ASSURA SOURCE (NPI# 1558597138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558597138 |
| Entity Type | Organization |
| Organization Name | ASSURA SOURCE |
| Practice Address |
12700 Hillcrest Rd Dallas TX 75230-2033 |
| Practice Telephone | 9722331010 |
| Practice Fax Number | 9722331099 |
| Mailing Telephone | 9722331010 |
| Mailing Fax Number | 9722331099 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |
| Authorized Official Name | DR. SANDRA KATE RICHARDS (PYSCO THERAPIST) |
| Authorized Official Telephone | 9722914098 |
| Authorized Official Credential | LCSW,ACP,PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 08268 | TX | Managed Care Organizations |
| Street Address |
12700 HILLCREST RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326033481 | Brenda Weinfeld Bliss | Speech-Language Pathologist | 12700 Hillcrest Rd, Suite 207, Dallas, TX 75230-2033 | 2005-09-14 |
| 1609351253 | Ricky Charles Merriam | Massage Therapist | 12700 Hillcrest Rd, Ste 125 #143, Dallas, TX 75230-2009 | 2018-09-29 |
| 1871913822 | Ralph W Martin Ed. D. PC | Counselor | 12700 Hillcrest Rd, Suite 212, Dallas, TX 75230-2033 | 2014-04-17 |
| 1154768125 | Olivia Marlene Baskin | Social Worker | 12700 Hillcrest Rd, 274, Dallas, TX 75230-2033 | 2013-05-30 |
| 1972868081 | Anne Morris | Psychologist | 12700 Hillcrest Rd, Suite 275, Dallas, TX 75230-2033 | 2012-07-05 |
| 1164798997 | Thoc Pa | Internal Medicine | 12700 Hillcrest Rd, Dallas, TX 75230-2033 | 2012-03-27 |
| 1275810962 | Mindful, LLC | Psychologist | 12700 Hillcrest Rd, Suite 176, Dallas, TX 75230-2033 | 2011-11-08 |
| 1023394871 | David Michael Young II | Psychologist | 12700 Hillcrest Rd, Suite 176, Dallas, TX 75230-2033 | 2011-10-25 |
| 1497030597 | Joseph A. Shaw | Counselor | 12700 Hillcrest Rd, Suite 250, Dallas, TX 75230-2033 | 2011-10-20 |
| 1063727162 | Amy Schmidt Brenner | Social Worker | 12700 Hillcrest Rd, Ste 176, Dallas, TX 75230-2033 | 2010-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093247959 | Swift Provider Inc | Preferred Provider Organization | 9205 Skillman St Ste 125, Dallas, TX 75243-9042 | 2017-03-30 |
| 1063955334 | Traveling Doctors, LLC | Preferred Provider Organization | 8508 Sikorski Ln, Dallas, TX 75228-5447 | 2016-11-18 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1538561675 | Linda's Home Health Care | Preferred Provider Organization | 10204 Hillhouse Ln, Dallas, TX 75227-7648 | 2014-09-19 |
| 1316200686 | Love Rx Pharmacy | Preferred Provider Organization | 1625 W Mockingbird Ln, Ste 206, Dallas, TX 75235-5077 | 2012-06-20 |
| 1164669974 | Shatorya Ann Modkins | Preferred Provider Organization | 4342 Lashley Dr, Dallas, TX 75232-1186 | 2009-01-15 |
| 1487872628 | Dallas Metrocare Services | Preferred Provider Organization | 901 South Ervay, Dallas, TX 75201 | 2007-04-23 |
| 1023120698 | Pediatric Ent Associates | Preferred Provider Organization | 8325 Walnut Hill Ln Ste 100, Dallas, TX 75231-4262 | 2006-08-31 |
| 1427615061 | Veritas Medical Professionals | Preferred Provider Organization | 15240 Dallas Pkwy, Dallas, TX 75248-4610 | 2019-05-20 |
| 1982057386 | Kachepa Group Dental | Preferred Provider Organization | 12250 Inwood Rd Ste 4, Dallas, TX 75244-8021 | 2016-07-20 |
| 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.