TRUDY E FEDORKO (NPI# 1598775140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598775140 |
| Entity Type | Individual |
| Full Name | TRUDY E FEDORKO |
| Credential | DO |
| Practice Address |
1441 N Beckley Ave Mmc Dallas Dallas TX 75203 |
| Mailing Address |
4040 N Central Expway #600 Dallas TX 75204-3147 |
| Practice Telephone | 2149425733 |
| Practice Fax Number | 2149426115 |
| Mailing Telephone | 2145205743 |
| Mailing Fax Number | 2145205786 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | H4317 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 82957F | 01 |
| TX | 136657702 | 05 |
| Street Address |
1441 N BECKLEY AVE MMC DALLAS |
| City | DALLAS |
| State | TX |
| Zip Code | 75203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500395 | Alan Roach | Pharmacist | 1441 N Beckley Ave, Methodist Hospital of Dallas, Dallas, TX 75203-1201 | 2005-06-30 |
| 1740881648 | Joan Kaminar | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-11-06 |
| 1508473794 | Marlo Jeffrey | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-09-30 |
| 1457967523 | Misty Whitmire | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-09-23 |
| 1073127379 | Shurekkia Shantrice Hudgen | Registered Nurse | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-09-03 |
| 1134731193 | Cynthia Nachae Wrenn | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-08-20 |
| 1609490036 | Emily Nicole Seymour | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-06-01 |
| 1992328983 | Rachel Mentzel | Physical Therapist | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-05-25 |
| 1891316204 | Pooja Dasari | Student in an Organized Health Care Education/Training Program | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-04-27 |
| 1891315669 | Bobby Palmos | Surgery | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1902303183 | Sarah Mcferon | Nurse Practitioner | 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 | 2018-04-12 |
| 1659727030 | Kathy Lightsey | Counselor | 1836 Berwick Ave, Dall, TX 75203 | 2016-05-04 |
| 1659712453 | Maura M Mcglynn | Occupational Therapist | 1520 North Beckley Ave 1033, Dallas, TX 75203 | 2013-07-10 |
| 1093153454 | Adrienne Workman | Internal Medicine | 1441 North Beckley Avenue, Dallas, TX 75203 | 2013-06-07 |
| 1851642490 | April Rebecca Meras | Nurse Practitioner | 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 | 2012-09-22 |
| 1699081612 | East Run Management, Ltd. Company | Alzheimer Center (Dementia Center) | 2653 Cedar Crest Blvd, Dallas, TX 75203 | 2010-08-27 |
| 1538471305 | Preetivi Ellis | Internal Medicine | 1441 N Beckley Ave Fl 4, Dallas, TX 75203 | 2010-07-09 |
| 1306085378 | Maggie Fardella | Counselor | 201 E 9th St, Dallas, TX 75203 | 2009-02-13 |
| 1811159122 | Maryam Raza Md Pa | Internal Medicine | 1441 N. Beckley, Dallas, TX 75203 | 2008-06-27 |
| Find all providers in zip 75203 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077675 | Eir Pllc | Emergency Medicine | 5150 Lemmon Ave Ste 108, Dallas, TX 75209-6428 | 2020-09-15 |
| 1912537184 | Nuch of Texas | Emergency Medicine | 14201 Dallas Pkwy Ste 150, Dallas, TX 75254-2916 | 2020-01-16 |
| 1740827906 | Ziad A. Abdo, Md, P.a. | Emergency Medicine | 14731 Stanford Ct, Dallas, TX 75254-8471 | 2019-12-06 |
| 1174189815 | Alexander Wisbeck | Emergency Medicine | Emergency Medicine Dept. Utsw Medical Center, Dallas, TX 75390-8579 | 2019-05-17 |
| 1245797760 | Exceptional Physicians Group Pllc | Emergency Medicine | 1100 S Akard St, Dallas, TX 75215-1003 | 2019-02-21 |
| 1265812960 | Richard Philip Williams | Emergency Medicine | 5253 Harry Hines Blvd, Dallas, TX 75390-4993 | 2015-06-08 |
| 1356736524 | Hp Health Center, Pllc | Emergency Medicine | 9203 Skillman St Ste 126, Dallas, TX 75243-9036 | 2015-04-03 |
| 1578952354 | Arvin Radfar Akhavan | Emergency Medicine | 5511 Inverrary Ct, Dallas, TX 75287-7416 | 2015-01-15 |
| 1235543430 | Kneel and Youngblood | Emergency Medicine | 300 Crescent Ct, #1380, Dallas, TX 75201-1876 | 2014-06-16 |
| 1154733004 | Blake Ashton Johnson | Emergency Medicine | 13737 Noel Rd Ste 1200, Dallas, TX 75240-1335 | 2014-05-27 |
| 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.