DR. PEDRO JUAN LOREDO III (NPI# 1417175209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417175209 |
| Entity Type | Individual |
| Full Name | DR. PEDRO JUAN LOREDO III |
| Credential | MD |
| Practice Address |
220 N Park Blvd Ste 100 Grapevine TX 76051-6900 |
| Practice Telephone | 9729394974 |
| Practice Fax Number | 8172809870 |
| Mailing Telephone | 9729394974 |
| Mailing Fax Number | 8172809870 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 40806 | KY | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
N0228 | TX | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301080172 | MI | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
N0228 | TX | Allopathic & Osteopathic Physicians |
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
40806 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 729 W. Bedford Euless Rd, Suite #204, Hurst, TX 76053 | 9729394974 | 8172809870 |
| Street Address |
220 N PARK BLVD STE 100 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-6900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467528711 | Miriam M. Torres | Obstetrics & Gynecology | 220 N Park Blvd Ste 100, Grapevine, TX 76051-6900 | 2006-11-28 |
| 1649700808 | Southlake Gyn and Wellness Center | Obstetrics & Gynecology | 220 N Park Blvd Ste 100, Grapevine, TX 76051-6900 | 2017-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1780110684 | Lisbon Tech LLC | Surgery | 9 Medical Pkwy Ste 101, Dallas, TX 75234-7852 | 2017-05-11 |
| 1366838864 | Solomon Mollik Azouz | Surgery | 7777 Forest Ln Ste C802, Dallas, TX 75230-6863 | 2015-04-10 |
| 1174959035 | Hand Associates of San Antonio, Pllc | Surgery | 525 Oak Center Dr, Ste 440, San Antonio, TX 78258 | 2013-09-23 |
| 1578995924 | Hand Associates of North Dallas, Pllc | Surgery | 7000 W Plano Parkway, Plano, TX 76093 | 2013-08-07 |
| 1235461112 | Charles G Polsen Md Pa | Surgery | 2622 Marina Bay Dr, League City, TX 77573 | 2010-02-03 |
| 1972832046 | Allied Hand & & Orthopedics Austin Pa | Surgery | 3107 Oak Creek Drive, Ste 100, Austin, TX 78727 | 2009-12-18 |
| 1558543306 | Blake A. Morrison, Md, Pa | Surgery | 8230 Walnut Hill Ln Ste 212, Dallas, TX 75231-4469 | 2007-12-04 |
| 1831387927 | Dean Smith Md Pa | Surgery | 6400 Fannin St Ste 2080, Houston, TX 77030-1532 | 2007-10-15 |
| 1528251568 | Dina N Rahhal | Surgery | 3880 Parkwood Blvd Ste 501, Frisco, TX 75034-1931 | 2007-08-23 |
| Find all providers with the same taxonomy | ||||
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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.