SALLY SPANN (NPI# 1386077360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386077360 |
| Entity Type | Individual |
| Full Name | SALLY SPANN |
| Credential | PA |
| Practice Address |
11803 South Fwy Suite 110 Burleson TX 76028-7012 |
| Mailing Address |
11803 South Freeway Burleson TX 76028 |
| Practice Telephone | 8175517332 |
| Mailing Telephone | 8175517553 |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11803 SOUTH FWY SUITE 110 |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538144118 | Donna M Duran | Obstetrics & Gynecology | 11803 South Fwy, Suite 218, Burleson, TX 76028-7012 | 2005-12-07 |
| 1598210981 | Ajuna Shrestha | Nurse Practitioner | 11803 South Fwy, Suite 310, Burleson, TX 76028-7012 | 2016-08-16 |
| 1548666944 | Jason A. Seiden, M.d., P.a. | Internal Medicine | 11803 South Fwy, Suite 104, Burleson, TX 76028-7012 | 2014-11-12 |
| 1275979189 | Bhavani Mysore Satyanarayana | General Practice | 11803 South Fwy, Ste 103, Burleson, TX 76028-7012 | 2013-05-18 |
| 1063766657 | Gurpreet S Dhaliwal Md P A | Psychiatry & Neurology | 11803 South Fwy, Suite 210, Burleson, TX 76028-7012 | 2012-11-04 |
| 1861749624 | Demequa Legail Moore | Obstetrics & Gynecology | 11803 South Fwy, Suite 213, Burleson, TX 76028-7012 | 2012-08-12 |
| 1295013233 | Dayaker R. Gagadam M.d.pa | Internal Medicine | 11803 South Fwy, Suite 208, Burleson, TX 76028-7012 | 2011-07-25 |
| 1154641587 | Rosy Rajbhandary | Internal Medicine | 11803 South Fwy, Suite 210, Burleson, TX 76028-7012 | 2010-06-08 |
| 1447588827 | Chandra Pavai Chellappan | Obstetrics & Gynecology | 11803 South Fwy, Suite 206, Burleson, TX 76028-7012 | 2009-11-24 |
| 1215126156 | Jason Andrew Seiden | Internal Medicine | 11803 South Fwy, Suite 104, Burleson, TX 76028-7012 | 2007-10-16 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124484043 | Kevin Barron | Physician Assistant | 1501 Sw Wilshire Blvd, Burleson, TX 76028-8715 | 2016-01-07 |
| 1316257314 | Stephanie Chan Nguyen | Physician Assistant | 621 Sw Johnson Ave, Ste C, Burleson, TX 76028-5834 | 2010-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
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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.