DEREJE AYO (NPI# 1295705325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295705325 |
| Entity Type | Individual |
| Full Name | DEREJE AYO |
| Credential | M.D. |
| Practice Address |
11797 South Fwy Suite 330 Burleson TX 76028-7035 |
| Practice Telephone | 8172931900 |
| Practice Fax Number | 8172934930 |
| Mailing Telephone | 8172931900 |
| Mailing Fax Number | 8172934930 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2011-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
N0617 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
N0617 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS LICENSE | N0617 | 01 |
| Street Address |
11797 SOUTH FWY SUITE 330 |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-7035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445066 | Darrell Lynn Bowyer | Specialist | 11797 South Fwy, Ste 250, Burleson, TX 76028-7035 | 2005-05-27 |
| 1275960890 | Zandra Alice Underwood | Nurse Practitioner | 11797 South Fwy, Burleson, TX 76028-7026 | 2013-09-27 |
| 1598003220 | Clinical Nephrology Associates, Pa | Internal Medicine | 11797 South Fwy, Suite 226, Burleson, TX 76028-7026 | 2013-01-31 |
| 1366786618 | Rose N Maina | Nurse Practitioner | 11797 South Fwy, Ste 330, Burleson, TX 76028-7026 | 2012-11-26 |
| 1124330998 | Megan Eubank | Audiologist | 11797 South Fwy, Ste 132, Burleson, TX 76028-7026 | 2010-07-09 |
| 1457686768 | Richard R Ondrizek Md Pa | Obstetrics & Gynecology | 11797 South Fwy, Suite 242, Burleson, TX 76028-7026 | 2009-10-05 |
| 1588818413 | Von L. Evans Jr., M.d., P.a. | Specialist | 11797 South Fwy, Ste. 346, Burleson, TX 76028-7026 | 2008-11-05 |
| 1033361068 | John A. Malonis, M.d., P.a. | Specialist | 11797 South Fwy, Ste. 342, Burleson, TX 76028-7026 | 2008-10-22 |
| 1841446481 | Jeff R Sherman | Counselor | 11797 South Fwy, Suite 226, Burleson, TX 76028-7026 | 2008-08-14 |
| 1972687093 | Stelian Paul Bodea-barothi | Psychiatry & Neurology | 11797 South Fwy, Suite 338, Burleson, TX 76028-7026 | 2006-10-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548666944 | Jason A. Seiden, M.d., P.a. | Internal Medicine | 11803 South Fwy, Suite 104, Burleson, TX 76028-7012 | 2014-11-12 |
| 1295013233 | Dayaker R. Gagadam M.d.pa | Internal Medicine | 11803 South Fwy, Suite 208, Burleson, TX 76028-7012 | 2011-07-25 |
| 1295975316 | Alpha Pulmonary Critical Care Consultants, Pllc | Internal Medicine | 1161 Sw Wilshire Blvd, Suite 115, Burleson, TX 76028-5707 | 2009-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431907 | Texas Lung Care Associates Pllc | Internal Medicine | 115 Wendover Ct, Southlake, TX 76092-8589 | 2020-09-09 |
| 1437782430 | Evette Karlene Robinson | Internal Medicine | 1904 Pine St Ste 4c, Abilene, TX 79601-2450 | 2020-02-18 |
| 1154964526 | Sridhar Badireddi Md Pa | Internal Medicine | 3500 Gaston Ave # Floors34, Dallas, TX 75246-2017 | 2019-10-17 |
| 1740830702 | Jamal Adel Turki | Internal Medicine | 20510 Walnut Canyon Dr, Katy, TX 77450-5427 | 2019-09-12 |
| 1245885342 | Manica Isiguzo, Md Pa | Internal Medicine | 34910 Interstate 10 W Ste 601, Boerne, TX 78006-9230 | 2019-08-06 |
| 1497243943 | Howard M Mintz Md Pllc | Internal Medicine | 10501 N Central Expy Ste 101, Dallas, TX 75231-2203 | 2018-04-30 |
| 1417457938 | Lung Specialist Associates of Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 455, Sherman, TX 75092-7391 | 2018-02-21 |
| 1265943104 | Greater Houston Lung and Sleep Center Pllc | Internal Medicine | 6550 Fannin St Ste 2321, Houston, TX 77030-2723 | 2017-10-18 |
| 1164961405 | Texas Pulmonology Inc | Internal Medicine | 19315 Country Village Dr, Spring, TX 77388-3080 | 2017-02-20 |
| 1013382753 | Internal & Pulmonary Granbury | Internal Medicine | 2214 E Us Highway 377, Ste B, Granbury, TX 76049-6010 | 2015-12-07 |
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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.