MEADOW LANE SURGICAL ALLIANCE, PLLC (NPI# 1447764873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447764873 |
| Entity Type | Organization |
| Organization Name | MEADOW LANE SURGICAL ALLIANCE, PLLC |
| Practice Address |
9301 N Central Expy Ste 400 Dallas TX 75231-0805 |
| Mailing Address |
Po Box 8337 Spring TX 77387-8337 |
| Practice Telephone | 8007858765 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2019-11-01 |
| Authorized Official Name | ANDREW CLAVENNA (MANAGER) |
| Authorized Official Telephone | 8007858765 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9301 N CENTRAL EXPY STE 400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-0805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356483416 | Teresa Cooney | Physician Assistant | 9301 N Central Expy Ste 400, Dallas, TX 75231-0805 | 2007-02-13 |
| 1679109359 | Alexandrea Withers | Nurse Practitioner | 9301 N Central Expy Ste 400, Dallas, TX 75231-0805 | 2020-03-13 |
| 1114588696 | Carrell Clinic Specialty Care Pllc | Orthopaedic Surgery | 9301 N Central Expy Ste 400, Dallas, TX 75231-0805 | 2019-06-25 |
| 1578124236 | Carrell Clinic Orthopedic Care Pllc | Orthopaedic Surgery | 9301 N Central Expy Ste 400, Dallas, TX 75231-0805 | 2019-06-24 |
| 1275013567 | Mahuiyang Rong | Physical Therapist | 9301 N Central Expy Ste 400, Dallas, TX 75231-0805 | 2018-08-16 |
| 1871086702 | Megan Marie Siebert | Physical Therapist | 9301 N Central Expy Ste 400, Dallas, TX 75231-0805 | 2018-06-14 |
| 1861906083 | Glen Creek Surgical Partners, Pllc | Clinical Nurse Specialist | 9301 N Central Expy Ste 400, Dallas, TX 75231-0805 | 2017-11-27 |
| 1770953192 | Sarah Elissabeth Mccloskey | Physical Therapist | 9301 N Central Expy Ste 400, Dallas, TX 75231-0805 | 2015-09-28 |
| 1386061802 | Urvi Patel | Physician Assistant | 9301 N Central Expy Ste 400, Dallas, TX 75231 | 2014-03-21 |
| 1700219920 | Eric Gordon Alyea | Orthopaedic Surgery | 9301 N Central Expy Ste 400, Dallas, TX 75231 | 2013-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326691957 | Kourtney Marie Willett | Physician Assistant | 1411 N Beckley Ave Pav 3 Suite 363, Dallas, TX 75203-1259 | 2019-07-23 |
| 1003302944 | Amk Provider Solutions Pllc | Physician Assistant | 8197 Midtown Blvd Apt 15101, Dallas, TX 75231-4566 | 2018-07-03 |
| 1184136632 | Pa Solutions, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 166, Dallas, TX 75207-3912 | 2017-10-24 |
| 1528589918 | Operator Assistants, LLC | Physician Assistant | 8440 Walnut Hill Ln Ste 250, Dallas, TX 75231-3815 | 2017-07-06 |
| 1447603683 | Exos Surgical Assist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-90, Dallas, TX 75214-6126 | 2016-07-22 |
| 1871941419 | Premier Physician Surgical Associates, Pllc | Physician Assistant | 9540 Garland Rd # 381-416, Dallas, TX 75218-5004 | 2016-05-24 |
| 1144686452 | Clara Joplin | Physician Assistant | 10830 N. Central Expy. Suite 120, Dallas, TX 75231-1050 | 2016-01-04 |
| 1689057820 | Horizon Pa Services, Pllc | Physician Assistant | 381 Casa Linda Plz # 417, Dallas, TX 75218-3471 | 2015-07-07 |
| 1942681572 | Ridgeback Assist, Pllc | Physician Assistant | 381 Casa Linda Plz # 418, Dallas, TX 75218-3471 | 2015-06-09 |
| 1164802385 | Kris Holmes Pa Pllc | Physician Assistant | 740 Peavy Rd, Dallas, TX 75218-2149 | 2015-06-03 |
| 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.