LD WELLNESS PLLC


Address: 7331 Gaston Ave Ste 219, Dallas, TX 75214-4131
Phone: 3157961087

LD WELLNESS PLLC (NPI# 1245723428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245723428
Entity Type Organization
Organization Name LD WELLNESS PLLC
Practice Address 7331 Gaston Ave Ste 219
Dallas
TX 75214-4131
Mailing Address 1910 Pacific Ave Ste 15700
Dallas
TX 75201-4245
Practice Telephone 3157961087
Mailing Telephone 2143890855
Mailing Fax Number 2143890859
Enumeration Date 2018-06-12
Last Update Date 2018-06-12
Authorized Official Name DR. LOUIS DEGIRONEMO (PRINCIPAL)
Authorized Official Telephone 3157961087
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
Q0036 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX TMB Q0036 01

Office Location

Street Address 7331 GASTON AVE STE 219
City DALLAS
State TX
Zip Code 75214-4131

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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548825110 Alleviate Pain Center, LLC Anesthesiology 5801 Marvin D Love Fwy Ste 105, Dallas, TX 75237-2388 2019-05-08
1366937013 Ld Anesthesia Consultants, Pllc Anesthesiology 5902 Goliad Ave, Dallas, TX 75206-6820 2018-06-26
1437654043 Precision Med Consultants Anesthesiology 12200 Park Central Dr Ste 300, Dallas, TX 75251 2018-03-26
1750884847 Midtex Medical Group Pllc- Dallas Series Anesthesiology 4228 N Central Expy Ste 104, Dallas, TX 75206-6558 2018-03-14
1427571355 Interventional Spine & Pain, LLP Anesthesiology 8222 Douglas Avenue, Ste. 890, Dallas, TX 75225-7036 2017-07-23
1629506357 Vanguard Pain Management, Pllc Anesthesiology 9080 Harry Hines Blvd Ste 110, Dallas, TX 75235-1700 2017-05-25
1215354972 Ispine Sports Medicine and Pain Management, Pa Anesthesiology 2220 Canton St, Suite 211, Dallas, TX 75201-5923 2014-03-19
1770842338 Hercules Pain Management LLC Anesthesiology 7988 W. Virginia, Suite 100, Dallas, TX 75237 2012-05-16
1336374727 Tian Zhao Anesthesiology 5550 Lbj Fwy Ste 150, Dallas, TX 75240-2303 2009-05-28
1871732594 Blg Group Inc Anesthesiology 2351 W Northwest Hwy Ste 2235, Dallas, TX 75220-4433 2009-02-19
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City DALLAS
Zip Code 75214

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Dataset Information

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.

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