SCHARLES ALICIA KONADU (NPI# 1528358843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528358843 |
| Entity Type | Individual |
| Full Name | SCHARLES ALICIA KONADU |
| Credential | M.D. |
| Practice Address |
12001 South Fwy Ste 300 Burleson TX 76028-7215 |
| Practice Telephone | 6822686670 |
| Practice Fax Number | 6822686671 |
| Mailing Telephone | 6822686670 |
| Mailing Fax Number | 6822686671 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
R8397 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 392320301 | 05 | |
| TX | MEDICARE | 740395 | 01 |
| Street Address |
12001 SOUTH FWY STE 300 |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-7215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568432565 | Gastroenterology Center, Pa | Internal Medicine | 12001 South Fwy, Ste 305, Burleson, TX 76028-7208 | 2006-01-24 |
| 1306816392 | Mike M Bismar | Internal Medicine | 11797 South Fwy Ste 136, Burleson, TX 76028-7035 | 2006-01-24 |
| 1992212492 | Gastroenterology Center Pa | Internal Medicine | 11797 South Fwy Ste 136, Burleson, TX 76028-7035 | 2018-01-05 |
| 1093012668 | Muhammad Anis Memon M.d. P A | Internal Medicine | 701 E Rendon Crowley Rd, Burleson, TX 76028-7536 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716014 | Kingwood Gastroenterology Pllc | Internal Medicine | 210 W Park Ste 100, Livingston, TX 77351-8337 | 2020-10-03 |
| 1003432543 | Dc Gastro Konsult | Internal Medicine | 11620 Pellicano Dr Ste B, El Paso, TX 79936-6250 | 2020-06-21 |
| 1851946917 | Sunbal Zafar Pllc | Internal Medicine | 3125 Matlock Rd Ste 108, Arlington, TX 76015-2905 | 2019-08-06 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1205393279 | Fatema S Uddin Md, Pllc | Internal Medicine | 601 Omega Dr Ste 201, Arlington, TX 76014-2075 | 2019-02-26 |
| 1952875932 | Aimee Lin Simington | Internal Medicine | 609 Medical Center Dr Ste 2600, Decatur, TX 76234-3846 | 2019-01-14 |
| 1265903652 | Michael S Brown | Internal Medicine | 5323 Harry Hines Blvd Rm L5.238, Dallas, TX 75390-9046 | 2018-12-10 |
| 1174098883 | Texas Digestive Care, Pllc | Internal Medicine | 2900 N I 35 Ste 210, Denton, TX 76201-5145 | 2018-10-09 |
| 1194208892 | El Paso Center for Pediatric Gastroenterology Pa | Internal Medicine | 2311 N Mesa St Ste C, El Paso, TX 79902-3575 | 2018-09-10 |
| 1821594052 | Tanmayi Gaikwad | Internal Medicine | 16651 Southwest Fwy Ste 370, Sugar Land, TX 77479-2348 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
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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.