GADC LLC (NPI# 1467852186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467852186 |
Entity Type | Organization |
Organization Name | GADC LLC |
Other Organization Name | LIBERTY DIALYSIS - GASTON AVENUE |
Practice Address |
3417 Gaston Ave Ste 180 Dallas TX 75246-2016 |
Mailing Address |
Po Box 844631 Dallas TX 75284-4631 |
Practice Telephone | 2147362700 |
Mailing Telephone | 2147362700 |
Mailing Fax Number | 2147362701 |
Enumeration Date | 2014-08-29 |
Last Update Date | 2017-01-25 |
Authorized Official Name | YUGANDHAR CHIMATA (MEMBER) |
Authorized Official Telephone | 2062365001 |
Is Organization Subpart | Y |
Parent Organization Name | U.S. RENAL CARE, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | STATE LICENSURE | 110408 | 01 |
Other Name | Type Code |
---|---|
Liberty Dialysis - Gaston Avenue | Doing Business As Name - Organization |
Street Address |
3417 GASTON AVE STE 180 |
City | DALLAS |
State | TX |
Zip Code | 75246-2016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
Find all providers in zip 75246 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578190567 | Bio Medical Applications of Texas | Clinic/Center | 6010 Forest Park Rd Ste 100, Dallas, TX 75235-6408 | 2020-03-27 |
1619508728 | Dallas County Hospital District | Clinic/Center | 4201 Brook Spring Dr Bldg 2, Dallas, TX 75224-4968 | 2020-01-28 |
1891254371 | Usrc Royal Central, LLC | Clinic/Center | 11343 N Central Expy, Dallas, TX 75243-6703 | 2019-03-14 |
1215405030 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 112 Village Walk, Dallas, GA 30132-5576 | 2018-11-09 |
1467920546 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1510 Lower Dallas Hwy, Dallas, NC 28034-9474 | 2018-11-07 |
1831681824 | Usrc East Dallas, LLC | Clinic/Center | 11255 Garland Rd Ste 1160, Dallas, TX 75218-2573 | 2018-06-05 |
1255835286 | Ashdow Dialysis LLC | Clinic/Center | 4405 Ross Ave, Dallas, TX 75204-5013 | 2018-03-23 |
1497128292 | Greater Irving II Regional Dialysis Center LLC | Clinic/Center | 1070 N Westmoreland Rd, Dallas, TX 75211-2444 | 2015-11-03 |
1053797704 | Crowder Dialysis LLC | Clinic/Center | 13340 Preston Rd, Dallas, TX 75240-5287 | 2015-08-05 |
1518308154 | Usrc North Dallas LLC | Clinic/Center | 10740 N Central Expy Ste 150, Dallas, TX 75231-2161 | 2013-07-11 |
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.