GENESISCARE LANDMARK TEXAS CANCER CARE PA (NPI# 1376154534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376154534 |
| Entity Type | Organization |
| Organization Name | GENESISCARE LANDMARK TEXAS CANCER CARE PA |
| Practice Address |
12606 Greenville Ave Ste 160 Dallas TX 75243-1915 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 4693647880 |
| Practice Fax Number | 4695476545 |
| Mailing Telephone | 2399317212 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | JEFFREY T. TRIPLETT (PRESIDENT) |
| Authorized Official Telephone | 4693647880 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003427287 | Genesiscare Landmark Texas Cancer Care Pa | Internal Medicine | 12606 Greenville Ave Ste 185, Dallas, TX 75243-1921 | 2020-08-12 |
| Street Address |
12606 GREENVILLE AVE STE 160 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376836114 | Jonathan Verma | Radiology | 1441 N Beckley Ave # Suie101, Dallas, TX 75203-1201 | 2011-05-26 |
| 1205168887 | Puneeth Iyengar | Radiology | 5801 Forest Park Road, Dallas, TX 75390-9183 | 2010-02-05 |
| 1891973947 | Sharon L Macko Md Pa | Radiology | 13827 Sprucewood Drive, Dallas, TX 75240-3636 | 2008-01-31 |
| 1013084912 | Thomas Louis Borok | Radiology | 5004 Spyglass Drive, Dallas, TX 75287-7429 | 2006-11-29 |
| 1437186244 | Donald Everett Schwarz | Radiology | 8196-b Walnut Hill Ln, Radiation Oncology Dept., Dallas, TX 75231-4426 | 2006-06-27 |
| 1568401909 | Kesha Richelle Harris-henderson | Radiology | 3555 W Wheatland Rd, Dallas, TX 75237-3461 | 2006-06-04 |
| 1396709721 | John Kevin Oconnor | Radiology | 7777 Forest Ln Ste D110, Dallas, TX 75230-2567 | 2006-04-13 |
| 1831160647 | Heidi Louise Mckellar | Radiology | 2201 Inwood Rd 2nd Floor, Dallas, TX 75390-1806 | 2006-01-30 |
| 1619977329 | Manoj Adavelly Reddy | Radiology | 5925 Forest Ln Ste 416, Dallas, TX 75230-2713 | 2005-07-22 |
| 1740283738 | Alan A. Slomowitz | Radiology | 4610 Bobbitt Dr, Dallas, TX 75229-4241 | 2005-05-23 |
| 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.