DR. KEVIN M. KADESKY (NPI# 1295818631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295818631 |
| Entity Type | Individual |
| Full Name | DR. KEVIN M. KADESKY |
| Credential | M.D. |
| Practice Address |
12200 Park Central Dr Ste 400 Dallas TX 75251-2116 |
| Practice Telephone | 2144839300 |
| Practice Fax Number | 2144839301 |
| Mailing Telephone | 2144839300 |
| Mailing Fax Number | 2144839301 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2020-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
H6327 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1368102-02 | 05 |
| Street Address |
12200 PARK CENTRAL DR STE 400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75251-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528049723 | Charles Thomas Black | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2005-11-07 |
| 1235478645 | Ansley Benson | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2013-02-05 |
| 1982997011 | Paulette Ismalia Abbas | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2011-05-23 |
| 1508182494 | Rodrigo Benjamin Interiano | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2010-04-16 |
| 1922261833 | James Solomon Davis | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2008-07-10 |
| 1093898447 | Jay S. Roden | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2006-10-21 |
| 1093809410 | John L. Lanoue | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2006-10-02 |
| 1770539306 | Thomas H. Renard | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387317 | Patricia Maria Torres | Specialist/Technologist | 12270 Coit Rd. #870, Dallas, TX 75251 | 2018-12-13 |
| 1437654043 | Precision Med Consultants | Anesthesiology | 12200 Park Central Dr Ste 300, Dallas, TX 75251 | 2018-03-26 |
| 1346650496 | Joseph Hughes Snow Iv | Emergency Medicine | Envision, 12221 Merit Dr Suite 1500, Dallas, TX 75251 | 2014-04-29 |
| 1033558317 | Emily B. Becher | Registered Nurse | 12221 Ment Drive, Suite 1500, Dallas, TX 75251 | 2013-06-19 |
| 1164713178 | Feraidoon Aminzadeh | Chiropractor | 8001 Lbj Freeway, Suite 401, Dallas, TX 75251 | 2011-04-25 |
| 1801035738 | Bharti V Bhakta | Clinic/Center | 7750 Lbj Freeway, Dallas, TX 75251 | 2009-02-17 |
| 1114111549 | Merit Comprehensive Care | Clinic/Center | 12200 Park Central Dr., Suite 189, Dallas, TX 75251 | 2007-08-29 |
| 1790906683 | Amee Godkin Nash | Counselor | 7808 Clodus Field Drive, Dallas, TX 75251 | 2007-05-01 |
| 1740302561 | Asjad M Khan | Internal Medicine | 1221 Merit Drive, 1610, Dallas, TX 75251 | 2007-04-04 |
| 1891845681 | Zachary A Goldman | Emergency Medicine | Questcare Partners, 12221 Merit Dr #1610, Dallas, TX 75251 | 2007-01-12 |
| Find all providers in zip 75251 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255775169 | Natasha Corbitt | Surgery | 1935 Medical District Dr Ste D2000, Dallas, TX 75235-7701 | 2013-04-22 |
| 1528049723 | Charles Thomas Black | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2005-11-07 |
| 1235478645 | Ansley Benson | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2013-02-05 |
| 1508182494 | Rodrigo Benjamin Interiano | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2010-04-16 |
| 1710123351 | Mark Leo Ryan | Surgery | 1935 Medical District Dr, Dallas, TX 75235 | 2009-01-04 |
| 1922261833 | James Solomon Davis | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2008-07-10 |
| 1871754135 | Lauren Ann Gillory | Surgery | 5323 Harry Hines Blvd, Dallas, TX 75390-1900 | 2008-06-19 |
| 1144494618 | Hannah Grace Piper | Surgery | 5323 Harry Hines Blvd., Dallas, TX 75390-7208 | 2008-04-16 |
| 1093898447 | Jay S. Roden | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2006-10-21 |
| 1093809410 | John L. Lanoue | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2006-10-02 |
| Find all providers in DALLAS | ||||
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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.