SOUTHLAKE ONCOLOGY (NPI# 1518147594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518147594 |
| Entity Type | Organization |
| Organization Name | SOUTHLAKE ONCOLOGY |
| Practice Address |
1545 E Southlake Blvd Suite 280 Southlake TX 76092-6465 |
| Practice Telephone | 8174160202 |
| Mailing Telephone | 8174160202 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2008-03-12 |
| Authorized Official Name | MARY DOWLER (PRACTICE MANAGER) |
| Authorized Official Telephone | 8174160202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
K3595 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1545 E SOUTHLAKE BLVD SUITE 280 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385456 | Stefanie N Sanderson | Physician Assistant | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2005-06-09 |
| 1770017600 | Valeria Simone, Md Pllc | Surgery | 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092-6422 | 2017-04-18 |
| 1477000636 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 1545 E Southlake Blvd, Southlake, TX 76092-6422 | 2016-09-06 |
| 1033585039 | Whitney Holmans | Physical Therapist | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2015-08-13 |
| 1598172033 | Southlake Emergicare Pllc | Emergency Medicine | 1545 E Southlake Blvd, Er Dept, Southlake, TX 76092-6422 | 2014-07-16 |
| 1083029904 | Rebecca Miller | Physical Therapy Assistant | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2014-06-30 |
| 1417214057 | Pinnacle Anesthesia Consultants Pa | Physician Assistant | 1545 E Southlake Blvd, Suite 220, Southlake, TX 76092-6422 | 2012-04-20 |
| 1376848895 | Michael L Matthews | Physical Therapist | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2011-01-13 |
| 1386969814 | David G Garrigues | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2010-03-26 |
| 1487984985 | Rebecca P Hornsby | Physical Therapist | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2010-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356388870 | James David Mackey | Internal Medicine | 431 E State Highway 114 Ste 470, Southlake, TX 76092-4415 | 2006-06-01 |
| 1609209949 | Deepti Kallam | Internal Medicine | 431 E State Highway 114 Ste 470, Southlake, TX 76092-4415 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447636857 | Carl Plager | Internal Medicine | 5151 Edloe Street, Apt. 5406, Houston, TX 77005-1187 | 2015-08-07 |
| 1730560525 | Michael Burgess | Internal Medicine | 300 Zapata Ave, Rancho Viejo, TX 78575-9654 | 2015-06-17 |
| 1861802332 | Shane Ahlers | Internal Medicine | 6037 Marquita Ave, Dallas, TX 75206 | 2014-05-05 |
| 1881018760 | Giora M. Mavligit | Internal Medicine | 2400 N. Braeswood, #211, Houston, TX 77030 | 2014-02-12 |
| 1396184354 | David Hsieh | Internal Medicine | 2201 Inwood Road 3rd Floor Nc3.500, Dallas, TX 75390 | 2013-06-22 |
| 1790124113 | William Stanley Gore | Internal Medicine | 570 Beechwood Loop, Hemphill, TX 75948-6615 | 2013-06-19 |
| 1679919963 | Olufunke Akinbobuyi | Internal Medicine | 2205 West Walker Street, League City, TX 77573 | 2013-05-14 |
| 1659715357 | Natasha Baldev Hirani | Internal Medicine | 1450 E League City Pkwy, League City, TX 77573 | 2013-04-24 |
| 1154676146 | Rossa Khalaf | Internal Medicine | 7812 Gateway Blvd E Ste 110, El Paso, TX 79915-1811 | 2012-07-17 |
| 1275808222 | Debra Louise Caudy | Internal Medicine | 6620 Golf Dr, Dallas, TX 75205-1212 | 2012-03-08 |
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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.