METROPLEX VASCULAR SPECIALISTS, PLLC (NPI# 1245541739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245541739 |
| Entity Type | Organization |
| Organization Name | METROPLEX VASCULAR SPECIALISTS, PLLC |
| Practice Address |
1600 W College St Suite 555 Grapevine TX 76051-3580 |
| Practice Telephone | 8173100020 |
| Practice Fax Number | 8177961445 |
| Mailing Telephone | 8173100020 |
| Mailing Fax Number | 8177961445 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | RICHARD JEROME WILKERSON (OWNER) |
| Authorized Official Telephone | 8173100020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
K9455 | TX | Allopathic & Osteopathic Physicians |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1497882625 | Surgical Associates of The Mid-cities Pa | Surgery | 2050 Hall Johnson Rd Ste 200, Grapevine, TX 76051-8766 | 2007-02-27 |
| 1205847936 | Patrick Thomas Roughneen | Surgery | 1600 W College St, Suite 555, Grapevine, TX 76051-3580 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1245875061 | Usa Vascular Center of Dallas Pllc | Surgery | 2300 W Fm 544 Ste B, Wylie, TX 75098-4931 | 2019-11-15 |
| 1740830959 | Coastal Plains Endeavors LLC | Surgery | 1602 E Houston St Ste A, Beeville, TX 78102-5335 | 2019-09-19 |
| 1205488632 | Usa Vein Clinics of Dallas Pllc | Surgery | 3128 Forest Ln Ste 320, Dallas, TX 75234-7761 | 2019-07-16 |
| 1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
| 1336633999 | Total Vein Treatment Centers | Surgery | 2301 Marsh Ln Ste 210, Plano, TX 75093-8497 | 2018-06-18 |
| 1508384652 | Jcm Vein Pllc Vein Care Coastal Bend | Surgery | 3301 S Alameda St Ste 402, Corpus Christi, TX 78411-1882 | 2017-09-08 |
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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.