DR. AMINIDHAN D THAKKAR (NPI# 1629058169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629058169 |
| Entity Type | Individual |
| Full Name | DR. AMINIDHAN D THAKKAR |
| Credential | MD |
| Practice Address |
1212 N Highway 377 Ste 119 Roanoke TX 76262-6916 |
| Practice Telephone | 6828311591 |
| Mailing Telephone | 6828311591 |
| Mailing Fax Number | 6828311598 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2013-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | K8519 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 124559902 | 05 | |
| TX | BCBS | 85154Y | 01 |
| TX | BCBS | 86796N | 01 |
| TX | MEDICARE RAILROAD | 930078750 | 01 |
| TX | 124559904 | 05 | |
| TX | MEDICARE RAILROAD | 930095584 | 01 |
| Street Address |
1212 N HIGHWAY 377 STE 119 |
| City | ROANOKE |
| State | TX |
| Zip Code | 76262-6916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043790918 | Jordan Walsh | Chiropractor | 1212 N Highway 377 Ste 119, Roanoke, TX 76262-6916 | 2018-08-20 |
| 1154666758 | First Family Care, Pllc | Family Medicine | 1212 N Highway 377 Ste 119, Roanoke, TX 76262-6916 | 2012-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025611 | Freeform Chiropractic Trophy Club LLC | Chiropractor | 2240 Sh 114, Suite 650, Trophy Club, TX 76262 | 2020-02-20 |
| 1932748498 | Legacy Physical Therapy and Wellness | Physical Therapist | 351 N Byron Nelson Blvd, Suite 110, Roanoke, TX 76262 | 2020-01-02 |
| 1497399687 | Roanoke Foot & Ankle Institute, Pllc | Podiatrist | 351 W Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 | 2019-10-31 |
| 1710470810 | Maria Guadalupe Madera | Dentist | 5000 Highway 114, Unit 130, Northlake, TX 76262 | 2018-06-13 |
| 1912414251 | 6 Day Dental Group - Roanoke, Pllc | Clinic/Center | 200 Tx-114, Roanoke, TX 76262 | 2018-01-09 |
| 1144746561 | Lone Star Neurosurgical Assistants | Physician Assistant | 1270 Casa Bella Ct, Westlake, TX 76262 | 2017-08-17 |
| 1710347562 | Randolph R West Dds Pllc | Dentist | 295 W. Byron Nelson Blvd, Ste 304, Roanoke, TX 76262 | 2016-03-07 |
| 1912367228 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 35 Arta Dr, Westlake, TX 76262 | 2016-02-29 |
| 1952760050 | Roanoke Dental Group,pc | Dentist | 1320 N Hwy 377 Suite 100, Roanoke, TX 76262 | 2016-02-17 |
| 1942683115 | Fatima Naurose Siraj | Dentist | 860 East Highway 114 Ideal Dental, Suite 200, Roanoke, TX 76262 | 2015-07-07 |
| Find all providers in zip 76262 | ||||
| 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 |
|---|---|---|---|---|
| 1417211343 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 5610 Williamson Rd, Roanoke, VA 24012-1442 | 2012-06-26 |
| 1306004122 | Paul E. Stromberg | Emergency Medicine | 1906 Bellview Ave, Carilion Clinic Department of Emergency Medicine, Roanoke, VA 24014 | 2008-05-29 |
| 1699816975 | Scott James Crosby | Emergency Medicine | 1906 Belleview Ave., Carilion Clinic Emergency Department, Roanoke, VA 24014-1838 | 2007-02-09 |
| 1447353768 | David B Alligood | Emergency Medicine | 3960 Valley Gateway Blvd, Roanoke, VA 24012-6858 | 2006-09-06 |
| 1306855002 | Stephen Ausband | Emergency Medicine | Crmh 1 South, Roanoke, VA 24033-3367 | 2006-08-05 |
| 1093717712 | Timothy John Fortuna | Emergency Medicine | 7017 Highfields Farm Trl, Roanoke, VA 24018-5633 | 2005-08-12 |
| 1932737293 | Bryce N Taylor | Emergency Medicine | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-03-31 |
| 1427569524 | Roanoke Physician Services, LLC | Emergency Medicine | 2706 Ogden Rd, Roanoke, VA 24018-0600 | 2017-10-16 |
| 1801328141 | Krista Kohler | Emergency Medicine | 1906 Belleview Ave Se, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014-1838 | 2017-03-28 |
| 1720510910 | Kathryn Rawlings | Emergency Medicine | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2017-03-28 |
| Find all providers in ROANOKE | ||||
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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.