ALYSSA ANN KLOS (NPI# 1972930378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972930378 |
| Entity Type | Individual |
| Full Name | ALYSSA ANN KLOS |
| Credential | PA-C |
| Practice Address |
2120 N Macarthur Blvd Ste 100 Irving TX 75061-2260 |
| Mailing Address |
800 Orthopedic Way Arlington TX 76015-1629 |
| Practice Telephone | 9724384636 |
| Practice Fax Number | 9724382077 |
| Mailing Telephone | 8173755375 |
| Mailing Fax Number | 8172991706 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2016-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2120 N MACARTHUR BLVD STE 100 |
| City | IRVING |
| State | TX |
| Zip Code | 75061-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023055597 | Amanda Cottrell | Physician Assistant | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2006-06-01 |
| 1033773239 | Christine Hernandez | Physical Therapist | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2019-04-24 |
| 1982181764 | Marcela Alejandra Rojas Roman | Physical Therapist | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061 | 2018-07-24 |
| 1871099739 | Southlake Orthopedics & Sports Medicine, Pllc | Orthopaedic Surgery | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2018-03-31 |
| 1629376264 | Jaytinder Singh Sandhu | Podiatrist | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2011-03-07 |
| 1558677690 | Bantoo Sehgal | Orthopaedic Surgery | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2010-08-26 |
| 1871739805 | Melanie Ann Schrink | Physician Assistant | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2008-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063078491 | Mahnura Khatoon Siddika | Physician Assistant | 2443 Newcastle Bnd, Irving, TX 75063-8120 | 2019-05-10 |
| 1639649189 | Andrea Lee Kwan | Physician Assistant | 1050 Lake Carolyn Pkwy Apt 3348, Irving, TX 75039-4800 | 2018-11-27 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1588069892 | Olga Jigovskaia | Physician Assistant | 3626 N Macarthur Blvd Ste 200, Irving, TX 75062-3643 | 2014-10-29 |
| 1982030722 | Kristen Diane Bachus | Physician Assistant | 440 W Ih 635 Fwy Ste 405, Irving, TX 75063 | 2013-09-25 |
| 1689707515 | Michael D Sullivan | Physician Assistant | 6500 Sierra Dr Ste 150, Irving, TX 75039-2480 | 2007-03-13 |
| 1174661599 | Juan Augustine Galindo Jr. | Physician Assistant | 6909 Sonoma, Irving, TX 75039-3071 | 2007-02-01 |
| 1396808333 | Lori Schomberg | Physician Assistant | 212 Santa Fe Trl, Apt. # 2042, Irving, TX 75063-4719 | 2006-12-19 |
| 1558384396 | Cynthia Ann Goff | Physician Assistant | 909 Lake Carolyn Pkwy, Irving, TX 75039-3908 | 2006-07-25 |
| 1275563637 | Michael Ernest Nicholas Jr. | Physician Assistant | 3014 N. O Connor, Suite 110, Irving, TX 75062-4415 | 2006-07-03 |
| Find all providers in IRVING | ||||
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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.