THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS (NPI# 1245364058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245364058 |
| Entity Type | Organization |
| Organization Name | THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
| Other Organization Name | UT SOUTHWESTERN GENERAL SURGERY,ELLIS COUNTY |
| Practice Address |
1626 W Highway 287 Business Suite 102 Waxahachie TX 75165-4712 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2146450624 |
| Practice Fax Number | 2146450078 |
| Mailing Telephone | 2146450624 |
| Mailing Fax Number | 2146450078 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | BRUCE A MEYER (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 2146450624 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UT SOUTHWESTERN GENERAL SURGERY,ELLIS COUNTY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1861914558 | The University of Texas Southwestern Medical Center At Dallas | Pediatrics | 7601 Preston Rd., Plano, TX 75024 | 2017-07-13 |
| 1275838732 | The University of Texas Southwestern Medical Center At Dallas | Physical Medicine & Rehabilitation | 470 East State Hwy 114, Southlake, TX 76092-7625 | 2011-01-14 |
| 1508921313 | The University of Texas Southwestern Medical Center At Dallas | Home Health | 6333 Forest Park Road, Suite Blb 304, Dallas, TX 75390-9279 | 2006-12-22 |
| 1497720353 | The University of Texas Southwestern Medical Center At Dallas | Clinic/Center | 5801 Forest Park Rd, Dallas, TX 75390-9183 | 2006-02-22 |
| 1609420025 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 5303 Harry Hines Blvd, Suite 100 James Aston Ambulatory Care Center, Dallas, TX 75390-8862 | 2019-07-25 |
| 1912569583 | The University of Texas Southwestern Medical Center At Dallas | Clinic/Center | 5303 Harry Hines Blvd Fl 6, Dallas, TX 75390-7208 | 2019-07-03 |
| 1144752502 | The University of Texas Southwestern Medical Center At Dallas | Durable Medical Equipment & Medical Supplies | 1801 Inwood Rd, Dallas, TX 75390-9087 | 2017-04-03 |
| 1912226572 | The University of Texas Southwestern Medical Center At Dallas | Clinical Medical Laboratory | 5323 Harry Hines Blvd., Dallas, TX 75284-5347 | 2010-05-21 |
| 1750411286 | The University of Texas Southwestern Medical Center At Dallas | Family Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2007-03-06 |
| Street Address |
1626 W HIGHWAY 287 BUSINESS SUITE 102 |
| City | WAXAHACHIE |
| State | TX |
| Zip Code | 75165-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619073194 | R Galen Kemp Md Pa | Ophthalmology | 1626 W Highway 287 Business, Suite 105, Waxahachie, TX 75165-4712 | 2006-09-15 |
| 1538486246 | Mdassistllc | Physician Assistant | 1626 W Highway 287 Business, 107, Waxahachie, TX 75165-4712 | 2010-04-21 |
| 1982889911 | Ellis County Surgical Associates Pa | Colon & Rectal Surgery | 1626 W Highway 287 Business, Suite 102, Waxahachie, TX 75165-4712 | 2008-01-09 |
| 1326236167 | Douglas R Cheatham | Counselor | 1626 W Highway 287 Business, Suite #104, Waxahachie, TX 75165-4712 | 2007-10-05 |
| 1184838526 | Ellis County Surgical Associates | Colon & Rectal Surgery | 1626 W Highway 287 Business, Suite 102, Waxahachie, TX 75165-4712 | 2007-05-09 |
| 1316086135 | Vicki Lynn Graham | Counselor | 1626 W Highway 287 Business, Suite 104, Waxahachie, TX 75165-4712 | 2007-02-06 |
| 1639221757 | Benjamin D Boone Jr. | Orthopaedic Surgery | 1626 W Highway 287 Business, Suite 108, Waxahachie, TX 75165-4712 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702523 | Texas Health Surgery Center Waxahachie, LLC | Clinic/Center | 1434 W Us Highway 287 Bypass, Suite 100, Waxahachie, TX 75165 | 2020-05-27 |
| 1649890112 | Roberta Mashel Wilks | Licensed Practical Nurse | 109 Southhampton Place, Waxahachie, TX 75165 | 2020-04-24 |
| 1376172072 | Marian Browning | Dietitian, Registered | 2400 North I35-e, Waxahachie, TX 75165 | 2020-04-04 |
| 1083240758 | Megan Byrom | Dietitian, Registered | 2400 North I-35e, Food and Nutrition Dept C/o Megan Byrom, Waxahachie, TX 75165 | 2020-03-13 |
| 1679118996 | Waxahachie Modern Dentistry, PC | Dentist | 1400 Us Highway 77 North, Suite 300, Waxahachie, TX 75165 | 2019-11-11 |
| 1194369546 | Eastland Memorial Hospital District | Skilled Nursing Facility | 3650 Interstate 35 E, Waxahachie, TX 75165 | 2019-10-29 |
| 1750935888 | Victoria Layne Oates | Registered Nurse | 125 Cantle St, Waxahachie, TX 75165 | 2019-07-26 |
| 1417519828 | Sarah Ann Key | Dentist | 1618 Us-287 Bus, Waxahachie, TX 75165 | 2019-07-05 |
| 1619433034 | Mariposa Perinatal Services Pllc | Obstetrics & Gynecology | 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 | 2019-02-11 |
| 1376026807 | Lyndsey Jean May | Occupational Therapy Assistant | 3650 S.interstate 35-e, Waxahachie, TX 75165 | 2018-09-11 |
| Find all providers in zip 75165 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962779231 | North Texas Wound Care | Surgery | 926 Creekview Dr, Waxahachie, TX 75165-6159 | 2011-11-30 |
| 1861783938 | Mazen Iskandar | Surgery | 2460 N I 35 Ste 215, Waxahachie, TX 75165-5271 | 2011-04-25 |
| 1700175247 | Natalie Ann Calcatera | Surgery | 2460 N Ih 35 E Ste 215, Waxahachie, TX 75165 | 2011-04-05 |
| 1124040266 | Mark D Skyiepal | Surgery | 791 N Highway 77, Ste 501-c #239, Waxahachie, TX 75165-1977 | 2006-07-25 |
| 1356394118 | William Charles Major | Surgery | 1626 W Hwy 287 Business, Suite 101, Waxahachie, TX 75165-4712 | 2006-05-19 |
| 1376525253 | Andre Dean Graham | Surgery | 1305 W Jefferson St Ste 120, Waxahachie, TX 75165-2251 | 2005-11-16 |
| 1871598458 | Healthtexas Provider Network - Waxahachie Surgical Specialist, LLP | Surgery | 1505 W Jefferson St, Ste 165, Waxahachie, TX 75165-2200 | 2005-06-20 |
| 1558780064 | Timothy John Kelly | Surgery | 2460 N Ih 35 E Ste 215, Waxahachie, TX 75165-5271 | 2014-04-11 |
| 1770825440 | Nathan Andrew Ludwig | Surgery | 2460 N Ih 35 E Ste 215, Waxahachie, TX 75165-5271 | 2013-03-20 |
| 1295098168 | Sean Daniel Arredondo | Surgery | 2460 N Ih 35 E Ste 215, Waxahachie, TX 75165 | 2012-06-16 |
| Find all providers in WAXAHACHIE | ||||
| City | WAXAHACHIE |
| Zip Code | 75165 |
Please comment or provide details below to improve the information on THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS.
| 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.