THRIVE LLC (NPI# 1871910505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871910505 |
| Entity Type | Organization |
| Organization Name | THRIVE LLC |
| Practice Address |
4020 Oak Lawn Ave Dallas TX 75219-3134 |
| Practice Telephone | 2144200100 |
| Practice Fax Number | 2144200101 |
| Mailing Telephone | 2144200100 |
| Mailing Fax Number | 2144200101 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | DR. CLINTON F HERZOG (OWNER) |
| Authorized Official Telephone | 2144200100 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
H4764 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295354132 | Thrive LLC | Clinic/Center | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | THRIVE LLC | 1028 Se Water Ave Ste 255, Portland, OR 97214 |
| Oklahoma Business Registrations | THRIVE LLC | 328 E. 16th St., Claremore, OK 74017 |
| Street Address |
4020 OAK LAWN AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75219-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245613215 | Mode Floss Pllc | Dentist | 4020 Oak Lawn Ave, Dallas, TX 75219-3134 | 2015-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421666 | Jennifer Henry Furlong | Counselor | 3500 Oak Lawn Ave Ste 720, Dallas, TX 75219 | 2019-11-14 |
| 1174082150 | Cmdpn Medical Group of Texas, P.a. | Clinic/Center | 3838 Oak Lawn Ave, Suite 1000, Pmb 1123, Dallas, TX 75219 | 2019-03-18 |
| 1245700871 | Reginald Deloatch | Day Training/Habilitation Specialist | 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 | 2018-11-27 |
| 1255815429 | Elk Monitoring,pllc | Electrodiagnostic Medicine | 4848 Lemmon Ave Suite 100 #321, Highland Park, TX 75219 | 2018-09-24 |
| 1255811154 | Matias Haller | Physical Therapist | 3131 Rurtle Creek Blvd, #615, Dallas, TX 75219 | 2018-08-20 |
| 1750861795 | Darya Semenyuk | Counselor | 3720 Rawlins St. Suite I, Dallas, TX 75219 | 2018-08-20 |
| 1144716580 | My Health & Homecare Transportation Inc | Non-emergency Medical Transport (VAN) | 3710 Rawlins St Ste 1420, Dallas, TX 75219 | 2018-07-09 |
| 1750876785 | David Dwayne Weir | Registered Nurse | 3883 Turtle Creek Blvd Apt 818, Dallas, TX 75219 | 2018-06-22 |
| 1053802264 | Stem Cell Pros LLC | Durable Medical Equipment & Medical Supplies | 4100 Harry Hines Blvd Ste 300, Dallas, TX 75219 | 2018-05-23 |
| 1346749231 | White Dental Limited Company Pllc | Clinic/Center | 3878 Oak Lawn Avenue Suite 310, Dallas, TX 75219 | 2018-02-06 |
| Find all providers in zip 75219 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023428968 | Mumtaheena Miah | Internal Medicine | 10260 N Central Expy Ste 100n, Dallas, TX 75231-3437 | 2014-04-30 |
| 1932542776 | Rebecca Ann Herbst | Internal Medicine | 3417 Gaston Ave Ste 980, Dallas, TX 75246-2022 | 2013-04-11 |
| 1093072548 | Li Song | Internal Medicine | 5939 Harry Hines Blvd Suit 925, Dallas, TX 75390 | 2012-04-20 |
| 1023266459 | Stanley Feld | Internal Medicine | 7310 Hillwood Ln, Dallas, TX 75248-5240 | 2008-08-27 |
| 1538320072 | Asra Kermani Md, Pa | Internal Medicine | 6810 Lakeshore Drive, Dallas, TX 75214 | 2008-06-18 |
| 1073707667 | Polina Kaloyanova | Internal Medicine | 7777 Forest Ln Ste C206, Dallas, TX 75230-6834 | 2007-08-28 |
| 1245432582 | Steve Vincent Estoy Fordan | Internal Medicine | 1018 N Zang Blvd Ste 110, Dallas, TX 75208-4123 | 2007-05-31 |
| 1194820266 | Asra Kermani | Internal Medicine | 8611 Hillcrest Ave Ste 300, Dallas, TX 75225 | 2006-09-14 |
| 1689628257 | Audrey Bettina Miklius | Internal Medicine | 10260 N Central Expy, Suite 100n, Dallas, TX 75231-3437 | 2006-05-19 |
| 1457861825 | Diabetes & Endocrinology Associates P A | Internal Medicine | 5232 Forest Ln Ste 170, Dallas, TX 75244-8053 | 2017-10-11 |
| 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.