CHARLES LOVELACE DO PA (NPI# 1275882953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275882953 |
| Entity Type | Organization |
| Organization Name | CHARLES LOVELACE DO PA |
| Practice Address |
1320 N Galloway Ave Ste 103 Mesquite TX 75149-2440 |
| Practice Telephone | 9723426265 |
| Practice Fax Number | 9724370042 |
| Mailing Telephone | 9723426265 |
| Mailing Fax Number | 9724370042 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2019-12-05 |
| NPI Deactivation Date | 11/21/2019 |
| NPI Reactivation Date | 2019-12-05 |
| Authorized Official Name | CHARLES LOVELACE (OWENER) |
| Authorized Official Telephone | 9723426265 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G9871 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | G9871 LIC | 1982771432 | 01 |
| Street Address |
1320 N GALLOWAY AVE STE 103 |
| City | MESQUITE |
| State | TX |
| Zip Code | 75149-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508333055 | Nancy Lovern | Nurse Practitioner | 1320 N Galloway Ave Ste 103, Mesquite, TX 75149-2440 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891340642 | Michael Ryan Tong | Pharmacist | 300 West Kearney, Mesquite, TX 75149 | 2019-08-08 |
| 1720548118 | Life Specialty Pharmacy, Inc. | Pharmacy | 949 W. Kearney St., Suite 107, Mesquite, TX 75149 | 2019-03-21 |
| 1851857304 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 750 Highway 352, Mesquite, TX 75149 | 2019-02-20 |
| 1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
| 1356844484 | D&b Dentistry, Pllc | Clinic/Center | 5550 South Buckner Blvd., Ste 270, Mesquite, TX 75149 | 2018-03-15 |
| 1811426216 | Higher Ground Services LLC | In Home Supportive Care | 624 Yosemite Trail, Mesquite, TX 75149 | 2017-06-08 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1922530591 | Johnny Staton | Physician Assistant | 1208 Paintbrush St, Mesquite, TX 75149 | 2017-04-01 |
| 1811432115 | Fastpass Ucm, Pllc | Emergency Medicine | 1080 E Cartwright Rd, Suite 120, Mesquite, TX 75149 | 2016-12-22 |
| 1508309170 | Code 3 Emergency Partners At Mesquite, LLC | Clinic/Center | 1080 E Cartwright Rd Ste 100, Mesquite, TX 75149 | 2016-11-29 |
| Find all providers in zip 75149 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044412 | Chifom Enterprises Inc | Family Medicine | 1324 N Galloway Ave Ste 105, Mesquite, TX 75149-2440 | 2019-10-16 |
| 1881249365 | Sanitas Medical Center of Texas Pa | Family Medicine | 2021 N Town East Blvd Ste 500, Mesquite, TX 75150-4060 | 2019-08-01 |
| 1093298036 | Mesquite Walk In Clinic, Pllc | Family Medicine | 910 N Galloway Ave Ste 102, Mesquite, TX 75149-2409 | 2018-09-14 |
| 1437483583 | Mission East Dallas and Metroplex Project, Inc. | Family Medicine | 4550 Gus Thomasson Rd Suite 40, Mesquite, TX 75150 | 2009-09-22 |
| 1154551752 | Ana Anhthu Nguyen | Family Medicine | 1575 I-30, Mesquite, TX 75150-6905 | 2009-07-17 |
| 1598992166 | A-medical Housecalls | Family Medicine | 15330 Lbj Frwy, Ste 206, Mesquite, TX 75150-1233 | 2009-06-22 |
| 1295901049 | Urooj Shibli | Family Medicine | 2704 N Galloway Ave Ste 103, Mesquite, TX 75150-6379 | 2008-05-01 |
| 1053585349 | Heather Michele Esquivel | Family Medicine | 4550 Gus Thomasson Rd Ste 40, Mesquite, TX 75150-1758 | 2008-04-17 |
| 1124248141 | Family and Wound Care Associates Pa | Family Medicine | 901 N Galloway Ave Ste 101, Mesquite, TX 75149-7418 | 2007-05-01 |
| 1356460265 | Gary F Roberts Md | Family Medicine | 2692 N Galloway Ave Ste 401, Mesquite, TX 75150-6361 | 2007-03-29 |
| Find all providers in MESQUITE | ||||
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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.