TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS (NPI# 1598812729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598812729 |
| Entity Type | Organization |
| Organization Name | TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS |
| Practice Address |
8440 Walnut Hill Ln Suite 540 Dallas TX 75231-3833 |
| Mailing Address |
500 E Border St Arlington TX 76010-7445 |
| Practice Telephone | 2143455634 |
| Practice Fax Number | 2143457046 |
| Mailing Telephone | 2143457260 |
| Mailing Fax Number | 6822364620 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-09-26 |
| Authorized Official Name | MR. JAMES BERG (CEO/PRESIDENT) |
| Authorized Official Telephone | 2143452815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
000431 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 0043JN | 01 |
| TX | 152488601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366939738 | Texas Health Presbyterian Hospital Dallas | Non-Pharmacy Dispensing Site | 8160 Walnut Hill Ln Ste 1, Dallas, TX 75231-4385 | 2018-04-20 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| 1124028683 | Texas Health Presbyterian Hospital Dallas | Home Health | 9301 N. Central Expy, Suite 675, Dallas, TX 75231-0823 | 2005-07-27 |
| 1952588063 | Texas Health Presbyterian Hospital Dallas | Pediatrics | 900 E Park Blvd, #100, Plano, TX 75074-5465 | 2008-01-31 |
| 1528245636 | Texas Health Presbyterian Hospital Dallas | Nurse Practitioner | 900 E Park Blvd, #100, Plano, TX 75074-5465 | 2008-01-31 |
| 1952453987 | Texas Health Presbyterian Hospital Dallas | Psychiatric Unit | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2007-01-18 |
| 1114079142 | Texas Health Presbyterian Hospital Dallas | Psychiatric Unit | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2007-01-18 |
| 1295887727 | Texas Health Presbyterian Hospital Dallas | Clinic/Center | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2007-01-17 |
| 1740337054 | Texas Health Presbyterian Hospital Dallas | Internal Medicine | 8210 Walnut Hill Ln, Suite 705, Dallas, TX 75231-4405 | 2007-01-05 |
| 1124175039 | Texas Health Presbyterian Hospital Dallas | Nurse Practitioner | 8210 Walnut Hill Ln, Suite 705, Dallas, TX 75231-4405 | 2007-01-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 |
| Street Address |
8440 WALNUT HILL LN SUITE 540 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558350462 | Susan Carol Guba | Internal Medicine | 8440 Walnut Hill Ln, Suite 600, Dallas, TX 75231-3833 | 2005-10-14 |
| 1124677638 | Tiffany Nicole Stephens | Nurse Practitioner | 8440 Walnut Hill Ln, Dallas, TX 75231-3833 | 2019-09-06 |
| 1316509110 | Casey Westmoreland | Physician Assistant | 8440 Walnut Hill Ln, Dallas, TX 75231-3833 | 2019-07-01 |
| 1144767914 | Sonya Kirsten Rodrigue | Nurse Practitioner | 8440 Walnut Hill Ln, Suite 340, Dallas, TX 75231-3833 | 2017-01-31 |
| 1083151369 | Pain Management & Diagnostic Center | Anesthesiology | 8440 Walnut Hill Ln, Ste 340, Dallas, TX 75231-3833 | 2017-01-25 |
| 1003208059 | Taylor Surgical Associates, Pllc | Registered Nurse | 8440 Walnut Hill Ln, Ste 250, Dallas, TX 75231-3833 | 2015-02-27 |
| 1295149276 | Jennifer Faye Massey | Nurse Practitioner | 8440 Walnut Hill Ln, Suite 540, Dallas, TX 75231-3833 | 2014-06-17 |
| 1235455536 | Michael Dehart | Nurse Practitioner | 8440 Walnut Hill Ln, Suite 540, Dallas, TX 75231-3833 | 2010-04-12 |
| 1053643726 | Melissa Rozakis | Clinical Nurse Specialist | 8440 Walnut Hill Ln, Suite 250, Dallas, TX 75231-3833 | 2010-02-05 |
| 1912138322 | Alison Wimberley Bray | Nurse Practitioner | 8440 Walnut Hill Ln, Suite 540, Dallas, TX 75231-3833 | 2009-08-03 |
| Find all providers in the same location | ||||
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598229510 | Sara Klueber | Nurse Practitioner | 1935 Medical District Dr # C8.01, Dallas, TX 75235-7701 | 2019-01-23 |
| 1932671443 | Allison Blazek | Nurse Practitioner | 1935 Medical District Dr # F3.214, Dallas, TX 75235-7701 | 2018-12-21 |
| 1124520291 | Dalia K George | Nurse Practitioner | 7777 Forest Ln Ste C840, Dallas, TX 75230-2594 | 2018-03-06 |
| 1740790849 | Madeline Claire Crank | Nurse Practitioner | 7777 Forest Ln Ste C742, Dallas, TX 75230-6862 | 2017-10-03 |
| 1215480355 | Ashley Smith | Nurse Practitioner | 8325 Walnut Hill Ln# 225, Dallas, TX 75231 | 2016-07-25 |
| 1316349962 | Jennifer Tracy | Nurse Practitioner | 2350 N Stemmons Fwy Ste 4300mcf4, Dallas, TX 75207-2700 | 2014-09-25 |
| 1013334879 | Sneha Patel | Nurse Practitioner | 4830 Cedar Springs Rd, Unit 3, Dallas, TX 75219-1366 | 2014-03-18 |
| 1720415748 | Heidi Nicole Pettit | Nurse Practitioner | 1935 Medical District Dr # E2300, Dallas, TX 75235-7701 | 2013-10-04 |
| 1821357088 | Robyn Joy Haynes | Nurse Practitioner | 1935 Medical District Dr # D2.04, Dallas, TX 75235-7701 | 2012-05-09 |
| 1205102589 | Ashley Caroline Eckstein | Nurse Practitioner | 8440 Walnut Hill Ln Ste 540, Dallas, TX 75231-3824 | 2012-03-30 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS.
| 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.