NEURO EMG PA (NPI# 1689779035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689779035 |
| Entity Type | Organization |
| Organization Name | NEURO EMG PA |
| Practice Address |
13601 Preston Rd Ste 625w Dallas TX 75240-4911 |
| Mailing Address |
Po Box 797604 Dallas TX 75379-7604 |
| Practice Telephone | 9727029310 |
| Practice Fax Number | 9724587111 |
| Mailing Telephone | 9727029310 |
| Mailing Fax Number | 9724587111 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICIA BAILEY (OFFICE MANAGER) |
| Authorized Official Telephone | 9727029310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
G8700 | TX | Allopathic & Osteopathic Physicians |
| X | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
K2530 | TX | Allopathic & Osteopathic Physicians |
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
D2622 | TX | Allopathic & Osteopathic Physicians |
| X | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
D0260 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0085GF | 01 |
| Street Address |
13601 PRESTON RD STE 625W |
| City | DALLAS |
| State | TX |
| Zip Code | 75240-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013943 | Daniel Stephen Long | Anesthesiology | 13601 Preston Rd, Ste 1000w, Dallas, TX 75240-4911 | 2005-06-16 |
| 1437757382 | Beatrice Kubvaruno | Registered Nurse | 13601 Preston Rd, Dallas, TX 75240-4911 | 2020-10-13 |
| 1417567058 | Christie Windsor | Registered Nurse | 13601 Preston Rd, Dallas, TX 75240-4911 | 2020-08-07 |
| 1164922803 | Waymonette Tamara Hill | Licensed Vocational Nurse | 13601 Preston Rd, Dallas, TX 75240-4911 | 2018-02-20 |
| 1194225094 | Sylvie Molah | Registered Nurse | 13601 Preston Rd, Dallas, TX 75240-4911 | 2018-02-16 |
| 1356841381 | Gladys Gakurukeza | Registered Nurse | 13601 Preston Rd, Dallas, TX 75240-4911 | 2018-02-16 |
| 1225547888 | Stephanie Roelofs | Counselor | 13601 Preston Rd, Dallas, TX 75240-4911 | 2017-09-27 |
| 1740684356 | Irisa Health Services Inc | Home Health | 13601 Preston Rd, Suite 524w, Dallas, TX 75240-4911 | 2014-10-10 |
| 1528495371 | Sybrid Health LLC | Internal Medicine | 13601 Preston Rd, E740, Dallas, TX 75240-4911 | 2013-10-10 |
| 1366886830 | Metroplex Physicians Medical Services Pa | Surgery | 13601 Preston Rd, Suite 575e, Dallas, TX 75240-4911 | 2013-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
| 1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
| 1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
| 1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
| 1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
| 1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
| Find all providers in zip 75240 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484120 | John R. Gilmore, M.d. | Otolaryngology | 10740 N Central Expy Ste 120, Dallas, TX 75231-2162 | 2020-07-21 |
| 1801926720 | John A. Standefer Jr. | Otolaryngology | 17311 Dallas Parkway, Dallas, TX 75248 | 2007-03-07 |
| 1225123938 | Arunkumar N Badi | Otolaryngology | 7777 Forest Ln Ste C600, Dallas, TX 75230-2517 | 2006-10-04 |
| 1194778928 | John Russell Gilmore | Otolaryngology | 10740 N Central Expy, Suite 120, Dallas, TX 75231-2161 | 2006-05-19 |
| 1831196534 | Gunnar West | Otolaryngology | 2909 S Hampton Rd, E121 Box 26, Dallas, TX 75224-3000 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887636 | Sinus Surgery Throat Allergy Clinic | Otolaryngology | 1200 Binz St Ste 1020, Houston, TX 77004-6946 | 2019-02-20 |
| 1487199360 | Texas Facial Aesthetics, Pllc | Otolaryngology | 6371 Preston Rd., Suite 100, Frisco, TX 75034 | 2016-12-30 |
| 1720446685 | Reconstructive Associates of Houston Pllc | Otolaryngology | 4126 Southwest Fwy Ste 275, Houston, TX 77027-7310 | 2016-02-08 |
| 1255741013 | Melissa E Bender | Otolaryngology | 2745 Bee Caves Rd Ste 101, Austin, TX 78746-6009 | 2014-05-02 |
| 1063763910 | Alan I Zane | Otolaryngology | 42 E Bend Ln, Houston, TX 77007-7024 | 2012-10-01 |
| 1043570195 | Serenity Facial Plastics & Rhinology, P.a. | Otolaryngology | 13215 Dotson Rd Ste 140, Houston, TX 77070-4535 | 2012-05-23 |
| 1013193895 | Etai Funk | Otolaryngology | 952 Echo Ln Ste 140, Houston, TX 77024 | 2008-01-11 |
| 1104037100 | Michael Montgomery Blair | Otolaryngology | 1340 Wonder World Dr Ste 4031, San Marcos, TX 78666-7598 | 2007-05-24 |
| 1174736672 | Denis K. Hoasjoe Md Pa | Otolaryngology | 4301 Garth Rd Ste 216, Baytown, TX 77521-3158 | 2007-05-08 |
| 1588780159 | Bradford Bader | Otolaryngology | 3310 Dallas Pkwy Ste 201, Plano, TX 75093-7712 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
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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.