JENNIFER M. TAKESAKA (NPI# 1578767802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578767802 |
| Entity Type | Individual |
| Full Name | JENNIFER M. TAKESAKA |
| Credential | MD |
| Practice Address |
7515 Greenville Ave Ste 400 Dallas TX 75231-3860 |
| Practice Telephone | 2147509977 |
| Mailing Telephone | 2147509977 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
P8088 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
7515 GREENVILLE AVE STE 400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881787323 | Samir Hasmukh Shah | Psychiatry & Neurology | 7515 Greenville Ave Ste 400, Dallas, TX 75231-3860 | 2006-10-02 |
| 1306347307 | Kimberly Georgena Broomfield | Nurse Practitioner | 7515 Greenville Ave Ste 400, Dallas, TX 75231-3860 | 2018-02-24 |
| 1215226725 | Aashoo Pande Mentreddi | Psychiatry & Neurology | 7515 Greenville Ave Ste 400, Dallas, TX 75231-3860 | 2011-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386147544 | Irina Mikhaylovna Podkorytova | Psychiatry & Neurology | 5323 Harry Hines Blvd # E1.202, Dallas, TX 75390-7208 | 2018-03-14 |
| 1215389655 | Revolution Monitoring Management, LLC | Psychiatry & Neurology | 4925 Greenville Ave #200, Dallas, TX 75206 | 2016-07-11 |
| 1891180311 | Mazen T Elkurd | Psychiatry & Neurology | 5323 Harry Hines Blvd # J3.134, Dallas, TX 75390 | 2015-04-01 |
| 1053704692 | Applied Neurophysiology, Pllc | Psychiatry & Neurology | 4025 Stanford Ave, Dallas, TX 75225-7006 | 2015-03-06 |
| 1427459064 | Rch Medical, Pllc | Psychiatry & Neurology | 3816 Stanford Ave, Dallas, TX 75225-7108 | 2014-09-15 |
| 1841627767 | Neurological Associates of North Texas Pllc | Psychiatry & Neurology | 9330 Poppy Dr Ste 500b, Dallas, TX 75218-4621 | 2013-10-09 |
| 1336486828 | Frisco Neurosurgical Products Pllc | Psychiatry & Neurology | 2633 Mckinney Avenue, Suite 130 #341, Dallas, TX 75204 | 2013-01-03 |
| 1992041438 | Chiflauda Monitoring, Pllc | Psychiatry & Neurology | 4848 Lemmon Avenue, Suite 100 #318, Dallas, TX 75219 | 2013-01-02 |
| 1154671113 | Bk Neuromonitoring, Pllc | Psychiatry & Neurology | 25 Highland Park Village, Suite 100 #566, Dallas, TX 75205 | 2012-09-17 |
| 1518226521 | Southwest Electrodiagnostic Center LLC | Psychiatry & Neurology | 16135 Preston Rd Ste 135, Box 21, Dallas, TX 75248-3590 | 2012-05-10 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on JENNIFER M. TAKESAKA.
| 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.