EITAN PODGAETZ GLIKSBERG (NPI# 1689825119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689825119 |
| Entity Type | Individual |
| Full Name | EITAN PODGAETZ GLIKSBERG |
| Credential | MD |
| Practice Address |
3410 Worth St, Suite 235 Dallas TX 75246 |
| Mailing Address |
3410 Worth St Ste 235 Dallas TX 75246-2071 |
| Practice Telephone | 4698007370 |
| Mailing Telephone | 4698007370 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2017-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 51235 | MN | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 51235 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX LICENSE # | R0300 | 01 |
| Street Address |
3410 WORTH ST, SUITE 235 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225376353 | James Leonard Sweatt IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2745 Blackstone Dr, Dallas, TX 75237-2807 | 2013-01-24 |
| 1750651584 | Lawrence Jay Mills | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9154 Stone Creek Pl, Dallas, TX 75243-6217 | 2012-01-10 |
| 1962710699 | Themistokles Chamogeorgakis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3900 Junius St Ste 415, Dallas, TX 75246-1615 | 2010-09-15 |
| 1215160031 | Leonidas Tapias Vargas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3410 Worth St Ste 235, Dallas, TX 75246-2071 | 2009-08-27 |
| 1902094246 | Juan C Machannaford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7777 Forest Ln Ste A307, Dallas, TX 75230 | 2007-10-11 |
| 1336330570 | Mini Sivadasan I | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3430 Wheatland Rd Building 1 Suite 202, Dallas, TX 75237-7523 | 2007-08-05 |
| 1275735417 | Victor Hernandez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6235 Palo Pinto Ave, Dallas, TX 75214-3617 | 2007-06-01 |
| 1891748588 | Eric G Chang-tung | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8210 Walnut Hill Ln Ste 505, Dallas, TX 75231-4420 | 2006-05-17 |
| 1023070109 | Kristine Jane Guleserian | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7777 Forest Ln Ste B120, Dallas, TX 75230 | 2006-04-05 |
| 1295794584 | Robert F Hebeler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3409 Worth Street, Ste 720, Dallas, TX 75246 | 2006-03-23 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on EITAN PODGAETZ GLIKSBERG.
| 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.