DR. IRINA MIKHAYLOVNA PODKORYTOVA (NPI# 1386147544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386147544 |
| Entity Type | Individual |
| Full Name | DR. IRINA MIKHAYLOVNA PODKORYTOVA |
| Credential | MD |
| Practice Address |
5323 Harry Hines Blvd # E1.202 Dallas TX 75390-7208 |
| Mailing Address |
5323 Harry Hines Blvd Dallas TX 75390-8508 |
| Practice Telephone | 2146482291 |
| Practice Fax Number | 2416486320 |
| Mailing Telephone | 2146489197 |
| Mailing Fax Number | 2146486320 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
46856 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
5323 HARRY HINES BLVD # E1.202 |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215389655 | Revolution Monitoring Management, LLC | Psychiatry & Neurology | 4925 Greenville Ave #200, Dallas, TX 75206 | 2016-07-11 |
| 1891180311 | Mazen T Elkurd | Psychiatry & Neurology | 5323 Harry Hines Blvd # J3.134, Dallas, TX 75390 | 2015-04-01 |
| 1053704692 | Applied Neurophysiology, Pllc | Psychiatry & Neurology | 4025 Stanford Ave, Dallas, TX 75225-7006 | 2015-03-06 |
| 1427459064 | Rch Medical, Pllc | Psychiatry & Neurology | 3816 Stanford Ave, Dallas, TX 75225-7108 | 2014-09-15 |
| 1841627767 | Neurological Associates of North Texas Pllc | Psychiatry & Neurology | 9330 Poppy Dr Ste 500b, Dallas, TX 75218-4621 | 2013-10-09 |
| 1336486828 | Frisco Neurosurgical Products Pllc | Psychiatry & Neurology | 2633 Mckinney Avenue, Suite 130 #341, Dallas, TX 75204 | 2013-01-03 |
| 1992041438 | Chiflauda Monitoring, Pllc | Psychiatry & Neurology | 4848 Lemmon Avenue, Suite 100 #318, Dallas, TX 75219 | 2013-01-02 |
| 1154671113 | Bk Neuromonitoring, Pllc | Psychiatry & Neurology | 25 Highland Park Village, Suite 100 #566, Dallas, TX 75205 | 2012-09-17 |
| 1518226521 | Southwest Electrodiagnostic Center LLC | Psychiatry & Neurology | 16135 Preston Rd Ste 135, Box 21, Dallas, TX 75248-3590 | 2012-05-10 |
| 1023269495 | Kathleen Voiers Scott | Psychiatry & Neurology | 15950 Dallas Pkwy, South Tower, Ste 480, Dallas, TX 75248-6615 | 2008-10-03 |
| 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.