CLINIQUE DALLAS PLASTIC SURGERY (NPI# 1689808941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689808941 |
| Entity Type | Organization |
| Organization Name | CLINIQUE DALLAS PLASTIC SURGERY |
| Practice Address |
6020 W Plano Pkwy Plano TX 75093-4640 |
| Practice Telephone | 4694297557 |
| Practice Fax Number | 2149604186 |
| Mailing Telephone | 4694297557 |
| Mailing Fax Number | 2149604186 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2013-08-08 |
| Authorized Official Name | JOHN W ANTONETTI (PRESIDENT) |
| Authorized Official Telephone | 4694297557 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2931776-01 | 05 |
| Street Address |
6020 W PLANO PKWY |
| City | PLANO |
| State | TX |
| Zip Code | 75093-4640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992916266 | John William Antonetti | Surgery | 6020 W Plano Pkwy, Plano, TX 75093-4640 | 2007-05-25 |
| 1396003224 | Laura Katerine Brunjes-antonetti | Nurse Practitioner | 6020 W Plano Pkwy, Plano, TX 75093-4640 | 2012-04-28 |
| 1811299829 | Surgery Center of Texas Lp | Clinic/Center | 6020 W Plano Pkwy, Plano, TX 75093-4640 | 2010-11-23 |
| 1053545467 | Cocco Clinique Md, Pa | Plastic Surgery | 6020 W Plano Pkwy, Plano, TX 75093-4640 | 2009-05-13 |
| 1841494408 | Jennyfer Faridy Cocco | Plastic Surgery | 6020 W Plano Pkwy, Plano, TX 75093-4640 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| 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 Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992916266 | John William Antonetti | Surgery | 6020 W Plano Pkwy, Plano, TX 75093-4640 | 2007-05-25 |
| 1548343452 | Patty K Young | Surgery | 4104 W. 15th St., Ste 200, Plano, TX 75093 | 2006-10-23 |
| 1649655341 | Southwest Hand and Microsurgery, Pa | Surgery | 3108 Midway Rd, Ste 103, Plano, TX 75093-6383 | 2015-07-23 |
| 1073887386 | Patty K. Young, Md, Pa | Surgery | 4104 W 15th St, Suite 200, Plano, TX 75093-5860 | 2012-03-05 |
| 1871883421 | Ira Savetsky | Surgery | 6000 W Spring Creek Pkwy Ste 200, Plano, TX 75024-3617 | 2011-04-17 |
| 1275823528 | Kristen Ann Aliano Messina | Surgery | 6000 W Spring Creek Pkwy Ste 200, Plano, TX 75024-3617 | 2011-04-07 |
| 1235437690 | Elizabeth Kerner, M.d., P.a. | Surgery | 6130 W Parker Rd, Ste 110, Plano, TX 75093-7912 | 2011-03-09 |
| 1750598298 | Robert D. Wilcox Md Pa | Surgery | 5316 W Plano Parkway, Plano, TX 75093-4821 | 2007-05-16 |
| 1750508495 | Renaissance Plastic Surgery | Surgery | 6105 Windcom Ct, Suite 150, Plano, TX 75093 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408588 | Hill Country Plastic Surgery, Pllc | Surgery | 8042 Wurzbach Rd Ste 120, San Antonio, TX 78229-3818 | 2020-08-23 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1780242123 | Hands of Houston Pllc | Surgery | 6704 Ferris, Bellaire, Texas, TX 77401 | 2019-05-31 |
| 1609361419 | Texas Surgery Specialist, Pllc | Surgery | 1000 N Davis Dr Ste E, Arlington, TX 76012-3202 | 2018-06-25 |
| 1720575954 | Wijay Tops, Pllc | Surgery | 4306 Yoakum Blvd Ste 520, Houston, TX 77006-5883 | 2018-04-13 |
| 1437664067 | Austin Cosmetic Surgery | Surgery | 3102 Rr 620 S, Lakeway, TX 78734 | 2017-12-05 |
| 1326558594 | West Houston Aesthetic and Plastic Surgery Pllc | Surgery | 1717 Wisteria Way, Westlake, TX 76262-9083 | 2017-10-02 |
| 1235667189 | Lyos Plastic Surgery & Associates | Surgery | 9230 Katy Fwy Ste 420, Houston, TX 77055-7468 | 2017-05-23 |
| 1275071292 | Elite Breast & Trauma Care | Surgery | 7400 Fannin St # 700c, Houston, TX 77054-1920 | 2017-02-09 |
| 1699179390 | Sam T. Hamra M.d. P. A. | Surgery | 4131 N Central Expy # 950, Dallas, TX 75204-2102 | 2014-10-09 |
| 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.