OLD TOWN ENDOSCOPY CENTER LLC (NPI# 1851890636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851890636 |
| Entity Type | Organization |
| Organization Name | OLD TOWN ENDOSCOPY CENTER LLC |
| Other Organization Name | OLD TOWN ENDOSCOPY CENTER |
| Practice Address |
5500 Greenville Avenue Suite 1100 Dallas TX 75206 |
| Mailing Address |
1a Burton Hills Blvd. Attn: Provider Enrollment Nashville TN 37215-6187 |
| Practice Telephone | 2147399544 |
| Practice Fax Number | 2147399582 |
| Mailing Telephone | 6159226102 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |
| Authorized Official Name | ALINA LOGAN (VICE PRESIDENT) |
| Authorized Official Telephone | 6152403740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Old Town Endoscopy Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821067554 | Old Town Endoscopy Center LLC | Clinic/Center | 9500 N Central Expy Ste 200, Dallas, TX 75231-5128 | 2006-03-15 |
| Street Address |
5500 GREENVILLE AVENUE SUITE 1100 |
| City | DALLAS |
| State | TX |
| Zip Code | 75206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596919 | Dallas Anesthesia Group, Pllc | Anesthesiology | 5706 E. Mockingbird Ln, Ste 115, Dallas, TX 75206 | 2019-09-06 |
| 1003398074 | Aaron Hands | Psychologist | 5646 Milton St Ste 740, Dallas, TX 75206 | 2018-09-05 |
| 1174001960 | Robert Butler Hampson | Psychologist | 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 | 2018-08-02 |
| 1851830434 | Amanda Rash | Physical Therapy Assistant | 5855 Milton Road, Dallas, TX 75206 | 2017-02-16 |
| 1649727272 | Insights Psychotherapy Group, Pllc | Counselor | 5255 Vickery Boulevard, Dallas, TX 75206 | 2016-09-01 |
| 1215389655 | Revolution Monitoring Management, LLC | Psychiatry & Neurology | 4925 Greenville Ave #200, Dallas, TX 75206 | 2016-07-11 |
| 1225413776 | Chelsea Young | Speech-Language Pathologist | 8820 Southwestern Blvd #605, Dallas, TX 75206 | 2015-07-27 |
| 1861802332 | Shane Ahlers | Internal Medicine | 6037 Marquita Ave, Dallas, TX 75206 | 2014-05-05 |
| 1417386442 | Inspire Pediatric Therapy | Speech-Language Pathologist | 5646 Milton, #307, Dallas, TX 75206 | 2013-11-12 |
| 1588098156 | Sandy Lee Gaylord | Counselor | 5641 Smu Blvd., Suite 105, Dallas, TX 75206 | 2013-08-30 |
| Find all providers in zip 75206 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063056703 | Devco Anesthesia Services, Pllc | Nurse Anesthetist, Certified Registered | 7147 Royal Ln, Dallas, TX 75230-3607 | 2019-11-06 |
| 1861044224 | Texas Joint Pain Management, Pllc | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd Ste 245d, Dallas, TX 75225-4203 | 2019-07-15 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1225554165 | Southwest Joint Pain Management, LLC | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd, Suite 245d, Dallas, TX 75225 | 2017-08-22 |
| 1689104796 | Jaade Anesthesia Management LLC. | Nurse Anesthetist, Certified Registered | 17980 Dallas Pkwy Ste 100, Dallas, TX 75287-6817 | 2017-06-13 |
| 1144755224 | Rpr Et Associates LLC | Nurse Anesthetist, Certified Registered | 11201 Leachman Cir, Dallas, TX 75229-4349 | 2017-04-26 |
| 1316393218 | Miranda Limmer | Nurse Anesthetist, Certified Registered | 1623 Main St, Apt. 702, Dallas, TX 75201-4740 | 2016-05-10 |
| 1942661988 | Hanan Genet Johnson | Nurse Anesthetist, Certified Registered | 5200 Harry Hinesblvd, Dallas, TX 75235 | 2016-03-18 |
| 1891166039 | Td Anesthesia Services | Nurse Anesthetist, Certified Registered | 3728 Shady Hill Dr, Dallas, TX 75229-2711 | 2015-10-14 |
| 1669737615 | Stratus Anesthesia Associates Frisco Pllc | Nurse Anesthetist, Certified Registered | 12222 N Central Expy Ste 400, Dallas, TX 75243-3764 | 2012-07-05 |
| 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.