KYLE EDWARD DOUGHTY (NPI# 1821030479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821030479 |
| Entity Type | Individual |
| Full Name | KYLE EDWARD DOUGHTY |
| Credential | M.D. |
| Practice Address |
3600 Gaston Ave Suite 1158 Dallas TX 75246-1800 |
| Practice Telephone | 2148208585 |
| Practice Fax Number | 2148208590 |
| Mailing Telephone | 2148208585 |
| Mailing Fax Number | 2148208590 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2009-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | M1077 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 174501002 | 05 | |
| TX | 147501001 | 05 | |
| TX | BCBS | 8BR085 | 01 |
| TX | 174501004 | 05 | |
| TX | BCBS | 8P8217 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932636529 | Kyle Wayne Doughty | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2017-05-15 |
| Street Address |
3600 GASTON AVE SUITE 1158 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215429 | Norman Slusher | Ophthalmology | 3600 Gaston Ave, Ste 964, Dallas, TX 75246-1909 | 2005-06-14 |
| 1669032561 | Julia Przybyszewski | Physician Assistant | 3600 Gaston Ave, Dallas, TX 75246-1800 | 2019-06-13 |
| 1164934865 | Stephen Daniel Krivan | Physician Assistant | 3600 Gaston Ave, Wadley Tower Suite 550, Dallas, TX 75246 | 2017-11-02 |
| 1013451608 | Mary Elise Wallace | Dietitian, Registered | 3600 Gaston Ave, Suite 656, Dallas, TX 75246-1800 | 2016-12-15 |
| 1508226382 | Jessica Osipenko | Nurse Practitioner | 3600 Gaston Ave, Wadley Tower, Suite 960, Dallas, TX 75246-1800 | 2016-03-07 |
| 1952773178 | Erin Davidson | Pharmacist | 3600 Gaston Ave, Suite 109, Dallas, TX 75246-1800 | 2015-10-27 |
| 1871960146 | Krista Heinrich | Pharmacist | 3600 Gaston Ave, Suite 109, Dallas, TX 75246-1800 | 2015-08-21 |
| 1417339177 | Jami Mckinney | Physician Assistant | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2015-06-18 |
| 1780065755 | Evan Koesler | Physician Assistant | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2015-06-15 |
| 1851772958 | Alexandra Lee Bewley | Physician Assistant | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2015-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376009951 | Dallas Center for Neuro and Spine Excellence LLP | Neurological Surgery | 4013 Centenary Ave, Dallas, TX 75225-5430 | 2019-02-19 |
| 1972033405 | Prime Neurosurgeon Pllc | Neurological Surgery | 8080 Park Ln Ste 400, Dallas, TX 75231-5926 | 2017-06-18 |
| 1295140820 | Muhammad Burhan Ud Din Janjua | Neurological Surgery | 1935 Medical District Dr # B3200, Dallas, TX 75235-7701 | 2014-06-23 |
| 1477895415 | Richard Harlan Ashby | Neurological Surgery | 8919 Vista View Dr, Dallas, TX 75243-6350 | 2013-03-16 |
| 1366718819 | Ankur Ramanlal Patel | Neurological Surgery | 3417 Gaston Ave Ste 920, Dallas, TX 75246-2035 | 2012-03-29 |
| 1891805768 | James Ellsworth Bland | Neurological Surgery | 17216 Village Ln, Dallas, TX 75248-6047 | 2006-08-30 |
| 1164491619 | Caetano Jose Porto Coimbra | Neurological Surgery | 7777 Forest Ln Ste A337, Dallas, TX 75230-2563 | 2006-03-16 |
| 1518931104 | Henry Huntington Batjer IIi | Neurological Surgery | 5303 Harry Hines Blvd, Dallas, TX 75390-9167 | 2006-02-13 |
| 1801891411 | Ian Heger | Neurological Surgery | 7777 Forest Ln Ste B445, Dallas, TX 75230 | 2005-06-20 |
| 1609871433 | Lynn Frances Fitzgerald | Neurological Surgery | 8210 Walnut Hill Ln Ste 718, Dallas, TX 75231-4412 | 2005-06-17 |
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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.