AGING WITH CARE, PLLC (NPI# 1528394806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528394806 |
Entity Type | Organization |
Organization Name | AGING WITH CARE, PLLC |
Practice Address |
5616 Gaston Ave Suite 100 Dallas TX 75214-4615 |
Practice Telephone | 2148262405 |
Practice Fax Number | 8662432134 |
Mailing Telephone | 2148262405 |
Mailing Fax Number | 8662432134 |
Enumeration Date | 2009-10-21 |
Last Update Date | 2011-02-22 |
Authorized Official Name | MECHIELL DEMETRIUS TUCKER (OWNER) |
Authorized Official Telephone | 2148262405 |
Authorized Official Credential | PA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
PA02092 | TX | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | PA02092 | TX | Allopathic & Osteopathic Physicians |
N | 363A00000X | Physician Assistant | PA02092 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA02092 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
PA02092 | TX | Allopathic & Osteopathic Physicians |
Street Address |
5616 GASTON AVE SUITE 100 |
City | DALLAS |
State | TX |
Zip Code | 75214-4615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
1447714183 | Lcl Mental Health Services | Marriage & Family Therapist | 6060 North Central Expwy, Suite 500, Dallas, TX 75214 | 2019-01-28 |
1487136776 | Muriel Kim Jimenez | Occupational Therapist | 6301 Gaston Ave # 162p, Dallas, TX 75214 | 2018-09-03 |
1447783352 | Nietta Reynolds | Counselor | 4935 Junius, 9, Dallas, TX 75214 | 2017-04-07 |
1124551536 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 6474 E. Northwest Hwy, Dallas, TX 75214 | 2017-04-04 |
1093265324 | Sarah Gammon | Behavior Technician | 6908 Wake Forrest Dr, Dallas, TX 75214 | 2016-10-11 |
1669921466 | Ivan Barboza | Physical Therapy Assistant | 5931 Reiger Ave, Dallas, TX 75214 | 2016-09-22 |
1164892857 | Edwin Gulledge Grafton Jr. | Ophthalmology | 6235 Ravendale Ln., Dallas, TX 75214 | 2015-10-07 |
1093182057 | Callie Jack | Audiologist-Hearing Aid Fitter | 6162 E. Mockingbird Lane, Suite 100, Dallas, TX 75214 | 2015-08-26 |
1427436179 | John Martin Whitfill | Internal Medicine | 7040 Tokalon Dr., Dallas, TX 75214 | 2015-05-14 |
Find all providers in zip 75214 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
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 |
---|---|---|---|---|
1629609060 | Good4u Family Clinic Dallas Fort Worth (dfw) Pllc | Internal Medicine | 1417 N Cockrell Hill Rd Ste 101a, Dallas, TX 75211-1308 | 2020-02-03 |
1639598725 | Henry Brown Mobley | Internal Medicine | 3416 Cornell Ave., Dallas, TX 75205 | 2014-04-16 |
1386959906 | Gunjan Kant | Internal Medicine | 6901 Snider Plaza, #130, Dallas, TX 75205-5649 | 2010-08-09 |
1942407572 | Amy Amend Johnson | Internal Medicine | 5939 Harry Hines Blvd Floor 8, Suite 124, Dallas, TX 75390-8889 | 2007-06-28 |
1174729503 | North Dallas Internal Medicine | Internal Medicine | 8210 Walnut Hill Lane Ste 416, Dallas, TX 75231 | 2007-06-22 |
1992801567 | David Charles Hales | Internal Medicine | 4500 S Lancaster Rd # 18, Dallas, TX 75216-7167 | 2006-09-14 |
1760420228 | Wellstar Internal Medicine At Paulding, LLC | Internal Medicine | 290 Merchants Sq, Suite F, Dallas, GA 30132-5029 | 2006-06-04 |
1750335097 | Diana R Kerwin | Internal Medicine | 8198 Walnut Hill Ln Ste 100, Dallas, TX 75231-4316 | 2006-05-20 |
1497395461 | Fleschler & Phillips Medical Group LLC | Internal Medicine | 8230 Walnut Hill Ln Ste 800, Dallas, TX 75231-4491 | 2020-01-08 |
1780179267 | Aveo Medical Group - North Texas Pllc | Internal Medicine | 8600 Skyline Dr, Suite 1000, Dallas, TX 75243 | 2018-06-26 |
Find all providers in DALLAS |
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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.