DAVID S GARTENBERG MDPA (NPI# 1528103975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528103975 |
| Entity Type | Organization |
| Organization Name | DAVID S GARTENBERG MDPA |
| Practice Address |
4100 W 15th St Suite #114 Plano TX 75093-5826 |
| Practice Telephone | 9725961205 |
| Mailing Telephone | 9725961205 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-01-14 |
| Authorized Official Name | DR. DAVID S GARTENBERG (PRESIDENT) |
| Authorized Official Telephone | 9725961205 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TEXAS MEDICAL LICENSE NUMBER | E9650 | 01 |
| Street Address |
4100 W 15TH ST SUITE #114 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5826 |
| 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 |
| 1417506296 | Jaime Haidenberg | Plastic Surgery | 4100 W 15th St, Plano, TX 75093-5803 | 2019-09-05 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1053737833 | Pediatric Offices At Willow Bend Association | Clinic/Center | 6529 W Plano Pkwy Ste B, Plano, TX 75093-8260 | 2014-03-17 |
| 1689018459 | Sora Lily Health Clinic, Pllc | Clinic/Center | 280 Legacy Dr, Ste 106, Plano, TX 75023-2376 | 2013-04-24 |
| 1477812543 | Healthworks Med Group of Texas Darlington Pa | Clinic/Center | 8000 Dominion Pkwy, Plano, TX 75024-0100 | 2012-05-10 |
| 1194090084 | Collin County Adult Clinic | Clinic/Center | 2520 K Avenue, Suite 100, Plano, TX 75074 | 2012-03-12 |
| 1437469335 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 5400 Legacy Dr, Plano, TX 75024-3105 | 2010-10-14 |
| 1457443095 | Plano Children's Medical Clinic | Clinic/Center | 1407 14th St, Plano, TX 75074-6301 | 2006-09-29 |
| 1528667334 | Luke Healthcare LLC | Clinic/Center | 5729 Martin Rd Apt 107, Plano, TX 75024-4955 | 2020-10-22 |
| 1710347737 | Vitality Weight Loss and Wellness Institute, Pllc | Clinic/Center | 8080 Independence Pkwy, Suite 230, Plano, TX 75025-4000 | 2016-03-03 |
| 1831443423 | Natural Pediatrics | Clinic/Center | 2109 W Spring Creek Pkwy, Suite #200, Plano, TX 75023-4189 | 2012-11-03 |
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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.