SARA S. WOODWARD DYRSTAD (NPI# 1528251923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528251923 |
Entity Type | Individual |
Full Name | SARA S. WOODWARD DYRSTAD |
Credential | MD |
Practice Address |
1000 S Coulter St Ste 100 Amarillo TX 79106-1781 |
Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
Practice Telephone | 8064572060 |
Mailing Telephone | 9729978000 |
Mailing Fax Number | 9722340813 |
Enumeration Date | 2007-08-20 |
Last Update Date | 2019-08-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Q2222 | TX | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
60898 | WI | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2012007271 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 348373702 | 05 |
Street Address |
1000 S COULTER ST STE 100 |
City | AMARILLO |
State | TX |
Zip Code | 79106-1781 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063454007 | Harnoor Singh | Radiology | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2006-06-12 |
1336769819 | Jennifer Campos | Internal Medicine | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2020-04-24 |
1104470095 | Staci Nichole Longbine | Pharmacist | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2019-07-29 |
1093034506 | Shrestha Dilipbhai Patel | Internal Medicine | 1000 S Coulter St Ste 100, Amarillo, TX 79106 | 2010-05-24 |
1659512556 | Cathryn Anne Doughtie | Surgery | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2009-03-23 |
1013158013 | Madhava Rao Kanakamedala | Radiology | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2009-03-20 |
1407038813 | Jessica Ann Turner | Nurse Practitioner | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2007-11-28 |
1447450499 | Joshua Kilgore | Obstetrics & Gynecology | 1000 S Coulter St Ste 100, Amarillo, TX 79106 | 2007-07-18 |
1417167859 | Lova Tiana Arenivas | Radiology | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2007-05-23 |
1972627446 | Srini Bakkannagari Reddy | Internal Medicine | 1000 S Coulter St Ste 100, Suite 210, Amarillo, TX 79106-1781 | 2007-03-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
Find all providers in zip 79106 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093028268 | Mesa Radiology, P.a. | Radiology | 2607 Wolflin Ave, Suite 201, Amarillo, TX 79109-1825 | 2010-07-16 |
1508918673 | Aaron Michael Elliott | Radiology | 1901 Medi Park Dr., Suite 2050, Amarillo, TX 79106 | 2007-01-17 |
1013008754 | Tully Jenks Currie | Radiology | 2818 S Lipscomb St, Amarillo, TX 79109-3532 | 2006-09-27 |
1831103241 | Arouj A Hashmi | Radiology | 1901 Medi Park Dr Ste 2050, Amarillo, TX 79106-2109 | 2006-07-28 |
1063454007 | Harnoor Singh | Radiology | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2006-06-12 |
1356394894 | Open Air Mri of Amarillo, Lp | Radiology | 7400 Wallace Blvd, Amarillo, TX 79106-1818 | 2006-05-18 |
1033171335 | John L Andrew | Radiology | 1901 Medipark, Ste 2050, Amarillo, TX 79106 | 2006-04-04 |
1902867062 | Howard S Nunn Jr. | Radiology | 11 Cypress Pt, Ste 2050, Amarillo, TX 79124-4910 | 2006-03-29 |
1841274651 | Christina Areti Gougoutas Fox | Radiology | 5214 Berget Dr, Amarillo, TX 79106-4914 | 2005-12-05 |
1003815325 | Stanley D Cook | Radiology | 1901 Medi Park Dr, Suite 2050, Amarillo, TX 79106-2110 | 2005-07-19 |
Find all providers in AMARILLO |
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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.