CARLOS ALFREDO MEDINA (NPI# 1972554954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972554954 |
| Entity Type | Individual |
| Full Name | CARLOS ALFREDO MEDINA |
| Credential | M.D. |
| Practice Address |
8501 Wade Blvd Bldg. X, Suite 1020 Frisco TX 75034-5894 |
| Practice Telephone | 9726685864 |
| Practice Fax Number | 9726685825 |
| Mailing Telephone | 9726685864 |
| Mailing Fax Number | 9726685825 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2016-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | L8430 | TX | Allopathic & Osteopathic Physicians |
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
L8430 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 168602401 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8U3552 | 01 |
| TX | 168602402 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487895124 | Carlos Reydell Medina | Plastic Surgery | 11760 Bird Rd Ste 606, Miami, FL 33175-8100 | 2009-03-10 |
| 1396944351 | Carlos Medina | Dentist | 240 E New York Ave, Deland, FL 32724-5522 | 2007-07-11 |
| 1033744826 | Carlos E Medina | Behavior Technician | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 | 2020-03-11 |
| 1487092508 | Carlos Arnaldo Medina | Family Medicine | 1500 W 1st St, Mercedes, TX 78570 | 2013-06-11 |
| 1730227125 | Carlos Medina | Urology | 525 E 68th St # 94, Department of Pediatric Urology, New York, NY 10065-4870 | 2007-02-01 |
| 1710048228 | Carlos A Medina | Family Medicine | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2006-12-12 |
| 1699788406 | Carlos Medina | Emergency Medicine | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2006-08-14 |
| 1639193923 | Carlos A Medina | Obstetrics & Gynecology | 1611 Nw 12th Ave, M851, Miami, FL 33101-6960 | 2006-07-27 |
| Street Address |
8501 WADE BLVD BLDG. X, SUITE 1020 |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-5894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104208990 | Megan Sarah Edwards | Nurse Practitioner | 8501 Wade Blvd, 310, Frisco, TX 75034-5894 | 2015-06-29 |
| 1174940423 | Sarah Joanne Halter | Nurse Practitioner | 8501 Wade Blvd, Frisco, TX 75034-5894 | 2014-03-25 |
| 1538327135 | Southwest Imaging and Interventional Specilasits | Radiology | 8501 Wade Blvd, Frisco, TX 75034-5894 | 2008-05-30 |
| 1417095415 | Pediatric Pulmonary Assoc. of N. Texas | Specialist | 8501 Wade Blvd, Bldg X, Suite 1020, Frisco, TX 75034-5894 | 2007-02-02 |
| 1134296890 | Pediatric Pulmonary Assoc. of N. Texas | Pediatrics | 8501 Wade Blvd, Bldg X Suite 1020, Frisco, TX 75034-5894 | 2006-11-29 |
| 1881647212 | Richard B. Silver | Specialist | 8501 Wade Blvd, Bldg. X, Suite 1020, Frisco, TX 75034-5894 | 2006-05-18 |
| 1508817206 | Jose Fernando Mandujano | Specialist | 8501 Wade Blvd, Bldg. X, Suite 1020, Frisco, TX 75034-5894 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790169845 | Richard M Rembecki Md Phd, Pa | Pediatrics | 8811 Teel Pkwy, Ste 100-5596, Frisco, TX 75035-4201 | 2015-07-17 |
| 1134296890 | Pediatric Pulmonary Assoc. of N. Texas | Pediatrics | 8501 Wade Blvd, Bldg X Suite 1020, Frisco, TX 75034-5894 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891085528 | Sonal Malhotra | Pediatrics | 7700 Fannin St Ste 1040, Houston, TX 77054 | 2011-04-14 |
| 1669792248 | Joseph Tayar | Pediatrics | 11111 Research Blvd Ste 300, Austin, TX 78759-5792 | 2010-06-07 |
| 1003143553 | Marlene D. Typaldos Sanchez | Pediatrics | 6701 Fannin St Ste 1040, Houston, TX 77030-2611 | 2009-11-04 |
| 1508031956 | Arthur C Ogborn Jr. | Pediatrics | 844 Central Blvd Ste 420, Brownsville, TX 78520-7535 | 2008-04-28 |
| 1417125154 | Texas Pediatric Pulmonary Consultants, P.a. | Pediatrics | 140 W Lamberth Rd, Suite C, Sherman, TX 75092-2667 | 2008-02-15 |
| 1073702981 | Austin Children's Chest Associates II | Pediatrics | 3305 Northland Dr Ste 512, Austin, TX 78731-4991 | 2007-10-16 |
| 1083807820 | Kavita A Patel | Pediatrics | 8611 N Mopac Expy Ste 300, Austin, TX 78759-8319 | 2007-08-24 |
| 1144309279 | Harold J. Farber | Pediatrics | 6701 Fannin St, 9th Floor, Mc Cc 920.01, Texas Children's Hospital Clinical Care Center, Houston, TX 77030 | 2006-11-02 |
| 1710062237 | Roberto A Ayres Mdpa | Pediatrics | 1900 South Jackson, Ste 7, Mcallen, TX 78501 | 2006-10-25 |
| 1083721377 | Lee Kirchner | Pediatrics | 3619 Paesanos Parkway, Suite 212, San Antonio, TX 78231-1255 | 2006-08-24 |
| Find all providers with the same taxonomy | ||||
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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.