COMMUNITYMED PLLC (NPI# 1821417072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821417072 |
| Entity Type | Organization |
| Organization Name | COMMUNITYMED PLLC |
| Practice Address |
3591 Mckinney St Suite 200 Melissa TX 75454-9571 |
| Mailing Address |
16775 Addison Rd Suite 615 Addison TX 75001-5622 |
| Practice Telephone | 9724641611 |
| Practice Fax Number | 9724641611 |
| Mailing Telephone | 9724641611 |
| Mailing Fax Number | 9724641611 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Authorized Official Name | DR. GREGORY BLOMQUIST (MANAGING MEMBER) |
| Authorized Official Telephone | 4693603498 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
3591 MCKINNEY ST SUITE 200 |
| City | MELISSA |
| State | TX |
| Zip Code | 75454-9571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154333169 | Donna I Vasquez | Family Medicine | 3591 Mckinney St, Suite 100, Melissa, TX 75454-9571 | 2006-08-12 |
| 1982061974 | Meghann Venkatesan | Nurse Practitioner | 3591 Mckinney St, Suite 200, Melissa, TX 75454-9571 | 2016-01-21 |
| 1528437316 | Jennifer Kristin Slater | Nurse Practitioner | 3591 Mckinney St, 200, Melissa, TX 75454 | 2015-09-22 |
| 1215359674 | Communitymed Urgent Care System, LLC | Clinic/Center | 3591 Mckinney St, Suite 200, Melissa, TX 75454-9571 | 2014-01-19 |
| 1235312299 | Jenifer L Branson | Physician Assistant | 3591 Mckinney St, Suite 100, Melissa, TX 75454-9571 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668898 | Melissa Tiny Teeth, Pllc | Dentist | 1500 Scott Street, Suite 200, Melissa, TX 75454 | 2020-04-24 |
| 1386279206 | Magnolia House Calls LLC | General Practice | 202 Fisherman Trail, Melissa, TX 75454 | 2020-03-11 |
| 1710540380 | Schuster Dental Group | Dentist | 1500 Scott St, Ste 100, Melissa, TX 75454 | 2019-04-18 |
| 1386117463 | Capital Dental Care | Dentist | 2302 Sam Rayburn Highway, Ste 100, Melissa, TX 75454 | 2019-01-10 |
| 1659800050 | Misty-lynn Nicholson | Specialist/Technologist | 3011 Whispering Pine Blvd, Melissa, TX 75454 | 2017-06-08 |
| 1598145583 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2600 Sam Rayburn Hwy, Melissa, TX 75454 | 2015-06-04 |
| 1235457631 | Jennifer Effler | Registered Nurse | 3591 Mckinney St Ste 100, Melissa, TX 75454 | 2010-05-10 |
| 1497963698 | Anthony Alexis Vallarino | Family Medicine | 3080 Sam Rayburn Highway, Melissa, TX 75454 | 2007-05-19 |
| 1134631542 | Jaime Gamboa | Nurse Practitioner | 3591 Mckinney St Ste 400, Melissa, TX 75454 | 2017-10-26 |
| 1164655098 | Paradise Dental Pa | Dentist | 2028 Hwy 121, Suite 300, Melissa, TX 75454-0000 | 2009-08-26 |
| Find all providers in zip 75454 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886466 | Goldfish Pediatric Urgent Care PC | Clinic/Center | 2302 Sam Rayburn Hwy # 202, Melissa, TX 75454-2696 | 2020-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
| 1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
| 1528666153 | Rapid Med Argyle | Clinic/Center | 391 Us Highway 377, Argyle, TX 76226 | 2020-10-15 |
| 1649877655 | Hero Medical Services, Pllc | Clinic/Center | 12621 Hero Way West, Leander, TX 78641 | 2020-10-02 |
| 1992302194 | Home Care Coverage Team Pllc | Clinic/Center | 8200 Liberty Grove Rd Ste 102, Rowlett, TX 75089-2322 | 2020-10-01 |
| 1336754753 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 125 Davis Blvd, Southlake, TX 76092-8209 | 2020-09-11 |
| 1831704253 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 2855 Preston Rd, Frisco, TX 75034-9438 | 2020-09-11 |
| 1053926477 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 4635 Frankford Rd, Dallas, TX 75287-7108 | 2020-09-11 |
| 1972118388 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 3805 W University Dr Ste 100, Mckinney, TX 75071-2944 | 2020-09-11 |
| 1104431527 | Texas Health Behavioral Health Hospital Corinth | Clinic/Center | 6411 E Northwest Hwy Ste D-120, Dallas, TX 75231-8007 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
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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.