DIVINE INJURY CLINIC & REHAB, P.C. (NPI# 1710197785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710197785 |
| Entity Type | Organization |
| Organization Name | DIVINE INJURY CLINIC & REHAB, P.C. |
| Practice Address |
3220 Gus Thomasson Rd Suite 233 Mesquite TX 75150-4057 |
| Practice Telephone | 9722790644 |
| Practice Fax Number | 9722790655 |
| Mailing Telephone | 9722790644 |
| Mailing Fax Number | 9722790655 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-11-04 |
| Authorized Official Name | DR. OGECHI GUINNESS-OHAZURUIKE (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 9722790644 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
10276 | TX | Chiropractic Providers |
| Y | 305S00000X | Point of Service | 10276 | TX | Managed Care Organizations |
| Street Address |
3220 GUS THOMASSON RD SUITE 233 |
| City | MESQUITE |
| State | TX |
| Zip Code | 75150-4057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861552861 | Ogechi Guinness-ohazuruike | Chiropractor | 3220 Gus Thomasson Rd, Suite 233, Mesquite, TX 75150-4057 | 2006-12-11 |
| 1639636327 | Anelechi Ottah | Nurse Practitioner | 3220 Gus Thomasson Rd, Mesquite, TX 75150-4057 | 2019-02-28 |
| 1063930972 | Maryam Fazal | Dentist | 3220 Gus Thomasson Rd, Mesquite, TX 75150-4057 | 2017-08-31 |
| 1770935413 | Jose Juan Aldana | Dentist | 3220 Gus Thomasson Rd, Suite #347, Mesquite, TX 75150-4057 | 2016-07-06 |
| 1932561891 | Brandi York | Hearing Instrument Specialist | 3220 Gus Thomasson Rd, Ste 356, Mesquite, TX 75150-4057 | 2016-03-22 |
| 1518379817 | Connect Hearing, Inc. | Audiologist | 3220 Gus Thomasson Rd, Ste 356, Mesquite, TX 75150-4057 | 2014-05-21 |
| 1497009070 | Orita Siddall | Pharmacist | 3220 Gus Thomasson Rd, Ste. 237, Mesquite, TX 75150-4057 | 2012-11-03 |
| 1760777593 | Valerie Osako Mukanga | Dentist | 3220 Gus Thomasson Rd, 100, Mesquite, TX 75150-4057 | 2011-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630991 | Affordable Home Health Care | Home Health | 3637 E. Us. Highway 80, Mesquite, TX 75150 | 2020-08-21 |
| 1245840933 | Shanikqu Lashun George | Specialist | 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 | 2020-08-06 |
| 1578109542 | Phyllis Renee Cephas | Counselor | 2200 N. Belt Line Road, #728, Mesquite, TX 75150 | 2019-11-25 |
| 1033766068 | Darryl E Richmond Jr. | Physical Therapist | 2578 N Galloway Ave, 100, Mesquite, TX 75150 | 2019-08-23 |
| 1922666916 | Jd Mesquite Dental Pllc | Dentist | 909 Tripp Rd Ste 190, Mesquite, TX 75150 | 2019-06-04 |
| 1134681349 | Champions Rehabilitation, LLC | Clinic/Center | 1675 Republic Parkway Suite 201, Mesquite, TX 75150 | 2019-04-05 |
| 1205317351 | Sheila Katherine Bartley | Occupational Therapist | 3617 O'hare Dr., Mesquite, TX 75150 | 2018-08-27 |
| 1295215028 | Amanda Greene | Occupational Therapy Assistant | 3617 Ohare Drive, Mequite, TX 75150 | 2018-08-21 |
| 1053890244 | Barbara Mohrle | Occupational Therapist | 2231 Us Highway 80e, Willow Bend Nursing and Rehab, Mesquite, TX 75150 | 2018-08-09 |
| 1679052120 | Brenda Johnson | Counselor | 4025 Towne Crossing Blvd Apt 1706, Mesquite, TX 75150 | 2018-08-07 |
| Find all providers in zip 75150 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942242680 | 1st Total Health Care | Point of Service | 3333 Knollcrest Ln, Mesquite, TX 75181-2938 | 2006-06-10 |
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| 1891269890 | Arauco Medical Consultants | Point of Service | 400 N Saint Paul St Ste 1200, Dallas, TX 75201-6869 | 2019-01-14 |
| 1871077446 | Novacure Group, LLC | Point of Service | 5161 San Felipe St Ste 320-18, Houston, TX 77056-3633 | 2018-09-19 |
| 1114423399 | David Rutledge Bell | Point of Service | 7301 N Ranch Road 620 Ste 155-184n, Austin, TX 78726-4539 | 2018-04-05 |
| 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.