GARY G. DECKELBOIM, M.D. P.A. (NPI# 1356624183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356624183 |
| Entity Type | Organization |
| Organization Name | GARY G. DECKELBOIM, M.D. P.A. |
| Practice Address |
8210 Walnut Hill Lane Suite 100 Lb-5 Dallas TX 75231-4418 |
| Practice Telephone | 2143698478 |
| Practice Fax Number | 2146961594 |
| Mailing Telephone | 2143698478 |
| Mailing Fax Number | 2146961594 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | GARY G DECKELBOIM (PHYSICIAN) |
| Authorized Official Telephone | 2143698478 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | J0940 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
8210 WALNUT HILL LANE SUITE 100 LB-5 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788404 | Maria Ann Turnage | Specialist | 8210 Walnut Hill Lane, Ste 300, Lb 11, Dallas, TX 75231-4418 | 2005-05-27 |
| 1093261364 | Sunny Esquenazi | Nurse Practitioner | 8210 Walnut Hill Lane, Suite 230, Dallas, TX 75231 | 2016-08-28 |
| 1023249992 | Jeb S. Miers M.d., P.a | Internal Medicine | 8210 Walnut Hill Lane, 812, Dallas, TX 75231 | 2009-07-27 |
| 1679603278 | Julye Nesbitt Carew, Md, Pa | Internal Medicine | 8210 Walnut Hill Lane, Suite 314, Dallas, TX 75231-4419 | 2007-03-06 |
| 1295784932 | Theodore John Carlson | Pediatrics | 8210 Walnut Hill Lane, Suite 208, Dallas, TX 75231 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962990556 | David Fell | Ophthalmology | 5303 Harry Hines Blvd Dallas Tx 6th Floor, Dallas, TX 75390-3957 | 2018-04-29 |
| 1548781594 | Cataract Vision Institute of Texas, Pllc | Ophthalmology | 14160 N. Dallas Pkwy, Ste 100, Dallas, TX 75254 | 2017-06-29 |
| 1952776866 | Jerome Leon Byers | Ophthalmology | 12271 Coit Rd., #1110, Dallas, TX 75251-2310 | 2015-12-03 |
| 1164892857 | Edwin Gulledge Grafton Jr. | Ophthalmology | 6235 Ravendale Ln., Dallas, TX 75214 | 2015-10-07 |
| 1386010122 | Adam R. Miller, M.d., P.a. | Ophthalmology | 7777 Forest Ln Ste B424, Dallas, TX 75230-6826 | 2015-08-17 |
| 1861800781 | Jw Eye Associates, Pa | Ophthalmology | 15635 Coit Rd, Dallas, TX 75248-4427 | 2014-07-23 |
| 1407273402 | Courtney Kiersten Pollard | Ophthalmology | 5323 Harry Hines Blvd Dept Of, Dallas, TX 75390 | 2014-03-27 |
| 1891139101 | Rabeea Khan | Ophthalmology | 5323 Harry Hines Blvd Ophthalmology Mc 9057, Dallas, TX 75390-1437 | 2013-04-18 |
| 1215290531 | Lauren Nichelle Dobbs Wiggins | Ophthalmology | 3600 Gaston Ave Ste 858, Dallas, TX 75246-1908 | 2012-06-21 |
| 1508144924 | Charles Bain Key | Ophthalmology | 2801 Turtle Creek Blvd Apt 12w, Dallas, TX 75219-4886 | 2011-08-02 |
| 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.