KERI RUSSELL KING (NPI# 1861665275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861665275 |
| Entity Type | Individual |
| Full Name | KERI RUSSELL KING |
| Credential | PA |
| Practice Address |
5957 Dallas Pkwy Suite100 Plano TX 75093-7822 |
| Practice Telephone | 9725962552 |
| Practice Fax Number | 9729647209 |
| Mailing Telephone | 9725962552 |
| Mailing Fax Number | 9729647209 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA05090 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033265566 | Keri Cothern King | Social Worker | 619 Willis Ave, Bogalusa, LA 70427-3001 | 2007-01-26 |
| Street Address |
5957 DALLAS PKWY SUITE100 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-7822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104807544 | Steven Phillip Peskind | Otolaryngology | 5957 Dallas Pkwy, Suite100, Plano, TX 75093-7822 | 2005-11-11 |
| 1194915207 | Steven P. Peskind, M.d. & Assoc. Pa | Otolaryngology | 5957 Dallas Pkwy, Suite 100, Plano, TX 75093-7822 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083264766 | Sarah Chong Kim | Physician Assistant | 3212 Saint Ives Ct, Plano, TX 75075-3430 | 2019-09-16 |
| 1396260147 | Mark Ali Bahreini | Physician Assistant | 6928 Amethyst Ln, Plano, TX 75023-1938 | 2017-08-12 |
| 1174997704 | Sydney Marie Kromer | Physician Assistant | 1713 Endicott Dr, Plano, TX 75025-3057 | 2015-11-19 |
| 1275946295 | Naveeda Farooqi | Physician Assistant | 9600 Coit Rd Apt 922, Plano, TX 75025-8226 | 2014-06-06 |
| 1134468036 | Elizabeth Ann Munse | Physician Assistant | 3504 Lakebrook Dr, Plano, TX 75093-7520 | 2013-02-12 |
| 1679731350 | Brittany Dawn Epstein | Physician Assistant | 4001 W 15th St Ste 245, Plano, TX 75093-5839 | 2008-05-29 |
| 1902951296 | Barbara Lynn Jacinto | Physician Assistant | 3900 American Dr Ste 203, Plano, TX 75075-6190 | 2007-01-24 |
| 1164509881 | Scott Gregory Bearden | Physician Assistant | 901 W 15th St, Plano, TX 75075-5134 | 2006-11-01 |
| 1285641068 | Heidi Beth Cook | Physician Assistant | 5425 W Spring Creek Pkwy Ste 265, Plano, TX 75024-4344 | 2006-08-02 |
| 1598790917 | Kathy Johnson | Physician Assistant | 6124 W Parker Rd Ste 330, Plano, TX 75093-8125 | 2006-07-12 |
| Find all providers in PLANO | ||||
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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.