DAVID JOSEPH KLOCKO (NPI# 1790105310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790105310 |
| Entity Type | Individual |
| Full Name | DAVID JOSEPH KLOCKO |
| Credential | PA-C |
| Practice Address |
5917 Belt Line Rd Dallas TX 75254-7703 |
| Mailing Address |
5323 Harry Hines Blvd Dallas TX 75390-9090 |
| Practice Telephone | 9727266464 |
| Practice Fax Number | 9727266444 |
| Mailing Telephone | 2146481701 |
| Mailing Fax Number | 2146481003 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA04534 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5917 BELT LINE RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75254-7703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329746 | Martin G Mcelya | Family Medicine | 5917 Belt Line Rd, Dallas, TX 75254-7703 | 2005-07-08 |
| 1417519216 | Paige Kelsey Letcher | Physician Assistant | 5917 Belt Line Rd, Dallas, TX 75254-7703 | 2019-07-01 |
| 1437513025 | Ann Fontana | Physician Assistant | 5917 Belt Line Rd, Dallas, TX 75254-7703 | 2016-04-08 |
| 1427455310 | Meridith Ann Mcguffey | Physician Assistant | 5917 Belt Line Rd, Dallas, TX 75254-7703 | 2014-11-20 |
| 1174866115 | Libertad Fernandez | Physician Assistant | 5917 Belt Line Rd, Dallas, TX 75254-7703 | 2013-03-28 |
| 1669608816 | Peak Physical Therapy & Sports Medicine Center of Plano, Pllc | Physical Therapist | 5917 Belt Line Rd, Dallas, TX 75254-7703 | 2009-06-02 |
| 1811151954 | Martin Mcelya Do Pa Neighborhood Medical Center | Clinic/Center | 5917 Belt Line Rd, Dallas, TX 75254-7703 | 2008-07-17 |
| 1992876882 | Mita Patel | Physician Assistant | 5917 Belt Line Rd, Dallas, TX 75254-7703 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119479 | Danielle Nicole Tolliver | Occupational Therapist | 4651 Dallas Pkwy, Suite 200, Dallas, TX 75254 | 2020-06-19 |
| 1164981593 | Christopher Richardson | Behavior Technician | 14785 Preston Rd Suite 550, Dallas, TX 75254 | 2019-03-15 |
| 1295224582 | Gerald Blake Ashlock | Counselor | 14400 Montfort Dr, Apt 1605, Dallas, TX 75254 | 2018-05-02 |
| 1851890685 | Gayle Deniese Hillman | Counselor | 14117 Montfort Dr, Dallas, TX 75254 | 2018-02-07 |
| 1568987386 | Riverstone Care LLC | Community/Behavioral Health | 14145 Noel Rd, 206, Dallas, TX 75254 | 2017-08-14 |
| 1548781594 | Cataract Vision Institute of Texas, Pllc | Ophthalmology | 14160 N. Dallas Pkwy, Ste 100, Dallas, TX 75254 | 2017-06-29 |
| 1366972911 | Terry Ku | Dentist | 5100 Belt Line Rd #312, Addison, TX 75254 | 2017-06-15 |
| 1932552338 | Rashonda Poston | Developmental Therapist | 5902 Preston Oaks Rd, Apt 2093, Dallas, TX 75254 | 2016-07-20 |
| 1326452699 | Anita Griffin | Specialist/Technologist | 5220 Spring Valley Road, Suite 400, Dallas, TX 75254 | 2014-06-16 |
| 1669721973 | Steve Willis Tobias | Physician Assistant | 5917 Beltline, Dallas, TX 75254 | 2012-08-31 |
| Find all providers in zip 75254 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641051 | Kelsey Young | Physician Assistant | 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 | 2019-07-17 |
| 1558863555 | Kyra Nicole Logan | Physician Assistant | 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 | 2018-03-06 |
| 1386169175 | Lauren Moore | Physician Assistant | 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 | 2017-08-14 |
| 1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
| 1881123909 | One Healthcare LLC | Physician Assistant | 1722 Routh St Ste 900, Dallas, TX 75201-2588 | 2017-06-12 |
| 1972037307 | Morrison Medical | Physician Assistant | 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 | 2017-04-12 |
| 1205297652 | Keri Miller | Physician Assistant | 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 | 2016-03-14 |
| 1275907776 | Aleshia Mutai | Physician Assistant | 5800 E Lovers Ln, Dallas, TX 75206-2901 | 2015-11-20 |
| 1588049613 | Yvonne Conard | Physician Assistant | 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 | 2015-07-30 |
| 1699174599 | John Michael Cline | Physician Assistant | 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 | 2014-08-15 |
| 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.