TEXAS OPTIMUM HEALTHCARE, LLC (NPI# 1639566250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639566250 |
| Entity Type | Organization |
| Organization Name | TEXAS OPTIMUM HEALTHCARE, LLC |
| Other Organization Name | NORTH TEXAS OPTIMUM HEALTHCARE, LLC |
| Practice Address |
2210 San Jacinto Blvd Ste. 4 Denton TX 76205-7531 |
| Mailing Address |
2210 San Jacinto Blvd Suite 4 Denton TX 76205-7531 |
| Practice Telephone | 9403873837 |
| Practice Fax Number | 9403879924 |
| Mailing Telephone | 9403873837 |
| Mailing Fax Number | 9403879924 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2016-05-13 |
| Authorized Official Name | MR. BART STEELE (OWNER) |
| Authorized Official Telephone | 9403873837 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | K2408 | TX | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA08941 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | P1368 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0022BA | 01 |
| TX | AETNA | 132492 | 01 |
| TX | UNITED HEALTHCARE | 016338-0025 | 01 |
| TX | BLUE CROSS BLUE SHIELD | H00022BA010001 | 01 |
| Other Name | Type Code |
|---|---|
| North Texas Optimum Healthcare, LLC | Former Legal Business Name - Organization |
| Street Address |
2210 SAN JACINTO BLVD STE. 4 |
| City | DENTON |
| State | TX |
| Zip Code | 76205-7531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703821 | David William Price | Specialist | 2210 San Jacinto Blvd, Suite 3, Denton, TX 76205-7527 | 2005-07-13 |
| 1891244331 | M Siddhappan Md Pa | Family Medicine | 2210 San Jacinto Blvd, Suite 4, Denton, TX 76205-7527 | 2016-09-26 |
| 1093175887 | Texas Optimum Healthcare LLC | Family Medicine | 2210 San Jacinto Blvd, Suite 4, Denton, TX 76205-7527 | 2016-03-07 |
| 1942523501 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 2210 San Jacinto Blvd, Suite 5, Denton, TX 76205-7527 | 2010-03-10 |
| 1578709762 | Paul G. Middleton | Optometrist | 2210 San Jacinto Blvd, Denton, TX 76205-7527 | 2008-12-18 |
| 1790933851 | Thomas A. Cadenhead, Md, Pa | Otolaryngology | 2210 San Jacinto Blvd, Suite 2, Denton, TX 76205-7527 | 2008-09-03 |
| 1104096437 | Murugesan M Siddhappan | Family Medicine | 2210 San Jacinto Blvd, Ste 4, Denton, TX 76205-7527 | 2008-03-03 |
| 1063612638 | Rodgers L. Eckhart | Ophthalmology | 2210 San Jacinto Blvd, Suite 1, Denton, TX 76205-7527 | 2007-07-23 |
| 1669562724 | Dorothy Denise Goddard | Nurse Practitioner | 2210 San Jacinto Blvd, Ste 4, Denton, TX 76205-7527 | 2006-10-12 |
| 1194781567 | Lawrence Kevin Guess | Audiologist | 2210 San Jacinto Blvd, #2, Denton, TX 76205-7527 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170401 | Jolyn K Pritchett | Counselor | 109 S Woodrow Lane, Suite 300, Denton, TX 76205 | 2020-10-05 |
| 1922629849 | Haven Niland | Behavioral Analyst | 409 N I 35 E, Denton, TX 76205 | 2020-05-01 |
| 1245732783 | Sundar Embar Rangarajan | Dentist | 1300 S Loop 288 Unit 100, Denton, TX 76205 | 2018-03-01 |
| 1568918423 | Lisa Hernandez | Chiropractor | 2436 S I 35 E Ste 336, Denton, TX 76205 | 2016-08-31 |
| 1659744662 | Er24 Denton, LLC | Clinic/Center | 2426 Lillian Miller Pkwy, Denton, TX 76205 | 2015-11-12 |
| 1265816458 | Vigorcare Partners of Texas | Home Health | 1517 Centre Place Drive, Suite 350, Denton, TX 76205 | 2015-07-17 |
| 1831508738 | Denton Modern Dentistry and Orthodontics PC | Dentist | 1300 S. Loop 288, Suite 100, Denton, TX 76205 | 2014-08-05 |
| 1538575436 | Keri Strong | Specialist | 2319 San Jacinto Blvd, Denton, TX 76205 | 2014-07-11 |
| 1518206556 | Bonnie Dianna Alagood | Counselor | 1710 Westminister St., Denton, TX 76205 | 2013-02-12 |
| 1790022960 | Miriam A Koech | Behavioral Analyst | 490 N I 35 E, Denton, TX 76205 | 2013-01-08 |
| Find all providers in zip 76205 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992369177 | Connections Primary Care | Family Medicine | 2721 Shoreline Dr Ste 120, Denton, TX 76210-0170 | 2019-04-23 |
| 1194104950 | Kamille Romain | Family Medicine | 2310 W University Dr, Denton, TX 76201-1650 | 2015-05-27 |
| 1245640192 | Nancy E Gegbe Clark | Family Medicine | 2660 Scripture St Ste 110, Denton, TX 76201-4340 | 2014-04-30 |
| 1669890315 | Gabriel Okpagu | Family Medicine | 2520 W University Dr # 1154, Denton, TX 76201-1616 | 2014-03-31 |
| 1346517919 | Robert Seavey Croissant | Family Medicine | 401 Ridgecrest Cir, Denton, TX 76205-5407 | 2011-11-25 |
| 1255619268 | Robert Lee Gispanski | Family Medicine | 4401 N I 35 Unit 312, Denton, TX 76207-3318 | 2011-07-25 |
| 1326373291 | Dogwood Housecalls Pa | Family Medicine | 3912 Drexel Dr, Denton, TX 76210-7705 | 2009-10-12 |
| 1215182191 | Linda Yeatts, M.d., P.a. | Family Medicine | 2701 W Oak St, Suite 101, Denton, TX 76201-2328 | 2008-11-19 |
| 1861652372 | Neelima Chirumamilla | Family Medicine | 2520 W University Dr, Suite 1154, Denton, TX 76201-1616 | 2008-06-10 |
| 1518144534 | Shane Jordan Ashford | Family Medicine | 2900 N Interstate 35 Ste 301, Denton, TX 76201-5146 | 2008-01-22 |
| Find all providers in DENTON | ||||
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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.