JAIME HAIDENBERG (NPI# 1417506296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417506296 |
| Entity Type | Individual |
| Full Name | JAIME HAIDENBERG |
| Credential | MD |
| Practice Address |
4100 W 15th St Plano TX 75093-5803 |
| Practice Telephone | 9729857474 |
| Mailing Telephone | 9729857474 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | M8697 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4100 W 15TH ST |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105491 | Kathy Ann Rapport | Specialist/Technologist, Other | 4100 W 15th St, Ste 208, Plano, TX 75093-5801 | 2005-06-21 |
| 1225500168 | Denise Butler | Nurse Practitioner | 4100 W 15th St, Plano, TX 75093-5803 | 2018-12-17 |
| 1003340043 | Neurotex Iom Reads, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-04-17 |
| 1548709348 | Desert Iom Reads, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-02-14 |
| 1871032672 | Mckinney Iom Services, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-02-14 |
| 1811434632 | Helix Neuromonitoring, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-01-31 |
| 1679018493 | Valley Iom | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-01-03 |
| 1639613904 | Neuron Shield Monitoring Associates | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2016-12-06 |
| 1063956340 | Neuron Shield 9, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2016-12-06 |
| 1780126342 | West Texas Reads, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2016-11-14 |
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| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366603359 | Renaissance Plastic Surgery Pllc | Plastic Surgery | 5880 Ashmill Dr Ste 200, Plano, TX 75024-0031 | 2008-06-23 |
| 1639260128 | Robert Stanley Antonetti | Plastic Surgery | 6020 W. Plano Pkwy, Plano, TX 75093-4640 | 2006-09-27 |
| 1336584911 | Specialized Plastic Surgery Services Pa | Plastic Surgery | 5425 W Spring Creek Pkwy, Plano, TX 75024-4236 | 2013-05-08 |
| 1689808941 | Clinique Dallas Plastic Surgery | Plastic Surgery | 6020 W Plano Pkwy, Plano, TX 75093-4640 | 2009-05-14 |
| 1053545467 | Cocco Clinique Md, Pa | Plastic Surgery | 6020 W Plano Pkwy, Plano, TX 75093-4640 | 2009-05-13 |
| 1801058581 | John Hershman | Plastic Surgery | 3901 W 15th St, Plano, TX 75075-7738 | 2008-06-25 |
| 1194993543 | Plastic Surgery Associates of Dallas | Plastic Surgery | 6300 W Parker Rd, Suite 427, Plano, TX 75093-8160 | 2008-02-19 |
| 1982881611 | C.russell Sparenberg,md,pa | Plastic Surgery | 3900 W 15th St, #106, Plano, TX 75075-7751 | 2008-01-24 |
| 1134304579 | Jeff Oliver Angobaldo | Plastic Surgery | 6105 Windcom Ct, Suite 150, Plano, TX 75093-7889 | 2008-01-03 |
| 1841494408 | Jennyfer Faridy Cocco | Plastic Surgery | 6020 W Plano Pkwy, Plano, TX 75093-4640 | 2007-06-14 |
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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.