MEDBAK HEALTHCARE SERVICES, PLLC (NPI# 1952754806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952754806 |
| Entity Type | Organization |
| Organization Name | MEDBAK HEALTHCARE SERVICES, PLLC |
| Practice Address |
1130 Beachview St Ste 110 Dallas TX 75218-3700 |
| Practice Telephone | 2145161495 |
| Practice Fax Number | 2146608634 |
| Mailing Telephone | 2145161495 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | ADEWUMI BAKARE (CEO) |
| Authorized Official Telephone | 2145161495 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA06380 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1130 BEACHVIEW ST STE 110 |
| City | DALLAS |
| State | TX |
| Zip Code | 75218-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397111 | V Terry Miller | Dentist | 1130 Beachview St, Suite 210, Dallas, TX 75218-3706 | 2005-06-22 |
| 1164936555 | Fernando Dominguez | Specialist/Technologist | 1130 Beachview St, Dallas, TX 75218-3700 | 2017-11-22 |
| 1104293638 | Christi Stevens | Physical Therapist | 1130 Beachview St, Suite 120, Dallas, TX 75218-3700 | 2015-09-01 |
| 1962878124 | Amanda Marie Coker | Specialist/Technologist | 1130 Beachview St, Suite 100, Dallas, TX 75218-3700 | 2015-08-11 |
| 1780019679 | Alyssa Mueller | Specialist/Technologist | 1130 Beachview St, Suite 100, Dallas, TX 75218-3700 | 2013-09-10 |
| 1083048987 | James H Stanley Md Pa | Orthopaedic Surgery | 1130 Beachview St, Suite 100, Dallas, TX 75218-3700 | 2013-08-27 |
| 1982968616 | Angela Marie Frady | Specialist/Technologist | 1130 Beachview St, Dallas, TX 75218-3700 | 2012-06-27 |
| 1508127408 | Lakewood Orthopedics and Sports Medicine | Specialist | 1130 Beachview St, Ste 100, Dallas, TX 75218-3700 | 2012-06-06 |
| 1629216106 | Joanna Marie Mcmahan | Physical Therapist | 1130 Beachview St, Suite 120, Dallas, TX 75218-3700 | 2009-01-22 |
| 1427228121 | Brett Allan Gabriel | Podiatrist | 1130 Beachview St, Ste 200, Dallas, TX 75218-3705 | 2008-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412034 | Sunaina Shalu Gill | Specialist/Technologist | 718 North Buckner Boulevard, #312, Dallas, TX 75218 | 2019-05-20 |
| 1851896492 | Tawana Anderson Floyd | Occupational Therapy Assistant | 718 Buckner Blvd, #312, Dallas, TX 75218 | 2018-03-26 |
| 1164948097 | Behavioral Health Connections, Inc. | Psychiatry & Neurology | 1350 N. Buckner Blvd., Ste. 100, Dallas, TX 75218 | 2017-08-22 |
| 1083988729 | Paras Bharatkumar Patel | Dentist | 12316 Coolmeadow Lane, Dallas, TX 75218 | 2012-02-27 |
| 1881990216 | Dallas Doctors Pain Clinic | Pain Medicine | 1110 N. Buckner Blvd., Suite 100, Dallas, TX 75218 | 2011-02-02 |
| 1861719387 | Mi Familia Medical Pllc | General Practice | 1100 Garland Road, Dallas, TX 75218 | 2010-04-23 |
| 1972832541 | James Ervin Bridges | Chiropractor | 1214 Old Gate Ln, Dallas, TX 75218 | 2009-12-10 |
| 1326291295 | Karl F Woodmansey | Dentist | 1215 Waterside Cir, Dallas, TX 75218 | 2008-10-23 |
| 1679739841 | All About Care Homehealth Services Inc. | Home Health | 12115 Self Plaza Drive, Suite 100, Dallas, TX 75218 | 2008-08-06 |
| 1104035187 | Charlotte Ann Hodges | Surgery | 1151 North Buckner Blvd #308, Dallas, TX 75218 | 2007-05-22 |
| Find all providers in zip 75218 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641051 | Kelsey Young | Physician Assistant | 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 | 2019-07-17 |
| 1558863555 | Kyra Nicole Logan | Physician Assistant | 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 | 2018-03-06 |
| 1386169175 | Lauren Moore | Physician Assistant | 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 | 2017-08-14 |
| 1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
| 1881123909 | One Healthcare LLC | Physician Assistant | 1722 Routh St Ste 900, Dallas, TX 75201-2588 | 2017-06-12 |
| 1972037307 | Morrison Medical | Physician Assistant | 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 | 2017-04-12 |
| 1205297652 | Keri Miller | Physician Assistant | 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 | 2016-03-14 |
| 1275907776 | Aleshia Mutai | Physician Assistant | 5800 E Lovers Ln, Dallas, TX 75206-2901 | 2015-11-20 |
| 1588049613 | Yvonne Conard | Physician Assistant | 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 | 2015-07-30 |
| 1699174599 | John Michael Cline | Physician Assistant | 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 | 2014-08-15 |
| 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.