DR. JEFFREY CRAIG KOMENDA (NPI# 1396934865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396934865 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY CRAIG KOMENDA |
| Other Name | DR. JEFFREY CRAOG KOMENDA |
| Credential | M.D. |
| Practice Address |
5944 W Parker Rd 100 Plano TX 75093-6421 |
| Mailing Address |
5944 W Parker Rd Ste 100 Plano TX 75093-6422 |
| Practice Telephone | 9726081868 |
| Practice Fax Number | 9729438644 |
| Mailing Telephone | 9726081868 |
| Mailing Fax Number | 9729438644 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2012-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | H6350 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AMERIGROUP | 10018514 | 01 |
| TX | 124934405 | 05 | |
| TX | MEDICAID TEXAS HEALTH STE | 165802302 | 01 |
| TX | MEDICAID GROUP | 165802301 | 01 |
| Street Address |
5944 W PARKER RD 100 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-6421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203468 | Peter R. Barnett | Dentist | 5944 W Parker Rd, Ste 500, Plano, TX 75093-6430 | 2005-05-30 |
| 1093265431 | No Pain Consultants,pllc | Anesthesiology | 5944 W Parker Rd, Suite 400, Plano, TX 75093-6421 | 2016-10-10 |
| 1013383421 | Tonya Putman | Nurse Practitioner | 5944 W Parker Rd, Plano, TX 75093-6421 | 2015-08-19 |
| 1700226867 | Dallas Pain Relief Center, PC. | Specialist | 5944 W Parker Rd, Suite 300, Plano, TX 75093-6421 | 2013-07-03 |
| 1275770356 | Advanced Medical Enterprises Lp | Durable Medical Equipment & Medical Supplies | 5944 W Parker Rd, Suite 300, Plano, TX 75093-6421 | 2009-01-12 |
| 1326296310 | Jerry Daniel | Anesthesiology | 5944 W Parker Rd, Suite 400, Plano, TX 75093-6421 | 2008-09-03 |
| 1518149111 | Jeff Eidsvig D.c., Pllc | Clinic/Center | 5944 W Parker Rd, 400, Plano, TX 75093-6421 | 2007-12-05 |
| 1316133838 | Jeffrey Charles Eidsvig | Chiropractor | 5944 W Parker Rd, #400, Plano, TX 75093-6421 | 2007-09-18 |
| 1598983983 | Peter R. Barnett, Dmd, P.a. | Dentist | 5944 W Parker Rd, Suite 500, Plano, TX 75093-6421 | 2007-04-23 |
| 1700990793 | Willow Bend Pharmacy Inc | Pharmacy | 5944 W Parker Rd, Ste 110, Plano, TX 75093-6421 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414321 | Crate of Papaya LLC | Clinic/Center | 6320 Woodway Ln, Plano, TX 75093-7903 | 2020-07-10 |
| 1194293795 | Rajani Rao Md Pllc | Clinic/Center | 2237 W Parker Rd Ste D, Plano, TX 75023-7800 | 2018-11-13 |
| 1437644036 | Hennen Chiropractic Neurology and Wellness | Clinic/Center | 4105 W Spring Creek Pkwy Ste 510, Plano, TX 75024-5294 | 2018-06-26 |
| 1497277420 | Resolute Specialty Imaging | Clinic/Center | 7711 San Jacinto Pl Ste 200, Plano, TX 75024-3296 | 2017-07-11 |
| 1073064218 | Eating Recovery Center of Texas | Clinic/Center | 4716 Alliance Blvd Ste 400, Plano, TX 75093-5303 | 2016-10-24 |
| 1306395884 | Ambulatory 22 | Clinic/Center | 5760 Legacy Dr, Suite B-325, Plano, TX 75024-7102 | 2016-09-26 |
| 1487100319 | Dallas County Hospital District D/b/a Parkland Health and Hospital Sys | Clinic/Center | 1900 Harrington Dr, Plano, TX 75075-2714 | 2016-08-31 |
| 1124400197 | Texas Premier Ob/gyn Center Pllc | Clinic/Center | 5934 W Parker Rd Ste 500, Plano, TX 75093-6429 | 2015-06-25 |
| 1962747634 | Hitesh Yagnik, Md Pa | Clinic/Center | 5930 W.parket Road, Suite 900, Plano, TX 75093 | 2012-12-06 |
| 1366787061 | Jeffrey Adelglass Md Pa | Clinic/Center | 6020 W Parker Rd Ste 400, Plano, TX 75093-8175 | 2012-12-06 |
| Find all providers in PLANO | ||||
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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.