DR. JENNIFER LEE MCNEILL (NPI# 1407885940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407885940 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LEE MCNEILL |
| Credential | M.D. |
| Practice Address |
700 Walter Reed Blvd Medical Plaza II, Suite 301b Garland TX 75042-3701 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 9724852000 |
| Practice Fax Number | 9722722294 |
| Mailing Telephone | 9729978000 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | L9356 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 173912001 | 05 | |
| TX | 173915303 | 05 | |
| TX | RAILROAD MEDICARE | P00942272 | 01 |
| Street Address |
700 WALTER REED BLVD MEDICAL PLAZA II, SUITE 301B |
| City | GARLAND |
| State | TX |
| Zip Code | 75042-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832326 | William Daniel Nicholson IIi | Surgery | 700 Walter Reed Blvd, Ste 301, Garland, TX 75042-3716 | 2005-06-23 |
| 1982095329 | Vascular Care of Texas, Pllc | Surgery | 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3701 | 2015-02-06 |
| 1215209721 | Biren H Parikh, Md, Pa | Internal Medicine | 700 Walter Reed Blvd, Suite 301a, Garland, TX 75042-3701 | 2012-01-30 |
| 1447540976 | Terry W. Sergison | Physical Therapist | 700 Walter Reed Blvd, Garland, TX 75042-3701 | 2011-04-18 |
| 1164673893 | Safia Raza | Internal Medicine | 700 Walter Reed Blvd, Suite #204, Garland, TX 75042-3701 | 2008-09-30 |
| 1801056924 | Hong B Dang | Internal Medicine | 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701 | 2008-06-12 |
| 1063687259 | Srilakshmi Chavali | Internal Medicine | 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701 | 2008-04-28 |
| 1134306590 | Vijayavalli Little | Internal Medicine | 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-5743 | 2008-01-29 |
| 1952596900 | Shilpa Gupta | Internal Medicine | 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701 | 2007-09-12 |
| 1245442128 | Sandra V. Moore Mdpa | Surgery | 700 Walter Reed Blvd, Suite 301, Garland, TX 75042-3701 | 2007-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306026703 | Shonda Banegas | Surgery | 700 Walter Reed Blvd Ste 203, Garland, TX 75042 | 2007-11-14 |
| 1205832326 | William Daniel Nicholson IIi | Surgery | 700 Walter Reed Blvd, Ste 301, Garland, TX 75042-3716 | 2005-06-23 |
| 1003158577 | Ranan Ayal Mendelsberg | Surgery | 700 Walter Reed Blvd Ste 203, Garland, TX 75042-3711 | 2013-03-22 |
| 1194016287 | Ramon Quinones,md,pa | Surgery | 122 N International Rd, Suite C, Garland, TX 75042-6530 | 2011-04-25 |
| 1245442128 | Sandra V. Moore Mdpa | Surgery | 700 Walter Reed Blvd, Suite 301, Garland, TX 75042-3701 | 2007-05-04 |
| 1396759825 | Ramon Quinones | Surgery | 2692 W Walnut St, Ste 209, Garland, TX 75042-6474 | 2006-07-28 |
| 1144260688 | Sandra Velia Moore | Surgery | 700 Walter Reed Blvd, Suite 301, Garland, TX 75042-3701 | 2006-06-06 |
| 1871543660 | Edic Stephanian | Surgery | 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3701 | 2006-05-11 |
| 1790761948 | James Cole Hayhurst | Surgery | 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3701 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110971 | Metroplex Surgical Institute Pllc | Surgery | 2937 Lago Vista Ln, Rockwall, TX 75032-5466 | 2020-09-24 |
| 1881209708 | Preva Surgical Partners Cypress LLC | Surgery | 13114 Fm 1960 Rd W Ste 118, Houston, TX 77065-5590 | 2020-09-09 |
| 1063021749 | Brooke Nicole Harris | Surgery | 355 E Vista Ridge Mall Dr Apt 4933, Lewisville, TX 75067-4024 | 2020-07-28 |
| 1609484872 | Deepak Dev Vivekanandan | Surgery | 7703 Floyd Curl Dr # Mc-7742, San Antonio, TX 78229-3901 | 2020-07-14 |
| 1760009195 | Tomball Surgical Assistant Service LLC | Surgery | 18220 Tomball Pkwy # 249, Houston, TX 77070-4347 | 2020-07-01 |
| 1174147086 | North Texas General Surgery Pllc | Surgery | 1600 Coit Rd Ste 207, Plano, TX 75075-6172 | 2020-06-05 |
| 1619591690 | Expert Surgical, Pllc | Surgery | 3537 S I 35 E Ste 200, Denton, TX 76210-6814 | 2020-06-04 |
| 1831712314 | Merten Gene Pearson | Surgery | 7306 Sw 34th Ave Ste 6, Amarillo, TX 79121-1446 | 2020-05-19 |
| 1558983098 | Aleshia Yvette Toler-levi | Surgery | 405 Schley Ave, Orange, TX 77630-3503 | 2020-05-06 |
| 1508487570 | Somkenechi Ijeoma Ajene | Surgery | 301 University Boulevard, 6.136-b John Sealy Annex, Galveston, TX 77555-0534 | 2020-05-01 |
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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.