015-11-06 |
| 1326430513 | Brian Eades Md Pllc | Internal Medicine | 5628 Encore Dr, Dallas, TX 75240-4642 | 2015-02-24 |
| 1205246931 | Jeomi Maduka Okwara | Internal Medicine | Msc Cardiovascular Medicine 1 University Of, 6201 Harry Hines Blvd, Dallas, TX 75235-5202 | 2014-05-02 |
| 1497097984 | Nicholas Cooper Macpherson | Internal Medicine | 12740 Hillcrest Rd., Ste. 265, Dallas, TX 75230 | 2013-03-22 |
| 1891084729 | Ambarish Pandey | Internal Medicine | 5939 Harry Hines Blvd 9th Fl Ste 935, Dallas, TX 75390-7708 | 2011-03-31 |
| Find all providers in DALLAS | ||||
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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.