MOLLY J KANKANALA (NPI# 1720427545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720427545 |
| Entity Type | Individual |
| Full Name | MOLLY J KANKANALA |
| Credential | PA-C, MSPAS, MPH, |
| Practice Address |
5200 Harry Hines Blvd Dallas TX 75235-7709 |
| Mailing Address |
6109 Forest River Dr Fort Worth TX 76112-1066 |
| Practice Telephone | 2145908000 |
| Mailing Telephone | 8057043837 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TX | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA23033 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5200 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278995 | Dallas County Hospital District | Psychologist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2005-07-11 |
| 1326649237 | Christian Robert Rufus Goans | Psychologist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-11-06 |
| 1174122824 | Anna Spataro | Clinical Nurse Specialist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-10-23 |
| 1619576212 | Elizabeth Simon | Registered Nurse | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-10-23 |
| 1992318745 | Jeffrey Arnold | Occupational Therapist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-08-30 |
| 1821606617 | Caroline Pinkey Kessellie | Nurse Anesthetist, Certified Registered | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-07-17 |
| 1235757477 | Kimberly Annalise Badresingh | Physical Therapist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-07-13 |
| 1265059141 | Rebekah Schellenberg | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-06-26 |
| 1821614801 | Helen Halbach Smith | Nurse Practitioner | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-06-24 |
| 1316569544 | Sarah Ryu | Pharmacist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326691957 | Kourtney Marie Willett | Physician Assistant | 1411 N Beckley Ave Pav 3 Suite 363, Dallas, TX 75203-1259 | 2019-07-23 |
| 1003302944 | Amk Provider Solutions Pllc | Physician Assistant | 8197 Midtown Blvd Apt 15101, Dallas, TX 75231-4566 | 2018-07-03 |
| 1184136632 | Pa Solutions, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 166, Dallas, TX 75207-3912 | 2017-10-24 |
| 1528589918 | Operator Assistants, LLC | Physician Assistant | 8440 Walnut Hill Ln Ste 250, Dallas, TX 75231-3815 | 2017-07-06 |
| 1447603683 | Exos Surgical Assist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-90, Dallas, TX 75214-6126 | 2016-07-22 |
| 1871941419 | Premier Physician Surgical Associates, Pllc | Physician Assistant | 9540 Garland Rd # 381-416, Dallas, TX 75218-5004 | 2016-05-24 |
| 1144686452 | Clara Joplin | Physician Assistant | 10830 N. Central Expy. Suite 120, Dallas, TX 75231-1050 | 2016-01-04 |
| 1689057820 | Horizon Pa Services, Pllc | Physician Assistant | 381 Casa Linda Plz # 417, Dallas, TX 75218-3471 | 2015-07-07 |
| 1942681572 | Ridgeback Assist, Pllc | Physician Assistant | 381 Casa Linda Plz # 418, Dallas, TX 75218-3471 | 2015-06-09 |
| 1164802385 | Kris Holmes Pa Pllc | Physician Assistant | 740 Peavy Rd, Dallas, TX 75218-2149 | 2015-06-03 |
| Find all providers in DALLAS | ||||
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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.