DR. LUIS FERNANDO SIFUENTES-DOMINGUEZ (NPI# 1740508928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740508928 |
Entity Type | Individual |
Full Name | DR. LUIS FERNANDO SIFUENTES-DOMINGUEZ |
Credential | M.D. |
Practice Address |
5323 Harry Hines Boulevard Dallas TX 75390-7208 |
Mailing Address |
P.o. Box 845347 Dallas TX 75284-5347 |
Practice Telephone | 2146483903 |
Practice Fax Number | 2146482481 |
Mailing Telephone | 2146483903 |
Mailing Fax Number | 2146492481 |
Enumeration Date | 2010-05-12 |
Last Update Date | 2015-08-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
P4613 | TX | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | STUDENT HEALTHCARE | 39 | 01 |
Street Address |
5323 HARRY HINES BOULEVARD |
City | DALLAS |
State | TX |
Zip Code | 75390-7208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558365510 | David Edward Rogers | Obstetrics & Gynecology | 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 | 2005-06-08 |
1558986273 | Lauren Bell | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390-7200 | 2020-06-09 |
1881214070 | Rosalina Magalhaes Pereira | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-04-17 |
1124647367 | Emma Lucille Van Winkle | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390-9109 | 2020-04-08 |
1902434061 | Nicholas Cain Boswell | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-04-01 |
1063040566 | Jeffrey Isaac Traylor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-03-30 |
1639706245 | Sarah Reddy | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-03-24 |
1427603273 | Molly Bryant | Nurse Practitioner | 5323 Harry Hines Boulevard, Dallas, TX 75390-9257 | 2019-08-08 |
1316509995 | Emily Wong | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2019-07-03 |
1548822463 | Neha Hanoman Rajput | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2019-07-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
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Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609122860 | Huyen Nguyen | Pediatrics | 2350 N Stemmons Fwy Ste 4500, Dallas, TX 75207-2700 | 2012-07-25 |
1679771117 | Lillienne Yoon Chan | Pediatrics | 7777 Forest Ln Ste B304, Dallas, TX 75230-6818 | 2007-07-05 |
1831158310 | Digestive Health Associates of Texas, P.a. | Pediatrics | 7610 Stemmons Fwy, Suite 500, Dallas, TX 75247-4231 | 2006-03-22 |
1730434796 | Niviann M Blondet | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2012-07-16 |
1871886739 | Ricardo Andres Medina-centeno | Pediatrics | 5323 Harry Hines Boulevard, Dallas, TX 75390-7201 | 2011-05-25 |
1679700462 | Michele J. Alkalay | Pediatrics | 5323 Harry Hines Blvd., Dallas, TX 75390-7208 | 2009-06-18 |
1639373053 | David M Troendle | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2007-06-11 |
1447468988 | Aakash Goyal | Pediatrics | Ut Southwestern Medical Ctr, Gastro Division Mc 9063, 5323 Harry Hines Blvd, Dallas, TX 75390 | 2007-05-18 |
1487861944 | Edaire Cheng | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7701 | 2007-05-16 |
1225240096 | Meghana Nitin Sathe | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2007-05-04 |
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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.