ARLINGTON NEONATAL INTENSIVE CARE PA (NPI# 1770760928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770760928 |
| Entity Type | Organization |
| Organization Name | ARLINGTON NEONATAL INTENSIVE CARE PA |
| Practice Address |
800 W Randol Mill Rd Arlington TX 76012-2504 |
| Mailing Address |
Po Box 120967 Arlington TX 76012-0967 |
| Practice Telephone | 8175486514 |
| Mailing Fax Number | 8175486173 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | DR. SCOTT C TISDELL (OWNER) |
| Authorized Official Telephone | 8175486514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G3859 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 00T08E | 01 |
| Street Address |
800 W RANDOL MILL RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073598058 | Jon Thomas Beezley | Emergency Medicine | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2005-12-13 |
| 1790397057 | Harveston Harshad Piggee II | Surgery | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2020-08-18 |
| 1831730027 | Lannie Larose Thomas | Nurse Practitioner | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2019-09-30 |
| 1407319106 | Richard A Medina | Registered Nurse | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2019-04-09 |
| 1184194193 | Lance S Smith Md Pa | Surgery | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2018-12-03 |
| 1972072213 | Jana Peden | Occupational Therapist | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2018-11-15 |
| 1407339427 | John Hillebrand Md Pa | Anesthesiology | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2018-09-14 |
| 1144701343 | Sondra Mcclure | Occupational Therapy Assistant | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2018-08-25 |
| 1851871610 | Safia Omar | Social Worker | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2018-08-20 |
| 1700366879 | Kendall Bagley | Speech-Language Pathologist | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2018-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538681788 | Andrea Paulette Redic | Specialist | 2141 N Collins St Ste 503, Arlington, TX 76011-2812 | 2017-07-10 |
| 1649705112 | Gregory Morgan Rose | Specialist | 2025 Randy Snow Rd Apt 227, Arlington, TX 76011-8921 | 2017-04-21 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1497201164 | Mayrena Isamar Hernandez | Specialist | 7201 Lake Jackson Dr, Arlington, TX 76002-4070 | 2016-08-31 |
| 1396192126 | Paul Aaron Petty | Specialist | 1715 N George Mason Dr Ste 503, Arlington, VA 22205-3669 | 2016-05-23 |
| 1174990535 | Angenique Miles-lewis | Specialist | 3901 W Arkansas Ln Ste 116, Arlington, TX 76016-1400 | 2015-09-01 |
| 1831575778 | Rais Ul Ghani | Specialist | 922 Winterwood Ct, Arlington, TX 76017-6139 | 2015-08-03 |
| 1760888598 | Sarah Walsh | Specialist | 1301 S Cleveland St Apt 357, Arlington, VA 22204-4872 | 2014-11-05 |
| 1962806869 | A New Weigh Center Corp | Specialist | 306 E Randol Mill Rd Ste 136, Arlington, TX 76011-5841 | 2014-10-21 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
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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.