THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS (NPI# 1497720353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497720353 |
| Entity Type | Organization |
| Organization Name | THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
| Other Organization Name | UTSW MONCRIEF RADIATION ONCOLOGY |
| Practice Address |
5801 Forest Park Rd Dallas TX 75390-9183 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2146450624 |
| Practice Fax Number | 2146450078 |
| Mailing Telephone | 2146450624 |
| Mailing Fax Number | 2146450078 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | BRUCE A. MEYER (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 2146480309 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 159226301 | 05 |
| Other Name | Type Code |
|---|---|
| UTSW Moncrief Radiation Oncology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1861914558 | The University of Texas Southwestern Medical Center At Dallas | Pediatrics | 7601 Preston Rd., Plano, TX 75024 | 2017-07-13 |
| 1275838732 | The University of Texas Southwestern Medical Center At Dallas | Physical Medicine & Rehabilitation | 470 East State Hwy 114, Southlake, TX 76092-7625 | 2011-01-14 |
| 1508921313 | The University of Texas Southwestern Medical Center At Dallas | Home Health | 6333 Forest Park Road, Suite Blb 304, Dallas, TX 75390-9279 | 2006-12-22 |
| 1609420025 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 5303 Harry Hines Blvd, Suite 100 James Aston Ambulatory Care Center, Dallas, TX 75390-8862 | 2019-07-25 |
| 1912569583 | The University of Texas Southwestern Medical Center At Dallas | Clinic/Center | 5303 Harry Hines Blvd Fl 6, Dallas, TX 75390-7208 | 2019-07-03 |
| 1144752502 | The University of Texas Southwestern Medical Center At Dallas | Durable Medical Equipment & Medical Supplies | 1801 Inwood Rd, Dallas, TX 75390-9087 | 2017-04-03 |
| 1912226572 | The University of Texas Southwestern Medical Center At Dallas | Clinical Medical Laboratory | 5323 Harry Hines Blvd., Dallas, TX 75284-5347 | 2010-05-21 |
| 1245364058 | The University of Texas Southwestern Medical Center At Dallas | Surgery | 1626 W Highway 287 Business, Suite 102, Waxahachie, TX 75165-4712 | 2007-03-15 |
| 1750411286 | The University of Texas Southwestern Medical Center At Dallas | Family Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2007-03-06 |
| Street Address |
5801 FOREST PARK RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-9183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063952851 | Tamara Dickinson | Nurse Practitioner | 5801 Forest Park Rd, Dallas, TX 75235-6403 | 2017-02-28 |
| 1083025407 | Terri Ann Kelley-griffis | Nurse Practitioner | 5801 Forest Park Rd, Dallas, TX 75390-9183 | 2014-05-20 |
| 1003102617 | Nhat-long Lam Pham | Radiology | 5801 Forest Park Rd, Dallas, TX 75390-9183 | 2011-06-22 |
| 1700177144 | Zabihullah Wardak | Radiology | 5801 Forest Park Rd, Dallas, TX 75235-6403 | 2011-04-19 |
| 1366758237 | Neil Bipinchandra Desai | Radiology | 5801 Forest Park Rd, Utsw Radiation Oncology, Dallas, TX 75390-9183 | 2010-08-29 |
| 1033346770 | Michael Ryan Folkert | Internal Medicine | 5801 Forest Park Rd, Dallas, TX 75390-9183 | 2009-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811315286 | Dominic Himchan Moon | Clinic/Center | 2280 Inwood Road, Dallas, TX 75390-7512 | 2014-04-02 |
| 1760739098 | North Texas Srs LLC | Clinic/Center | 10425 N Central Expy, Dallas, TX 75231-2208 | 2012-08-06 |
| 1639253388 | Northpoint Radiation Dallas Gp, LLC | Clinic/Center | 12606 Greenville Ave, Ste. 160, Dallas, TX 75243-1921 | 2006-10-25 |
| 1982709713 | Landmark Radiation Dallas Lp | Clinic/Center | 12606 Greenville Ave, Ste. 160, Dallas, TX 75243-1921 | 2006-09-14 |
| 1780639328 | University of Texas Southwestern Medical Center At Dallas | Clinic/Center | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639538655 | Golden Triangle Cancer Center LLC | Clinic/Center | 2875 Jimmy Johnson Blvd, Suite 100, Port Arthur, TX 77640-2002 | 2016-02-18 |
| 1023443223 | Americare Cancer Centers, Gp; LLC | Clinic/Center | 2507 Stonebury Ln, Sugar Land, TX 77479-5489 | 2013-09-06 |
| 1922388503 | Altus Radiation Oncology Beaumont, Lp | Clinic/Center | 310 N 11th St, Beaumont, TX 77702-1802 | 2011-08-26 |
| 1508178229 | Usmd Cancer Treatment Centers, LLC | Clinic/Center | 801 West Interstate 20, Suite 1, Arlington, TX 76017-3252 | 2010-07-10 |
| 1285955708 | Altus Radiation Oncology (baytown) Lp | Clinic/Center | 1455 Manor Drive, Suite 150, Baytown, TX 77521 | 2010-06-18 |
| 1861711392 | Noushin Izadifar Hart, M.d. P.a. | Clinic/Center | 10 W Whistlers Bend Cir, Conroe, TX 77384-5061 | 2010-05-24 |
| 1689853038 | University Cancer Center of Huntsville Brenham Inc | Clinic/Center | 521 Interstate 45 S, Suite 10, Huntsville, TX 77340-5650 | 2007-11-01 |
| 1801910492 | Christus Santa Rosa Cancer Center | Clinic/Center | 310 N San Saba, San Antonio, TX 78207-3199 | 2007-03-19 |
| 1174610786 | Thanh John Van Md Pa | Clinic/Center | 1415 Hyde Park Blvd Unit C, Houston, TX 77006-2503 | 2006-10-06 |
| 1467460162 | Cleburne Cancer Center Ltd | Clinic/Center | 191 Walls Dr, Cleburne, TX 76033-4033 | 2006-08-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS.
| 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.