DR. MATTHEW BABICH (NPI# 1659436632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659436632 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BABICH |
| Credential | DPM |
| Practice Address |
12610 E Northwest Hwy Dallas TX 75228 |
| Mailing Address |
1151 N Buckner Blvd Ste 304 Professional Bldg. 1 Dallas TX 75218-3405 |
| Practice Telephone | 4694414484 |
| Mailing Telephone | 2143981234 |
| Mailing Fax Number | 2143981386 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2019-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1754 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAIL ROAD MEDICARE INDIVIDUAL PROVIDER # | P00697605 | 01 |
| TX | 176120701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1151 N Buckner Blvd Ste 304, Professional Bldg. 1, Dallas, TX 752183405 | 2143981234 | 2143981386 |
| 12610 E Northwest Hwy, Dallas, TX 75228 | 4694414484 | |
| 12601 E Northwest Hwy, Dallas, TX 75228 | 4694414484 |
| Street Address |
12610 E NORTHWEST HWY |
| City | DALLAS |
| State | TX |
| Zip Code | 75228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104883693 | Andrew J Martin | Radiology | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2006-04-27 |
| 1699311399 | Kairos Multispecialty Clinics | Clinic/Center | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2019-11-18 |
| 1700435153 | Kairos Multispecialty Clinics | Clinic/Center | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2019-09-09 |
| 1316436215 | Kairos Multispecialty Clinics | Clinic/Center | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2018-05-07 |
| 1033608930 | Kairos Multispecialty Clinics | Radiologic Technologist | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2018-05-07 |
| 1053584979 | Uma Chetana Mukkamalla Reddy | Radiology | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2008-04-11 |
| 1750588661 | Mark Albert Thompson | Internal Medicine | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2007-07-03 |
| 1427065176 | Matthew Eric Anderson | Radiology | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316297 | Interventional Partners LLC | Podiatrist | 9401 Lbj Fwy Ste 320, Dallas, TX 75243-4546 | 2020-02-03 |
| 1447781281 | Patrick Wylie Burge | Podiatrist | 1130 Beachview St Ste 200, Dallas, TX 75218-3705 | 2017-03-23 |
| 1134352289 | Kellvan J Cheng, Dpm, Pa | Podiatrist | 4222 Trinity Mills Road, 112, Dallas, TX 75287-7603 | 2009-08-24 |
| 1558500801 | Kennedy Legel | Podiatrist | 4228 N Central Expy Ste 210, Dallas, TX 75206-6556 | 2009-02-10 |
| 1508002320 | Richard Manuel Duran | Podiatrist | 1400 Hi Line Dr Apt 2015, Dallas, TX 75207-3451 | 2008-12-29 |
| 1023271202 | Joseph L Yeargain | Podiatrist | 3801 Gaston Ave Ste 330, Dallas, TX 75246-1500 | 2008-07-08 |
| 1306019799 | Ashton Podiatry Associates, P.a. | Podiatrist | 6500 E Mockingbird Ln, Dallas, TX 75214-2497 | 2008-04-08 |
| 1851562649 | Dallas Foot and Ankle Specialists,pa | Podiatrist | 3600 Gaston Ave Ste 402, Dallas, TX 75246-1804 | 2008-03-19 |
| 1578731204 | Family Foot Clinic, P.C. | Podiatrist | 221 West Colorado, Suite 340, Dallas, TX 75208 | 2008-02-15 |
| 1568665438 | Ashton Podiatry Associates, P.a. | Podiatrist | 11613 N Central Expwy, #121, Dallas, TX 75243-3842 | 2007-06-07 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on DR. MATTHEW BABICH.
| 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.