LIZA JOHANNESSON (NPI# 1912408170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912408170 |
| Entity Type | Individual |
| Full Name | LIZA JOHANNESSON |
| Credential | M.D PHD |
| Practice Address |
Baylor University Medical Center, 3410 Worth Street Ste 950 Dallas TX 75246 |
| Practice Telephone | 2148206983 |
| Mailing Telephone | 2148206983 |
| Mailing Fax Number | 2148186491 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204F00000X | Transplant Surgery | 46229 | TX | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 46229 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
BAYLOR UNIVERSITY MEDICAL CENTER, 3410 WORTH STREET STE 950 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246 |
| 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 |
| 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 |
| 1558784926 | Dental Health Programs, Inc. | Dentist | 3910 Gaston Ave., Suite #175, Dallas, TX 75246 | 2014-01-21 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134507007 | Robert William Gladney | Obstetrics & Gynecology | 4224 Swiss Ave Ste 201, Dallas, TX 75204-6670 | 2015-05-12 |
| 1366820250 | Casey Roth | Obstetrics & Gynecology | 3600 Gaston Ave Ste 601, Dallas, TX 75246-1806 | 2015-05-11 |
| 1952703373 | Unified Women's Healthcare of Texas Pllc | Obstetrics & Gynecology | 1717 Mckinney Ave, Suite 700, Dallas, TX 75202-1237 | 2014-09-17 |
| 1710399019 | Paula Noemi Lomba | Obstetrics & Gynecology | 5939 Harry Hines Blvd Fl 5, Dallas, TX 75235 | 2014-05-21 |
| 1114343241 | Vibrant Health Md, Pllc | Obstetrics & Gynecology | 9119 Cochran Bluff Ln, Dallas, TX 75220-5235 | 2014-03-13 |
| 1205279395 | Tara O'connor | Obstetrics & Gynecology | 7777 Forest Ln Ste 570, Dallas, TX 75230-2571 | 2013-04-09 |
| 1295083491 | Jose L Rodriguez | Obstetrics & Gynecology | 8160 Walnut Hill Ln Ste 328, Dallas, TX 75231-4370 | 2012-08-17 |
| 1194080440 | Rakesh Gupta Md Obstetrics and Gynecology, Pa | Obstetrics & Gynecology | 13215 Glad Acres, Dallas, TX 75234 | 2012-07-11 |
| 1144580325 | Grace Marie Mooken | Obstetrics & Gynecology | 7777 Forest Ln Suite D550, Dallas, TX 75230 | 2012-05-22 |
| 1275891632 | Bianca Marie Caram | Obstetrics & Gynecology | 712 N Washington Ave Ste 250, Dallas, TX 75246-1631 | 2012-04-24 |
| 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.