AVEO MEDICAL GROUP - NORTH TEXAS PLLC (NPI# 1780179267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780179267 |
| Entity Type | Organization |
| Organization Name | AVEO MEDICAL GROUP - NORTH TEXAS PLLC |
| Practice Address |
8600 Skyline Dr Suite 1000 Dallas TX 75243 |
| Mailing Address |
9041 Meadowknoll Dr Dallas TX 75243-7518 |
| Practice Telephone | 2146951183 |
| Mailing Telephone | 2146951183 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-27 |
| Authorized Official Name | DR. JORDAN PASTOREK (MANAGER) |
| Authorized Official Telephone | 3372557011 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
TX | Allopathic & Osteopathic Physicians |
| Street Address |
8600 SKYLINE DR SUITE 1000 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750326583 | Julie A. Lyons | Nurse Practitioner | 8600 Skyline Dr, Dallas, TX 75243-4198 | 2006-06-17 |
| 1154952661 | Joyce Kuriakose | Occupational Therapist | 8600 Skyline Dr, Dallas, TX 75243-4198 | 2020-02-03 |
| 1720628795 | Katherine Sanford Stensrud | Nurse Practitioner | 8600 Skyline Dr, Dallas, TX 75243-4198 | 2020-01-08 |
| 1588225809 | Aimee Allen-ampil | Speech-Language Pathologist | 8600 Skyline Dr, Dallas, TX 75243-4198 | 2019-06-26 |
| 1376108274 | Kathryn Morgan | Speech-Language Pathologist | 8600 Skyline Dr, Dallas, TX 75243-4198 | 2019-05-06 |
| 1013475797 | Stephanie C Brye | Speech-Language Pathologist | 8600 Skyline Dr, Dallas, TX 75243-4198 | 2019-03-12 |
| 1952865180 | Kelly Sims | Speech-Language Pathologist | 8600 Skyline Dr, Dallas, TX 75243-4198 | 2019-01-22 |
| 1912478553 | Keshia Jayna Odion Agazuma-johnson | Physical Therapist | 8600 Skyline Dr, Dallas, TX 75243-4198 | 2018-12-07 |
| 1528542537 | Anna Brueggemann | Occupational Therapist | 8600 Skyline Dr, Dallas, TX 75243-4198 | 2018-09-17 |
| 1043797251 | Kadi Rene James | Physical Therapist | 8600 Skyline Dr, Dallas, TX 75243 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629609060 | Good4u Family Clinic Dallas Fort Worth (dfw) Pllc | Internal Medicine | 1417 N Cockrell Hill Rd Ste 101a, Dallas, TX 75211-1308 | 2020-02-03 |
| 1639598725 | Henry Brown Mobley | Internal Medicine | 3416 Cornell Ave., Dallas, TX 75205 | 2014-04-16 |
| 1386959906 | Gunjan Kant | Internal Medicine | 6901 Snider Plaza, #130, Dallas, TX 75205-5649 | 2010-08-09 |
| 1942407572 | Amy Amend Johnson | Internal Medicine | 5939 Harry Hines Blvd Floor 8, Suite 124, Dallas, TX 75390-8889 | 2007-06-28 |
| 1174729503 | North Dallas Internal Medicine | Internal Medicine | 8210 Walnut Hill Lane Ste 416, Dallas, TX 75231 | 2007-06-22 |
| 1992801567 | David Charles Hales | Internal Medicine | 4500 S Lancaster Rd # 18, Dallas, TX 75216-7167 | 2006-09-14 |
| 1760420228 | Wellstar Internal Medicine At Paulding, LLC | Internal Medicine | 290 Merchants Sq, Suite F, Dallas, GA 30132-5029 | 2006-06-04 |
| 1750335097 | Diana R Kerwin | Internal Medicine | 8198 Walnut Hill Ln Ste 100, Dallas, TX 75231-4316 | 2006-05-20 |
| 1497395461 | Fleschler & Phillips Medical Group LLC | Internal Medicine | 8230 Walnut Hill Ln Ste 800, Dallas, TX 75231-4491 | 2020-01-08 |
| 1013355916 | Jessica H Voit | Internal Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2013-06-13 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on AVEO MEDICAL GROUP - NORTH TEXAS PLLC.
| 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.