CONCENTRA PRIMARY CARE PA (NPI# 1780952622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780952622 |
| Entity Type | Organization |
| Organization Name | CONCENTRA PRIMARY CARE PA |
| Other Organization Name | CONCENTRA PRIMARY CARE |
| Practice Address |
15810 Midway Rd Addison TX 75001-4259 |
| Mailing Address |
5080 Spectrum Dr Suite 1200w Addison TX 75001-4648 |
| Practice Telephone | 9724588111 |
| Practice Fax Number | 9724587776 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | DR. ROBERT HASSETT (PRESIDENT) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Concentra Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174873905 | Concentra Primary Care Pa | Clinic/Center | 220 West Goodwin, Pleasanton, TX 78064-4115 | 2012-09-19 |
| 1265782098 | Concentra Primary Care Pa | Clinic/Center | 260 Us Hwy 181 N, Floresville, TX 78114-3136 | 2012-09-19 |
| 1164772992 | Concentra Primary Care Pa | Clinic/Center | 4360 Greco Drive, San Antonio, TX 78222-2725 | 2012-09-19 |
| 1336499177 | Concentra Primary Care Pa | Clinic/Center | 12413 Judson Road, Live Oak, TX 75233-3202 | 2012-09-19 |
| 1427308253 | Concentra Primary Care Pa | Clinic/Center | 1354 East Walnut St, Seguin, TX 78155-5126 | 2012-09-19 |
| 1457601288 | Concentra Primary Care Pa | Clinic/Center | 1860 South Seguin Avenue, New Braunfels, TX 78130-3914 | 2012-09-19 |
| 1548517600 | Concentra Primary Care Pa | Family Medicine | 1502 Oxford Drive, Georgetown, KY 40324-8094 | 2012-08-08 |
| 1457608515 | Concentra Primary Care Pa | Family Medicine | 3174 Custer Drive, Suite 100, Lexington, KY 40517-4000 | 2012-08-08 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1962783654 | Concentra Primary Care Pa | Clinic/Center | 1220 Caroline Street, Suite A230, Atlanta, GA 30307 | 2011-09-08 |
| Street Address |
15810 MIDWAY RD |
| City | ADDISON |
| State | TX |
| Zip Code | 75001-4259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168364 | Robert Contreras | Family Medicine | 15810 Midway Rd, Addison, TX 75001-4259 | 2005-07-14 |
| 1588908792 | Onsite Occmed Pa | Clinic/Center | 15810 Midway Rd, Addison, TX 75001-4259 | 2012-11-15 |
| 1518277144 | Majdouleen Michil Georgeos | Family Medicine | 15810 Midway Rd, Addison, TX 75001-4259 | 2010-10-16 |
| 1679712244 | Tina Chao | Physician Assistant | 15810 Midway Rd, Addison, TX 75001-4259 | 2009-02-05 |
| 1447418041 | William T Fogarty | Preventive Medicine | 15810 Midway Rd, Addison, TX 75001-4259 | 2008-05-30 |
| 1972706836 | James W Small | Preventive Medicine | 15810 Midway Rd, Addison, TX 75001-4259 | 2007-06-07 |
| 1144421777 | Sudha Ramakrishna | Preventive Medicine | 15810 Midway Rd, Addison, TX 75001-4259 | 2007-05-30 |
| 1548273089 | James Douglas Lowell | Family Medicine | 15810 Midway Rd, Addison, TX 75001-4259 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143772 | Naomi Grace Moats | Speech-Language Pathologist | 5820 Addison Rd, Addison, TX 75001 | 2020-01-22 |
| 1669020467 | Us Med, LLC | Durable Medical Equipment & Medical Supplies | 15455 Dallas Parkway, Suite 600; Office #6015, Addision, TX 75001 | 2019-08-27 |
| 1316592215 | Sunny Boy Pharmacy, LLC | Pharmacy | 4388 Sunbelt Dr, Addision, TX 75001 | 2019-08-07 |
| 1538714779 | Tarpon Pllc | Physical Medicine & Rehabilitation | 17051 N. Dallas Parkway, Suite 320, Addison, TX 75001 | 2019-08-05 |
| 1235782251 | Aliah T Green | Speech-Language Pathologist | 15820 Addison Road, Addison, TX 75001 | 2019-07-18 |
| 1902376254 | Kendall Leann Chambers | Counselor | 15851 Dallas Parkway, Suite 600, Addison, TX 75001 | 2018-11-29 |
| 1053800391 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 17051 Dallas Pkwy Ste 310, Addison, TX 75001 | 2018-05-02 |
| 1528561719 | Relinda Lee Longan | Licensed Vocational Nurse | 4820 Westgrove Dr, # 903, Addison, TX 75001 | 2018-03-14 |
| 1306363338 | Margaret Weiss | Social Worker | Steven A Cohen Military Family Clinic At Metrocare, 16160 Midway Rd, Suite 218, Addison, TX 75001 | 2017-08-30 |
| 1508380759 | Dallas Sci Recovery Inc | Clinic/Center | 15046 Beltway Dr, Addison, TX 75001 | 2017-07-31 |
| Find all providers in zip 75001 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477605913 | Grettel C. Donahue | Clinic/Center | 1111 W Lake St, Addison, IL 60101-1101 | 2007-01-17 |
| 1124009360 | Ricardo Martinez, Md, PC | Clinic/Center | 1201 W Army Trail Blvd, Addison, IL 60101-3152 | 2005-11-05 |
| 1730517681 | Midwest Primary Care Associates,ltd | Clinic/Center | 1845 W Army Trail Rd, Addison, IL 60101-1901 | 2013-10-30 |
| 1396085247 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West, Addison, TX 75001-4648 | 2013-02-28 |
| 1699027052 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West Tower, Addison, TX 75001-4648 | 2012-10-10 |
| 1568710267 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West Tower, Addison, TX 75001-4648 | 2012-08-28 |
| 1124380852 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2012-06-08 |
| 1689949117 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2012-03-16 |
| 1730459348 | Concentra Primary Care of Ohio Pa Co | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2012-01-12 |
| 1649540659 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2012-01-06 |
| Find all providers in ADDISON | ||||
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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.