DR. PATRICK THOMAS ROUGHNEEN (NPI# 1205847936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205847936 |
| Entity Type | Individual |
| Full Name | DR. PATRICK THOMAS ROUGHNEEN |
| Credential | M.D. |
| Practice Address |
1600 W College St Suite 555 Grapevine TX 76051-3580 |
| Practice Telephone | 8175521900 |
| Practice Fax Number | 8175521902 |
| Mailing Telephone | 8175521900 |
| Mailing Fax Number | 8175521902 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
J1480 | TX | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | J1480 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS/BLUE SHIELDS | 0053MA | 01 |
| TX | RAILROAD MEDICARE PIN | DE9002 | 01 |
| TX | 171001405 | 05 | |
| TX | 171001404 | 05 | |
| TX | 171001401 | 05 |
| Street Address |
1600 W COLLEGE ST SUITE 555 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-3580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539439 | Timothy J Rost | Obstetrics & Gynecology | 1600 W College St, Ste 340, Grapevine, TX 76051-3577 | 2005-06-22 |
| 1215478326 | Cynthia Mace-motta, Do Pa | Obstetrics & Gynecology | 1600 W College St, Suite 260, Grapevine, TX 76051-3580 | 2017-03-09 |
| 1265984272 | Jeanette Lockett Wright | Nurse Practitioner | 1600 W College St, Suite 640, Grapevine, TX 76051-3580 | 2016-10-26 |
| 1194175851 | Kimberly S. Marshall, M.d., P.a. | Clinic/Center | 1600 W College St, Suite 340, Grapevine, TX 76051-3580 | 2016-06-14 |
| 1134577547 | Kimberly Salinas Marshall Md, Pa | Obstetrics & Gynecology | 1600 W College St, Suite 340, Grapevine, TX 76051-3580 | 2016-05-25 |
| 1073971404 | Carla L. Young, M.d., P.a. | Physical Medicine & Rehabilitation | 1600 W College St, Suite 685, Grapevine, TX 76051-3580 | 2016-01-30 |
| 1598136731 | Sofia A Lieser M D Pllc | Obstetrics & Gynecology | 1600 W College St, Suite 540, Grapevine, TX 76051-3580 | 2015-10-14 |
| 1538590286 | Melanie B. Kinchen, M.d., P.a. | Orthopaedic Surgery | 1600 W College St, Suite 685, Grapevine, TX 76051-3580 | 2013-12-05 |
| 1417383233 | Neurology Associates of Metroplex, P.a. | Psychiatry & Neurology | 1600 W College St, Suite Ll40, Grapevine, TX 76051-3580 | 2013-09-25 |
| 1487094389 | Baylor Health Enterprises Lp | Pharmacy | 1600 W College St, Suite 110, Grapevine, TX 76051-3580 | 2013-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907809 | David Harlan Ammons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1600 W College St, Suite 410, Grapevine, TX 76051-3580 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915894 | Branislav Stojkovic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6431 Fannin St Ste Jjl S-86, Houston, TX 77030-1501 | 2020-09-08 |
| 1093349946 | Lawrence R Hamner IIi Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 Jimmy Johnson Blvd Ste 207, Port Arthur, TX 77640-2011 | 2020-03-01 |
| 1275173379 | Houston Cardiothoracic and Vein Surgeons, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1310 St Joseph Pkwy Ste 1005, Houston, TX 77002-8205 | 2020-01-07 |
| 1861962003 | Brownsville Surgery, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 E Alton Gloor Blvd Bldg B, Brownsville, TX 78526-3328 | 2018-11-30 |
| 1326523077 | Southeast Texas Cardiac LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8901 Fm 1960 Bypass Rd W Ste 303, Humble, TX 77338-4019 | 2018-09-28 |
| 1982119061 | Elite Heart, Lung, and Vein Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2406 Ellis Park Ln, Conroe, TX 77304-2938 | 2017-12-11 |
| 1376076869 | Kitten Cardiovascular Associates Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 118 Shenandoah Drive, Suite A, Shenandoah, TX 77381-1203 | 2017-04-11 |
| 1003360116 | William E Wallace Do | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6007 Hillbrook Dr, Colleyville, TX 76034-5323 | 2016-08-05 |
| 1104284959 | Lm Duvall Enterprises | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 41922 N Mill Dr, Magnolia, TX 77354-1850 | 2016-02-08 |
| 1457734618 | John Kirchmer Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2195 Thomas Rd, Beaumont, TX 77706-2837 | 2015-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. PATRICK THOMAS ROUGHNEEN.
| 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.