PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS (NPI# 1801845425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801845425 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS |
| Practice Address |
122 W Colorado Blvd Dallas TX 75208-2382 |
| Mailing Address |
3400 W Wheatland Rd Bldg IIi, Suite 360 Dallas TX 75237-3460 |
| Practice Telephone | 2149476700 |
| Practice Fax Number | 2149476701 |
| Mailing Telephone | 2148844700 |
| Mailing Fax Number | 2148844761 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-12-13 |
| Authorized Official Name | DR. SAMUEL CULLISON (VICE PRESIDENT) |
| Authorized Official Telephone | 2149472356 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 156122701 | 05 | |
| TX | MEDICAID TX HEALTH STEPS | 156122702 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 W Wheatland Rd, Dallas, TX 752373460 | 2149475400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619109188 | Physician Associates of Southwest Dallas | Obstetrics & Gynecology | 3500 W Wheatland Rd, Dallas, TX 75237-3460 | 2009-08-18 |
| Street Address |
122 W COLORADO BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75208-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728972 | Ralph Michael Steiger | Obstetrics & Gynecology | 122 W Colorado Blvd, Dallas, TX 75208-2382 | 2005-05-24 |
| 1891316147 | Kathy Shum | Student in an Organized Health Care Education/Training Program | 122 W Colorado Blvd, Dallas, TX 75208-2382 | 2020-04-28 |
| 1972124386 | Jared Andrew Eaves | Student in an Organized Health Care Education/Training Program | 122 W Colorado Blvd, Dallas, TX 75208-2382 | 2020-04-27 |
| 1841766458 | Ogechi Ekeke | Nurse Practitioner | 122 W Colorado Blvd, Dallas, TX 75208-2382 | 2018-10-22 |
| 1881040178 | Kensey Erin Saltarelli | Internal Medicine | 122 W Colorado Blvd, Dallas, TX 75208-2382 | 2016-05-05 |
| 1144615741 | Sheila Allison Dougan | Nurse Practitioner | 122 W Colorado Blvd, Dallas, TX 75208-2382 | 2015-03-31 |
| 1467876557 | Leena Susan John | Nurse Practitioner | 122 W Colorado Blvd, Dallas, TX 75208-2382 | 2014-02-10 |
| 1275876252 | Saba Haq | Internal Medicine | 122 W Colorado Blvd, Dallas, TX 75208-2382 | 2013-03-28 |
| 1396051132 | Tenicia Jones | Nurse Practitioner | 122 W Colorado Blvd, Dallas, TX 75208 | 2010-08-30 |
| 1194053405 | Avani Patel | Pharmacist | 122 W Colorado Blvd, 2nd Floor, Dallas, TX 75208-2382 | 2009-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1316506025 | Molecular Innovations Neo-designs Laboratories, LLC | Clinical Medical Laboratory | 839 W. Commerce, Dallas, TX 75208 | 2019-06-07 |
| 1477023430 | Amber M James Dmd, Pllc | Dentist | 650 Fort Worth Ave, Ste 130, Dallas, TX 75208 | 2018-12-03 |
| 1659841237 | Andrea Pavia-jimenez | Physician Assistant | 817 Jefferson Blvd, Dallas, TX 75208 | 2018-11-27 |
| 1841716859 | Jennifer Atherton | Midwife | 618 S Rosemont Ave, Dallas, TX 75208 | 2017-08-22 |
| 1659815892 | Texas Traumatic Brain Injury Rehab | Counselor | 214 W. Colorado Blvd., Dallas, TX 75208 | 2016-12-07 |
| 1295120111 | Silva Pharmacy, Inc | Pharmacy | 939 W Jefferson Blvd Ste 101, Dallas, TX 75208 | 2015-03-30 |
| 1487052478 | Kassandra Sanchez | Counselor | 210 West 10th Street, Dallas, TX 75208 | 2014-12-08 |
| 1023458650 | O.c Medical Associates Pa | Internal Medicine | 737 N. Bishop Avenue, Ste B, Dallas, TX 75208 | 2013-06-27 |
| 1306105135 | Sts Dental, Pllc | Dentist | 909 S. Tyler St., Dallas, TX 75208 | 2012-05-14 |
| Find all providers in zip 75208 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245853811 | Forest Family Clinic, LLC | Family Medicine | 9550 Forest Ln Suite 606, Dallas, TX 75243-5905 | 2020-05-18 |
| 1104447937 | Centenary Family & Urgent Care | Family Medicine | 8702 S Lancaster Rd Ste 160a, Dallas, TX 75241-6301 | 2020-05-04 |
| 1285274456 | Genesis Health Partners Pllc | Family Medicine | 8390 Lbj Fwy Ste 1000b, Dallas, TX 75243-1188 | 2020-01-15 |
| 1194368266 | Sierra Healthcare Network LLC | Family Medicine | 2727 Lbj Fwy Ste 326, Dallas, TX 75234-7478 | 2019-10-22 |
| 1184274896 | Matilda N Nju | Family Medicine | 41 Kelso Way, Dallas, GA 30132-2618 | 2019-09-14 |
| 1992366488 | Anmd Health Pllc | Family Medicine | 1910 Pacific Ave Suite 15700, Dallas, TX 75201 | 2019-06-25 |
| 1366908600 | Advanced Wound Care of North Texas Pllc | Family Medicine | 13154 Coit Rd Ste 102d, Dallas, TX 75240-5787 | 2019-02-12 |
| 1932664935 | Environmental Health Center - North Texas Pa | Family Medicine | 8345 Walnut Hill Ln Ste 220, Dallas, TX 75231-4205 | 2019-02-04 |
| 1679043723 | Inwood Medical Clinic Inc. | Family Medicine | 2916 Inwood Rd, Dallas, TX 75235-7518 | 2018-12-03 |
| 1134698939 | Cayla Schaner | Family Medicine | 3600 Gaston Ave Ste 1109, Dallas, TX 75246-1811 | 2018-11-21 |
| 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.