ETHELEEN OLIVIA LENGYON (NPI# 1316050727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316050727 |
Entity Type | Individual |
Full Name | ETHELEEN OLIVIA LENGYON |
Credential | PA-C |
Practice Address |
3604 Live Oak St Suite 100 Dallas TX 75204-6168 |
Mailing Address |
1420 Viceroy Dr Attn: Lashunda Johnson Dallas TX 75235-2208 |
Practice Telephone | 2143582300 |
Practice Fax Number | 2143666330 |
Mailing Telephone | 2143582300 |
Mailing Fax Number | 2143666127 |
Enumeration Date | 2006-08-17 |
Last Update Date | 2011-06-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00047 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3604 LIVE OAK ST SUITE 100 |
City | DALLAS |
State | TX |
Zip Code | 75204-6168 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205826310 | Us Vascular Access Center of Dallas,llc | Clinic/Center | 3604 Live Oak St, Suite 300, Dallas, TX 75204-6168 | 2005-10-28 |
1487086054 | Heather Kasten | Physician Assistant | 3604 Live Oak St, Suite 100, Dallas, TX 75204-6168 | 2013-08-05 |
1780980029 | Erica Allesandra Collins | Nurse Practitioner | 3604 Live Oak St, Suite 100, Dallas, TX 75204-6168 | 2011-02-03 |
1053634030 | Dallas Nephrology Associates | Clinic/Center | 3604 Live Oak St, Suite 300, Dallas, TX 75204-6168 | 2010-03-05 |
1568673226 | Muhammad Saim | Internal Medicine | 3604 Live Oak St, Suite 100, Dallas, TX 75204-6168 | 2007-05-24 |
1174636401 | Carolyn Colette Cochran | Dietitian, Registered | 3604 Live Oak St, Suite 100, Dallas, TX 75204-6168 | 2006-08-17 |
1760596027 | Mary Elizabeth Callahan | Social Worker | 3604 Live Oak St, Dallas, TX 75204-6168 | 2006-08-17 |
1205857927 | Us Vascular Access Center of Dallas, LLC | Clinic/Center | 3604 Live Oak St, Suite 300, Dallas, TX 75204-6168 | 2006-07-21 |
1386679413 | Us Vascular Access Center of Dallas,llc | Clinical Medical Laboratory | 3604 Live Oak St, Suite 300, Dallas, TX 75204-6168 | 2006-07-11 |
1760437305 | Frank J Rivera | Radiology | 3604 Live Oak St, Suite # 100, Dallas, TX 75204-6168 | 2006-05-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
Find all providers in zip 75204 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821641051 | Kelsey Young | Physician Assistant | 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 | 2019-07-17 |
1558863555 | Kyra Nicole Logan | Physician Assistant | 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 | 2018-03-06 |
1386169175 | Lauren Moore | Physician Assistant | 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 | 2017-08-14 |
1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
1881123909 | One Healthcare LLC | Physician Assistant | 1722 Routh St Ste 900, Dallas, TX 75201-2588 | 2017-06-12 |
1972037307 | Morrison Medical | Physician Assistant | 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 | 2017-04-12 |
1205297652 | Keri Miller | Physician Assistant | 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 | 2016-03-14 |
1275907776 | Aleshia Mutai | Physician Assistant | 5800 E Lovers Ln, Dallas, TX 75206-2901 | 2015-11-20 |
1588049613 | Yvonne Conard | Physician Assistant | 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 | 2015-07-30 |
1699174599 | John Michael Cline | Physician Assistant | 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 | 2014-08-15 |
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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.