LEGACY INJURY CARE (NPI# 1962774273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962774273 |
| Entity Type | Organization |
| Organization Name | LEGACY INJURY CARE |
| Other Organization Name | LINC |
| Practice Address |
10740 N Central Expy Dallas TX 75231-2161 |
| Practice Telephone | 2148649774 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | DR. SAM BAILEY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2148649774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G8557 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LINC | Other Name - Individual/Organization |
| Street Address |
10740 N CENTRAL EXPY |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644391 | Bradley Jost | Ophthalmology | 10740 N Central Expy, Suite 100, Dallas, TX 75231-2162 | 2005-08-01 |
| 1184178766 | Nh Clinical Services Pllc | Anesthesiology | 10740 N Central Expy, Dallas, TX 75231-2161 | 2016-08-11 |
| 1518367119 | Haley Elizabeth Puryear | Optometrist | 10740 N Central Expy, Suite 180, Dallas, TX 75231-2161 | 2014-09-02 |
| 1639501034 | North Texas Spine Specialty Pllc | Anesthesiology | 10740 N Central Expy, Suite 275, Dallas, TX 75231-2161 | 2013-08-07 |
| 1518219906 | Jason A. Williams M.d., P.a. | Anesthesiology | 10740 N Central Expy, Suite 275, Dallas, TX 75231-2161 | 2012-10-09 |
| 1033484431 | Central Medical Solutions | Physician Assistant | 10740 N Central Expy, Suite 275, Dallas, TX 75231-2161 | 2012-03-19 |
| 1033407317 | Republic Orthopedics Pllc | Orthopaedic Surgery | 10740 N Central Expy, Suite 275, Dallas, TX 75231-2161 | 2011-07-20 |
| 1639463748 | Lonestar Neurosurgical Pllc | Neurological Surgery | 10740 N Central Expy, Suite 275, Dallas, TX 75231-2161 | 2011-06-06 |
| 1528351848 | Red River Pain Management | Anesthesiology | 10740 N Central Expy, Suite 275, Dallas, TX 75231-2161 | 2011-05-19 |
| 1245522820 | Jamie Katherine Alexander | Ophthalmology | 10740 N Central Expy, Suite350, Dallas, TX 75231-2161 | 2011-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548825110 | Alleviate Pain Center, LLC | Anesthesiology | 5801 Marvin D Love Fwy Ste 105, Dallas, TX 75237-2388 | 2019-05-08 |
| 1366937013 | Ld Anesthesia Consultants, Pllc | Anesthesiology | 5902 Goliad Ave, Dallas, TX 75206-6820 | 2018-06-26 |
| 1245723428 | Ld Wellness Pllc | Anesthesiology | 7331 Gaston Ave Ste 219, Dallas, TX 75214-4131 | 2018-06-12 |
| 1437654043 | Precision Med Consultants | Anesthesiology | 12200 Park Central Dr Ste 300, Dallas, TX 75251 | 2018-03-26 |
| 1750884847 | Midtex Medical Group Pllc- Dallas Series | Anesthesiology | 4228 N Central Expy Ste 104, Dallas, TX 75206-6558 | 2018-03-14 |
| 1427571355 | Interventional Spine & Pain, LLP | Anesthesiology | 8222 Douglas Avenue, Ste. 890, Dallas, TX 75225-7036 | 2017-07-23 |
| 1629506357 | Vanguard Pain Management, Pllc | Anesthesiology | 9080 Harry Hines Blvd Ste 110, Dallas, TX 75235-1700 | 2017-05-25 |
| 1215354972 | Ispine Sports Medicine and Pain Management, Pa | Anesthesiology | 2220 Canton St, Suite 211, Dallas, TX 75201-5923 | 2014-03-19 |
| 1770842338 | Hercules Pain Management LLC | Anesthesiology | 7988 W. Virginia, Suite 100, Dallas, TX 75237 | 2012-05-16 |
| 1336374727 | Tian Zhao | Anesthesiology | 5550 Lbj Fwy Ste 150, Dallas, TX 75240-2303 | 2009-05-28 |
| 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.