MODERN GYNECOLOGY, PLLC (NPI# 1982953469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982953469 |
| Entity Type | Organization |
| Organization Name | MODERN GYNECOLOGY, PLLC |
| Practice Address |
3822 Bowser Ave. Dallas TX 75219-4301 |
| Practice Telephone | 2146045440 |
| Mailing Telephone | 2146045440 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Authorized Official Name | DR. AMIT INDRAVADAN PATEL (MANAGER/ PRESIDENT) |
| Authorized Official Telephone | 2146045440 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
M3682 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3822 BOWSER AVE. |
| City | DALLAS |
| State | TX |
| Zip Code | 75219-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421666 | Jennifer Henry Furlong | Counselor | 3500 Oak Lawn Ave Ste 720, Dallas, TX 75219 | 2019-11-14 |
| 1174082150 | Cmdpn Medical Group of Texas, P.a. | Clinic/Center | 3838 Oak Lawn Ave, Suite 1000, Pmb 1123, Dallas, TX 75219 | 2019-03-18 |
| 1245700871 | Reginald Deloatch | Day Training/Habilitation Specialist | 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 | 2018-11-27 |
| 1255815429 | Elk Monitoring,pllc | Electrodiagnostic Medicine | 4848 Lemmon Ave Suite 100 #321, Highland Park, TX 75219 | 2018-09-24 |
| 1255811154 | Matias Haller | Physical Therapist | 3131 Rurtle Creek Blvd, #615, Dallas, TX 75219 | 2018-08-20 |
| 1750861795 | Darya Semenyuk | Counselor | 3720 Rawlins St. Suite I, Dallas, TX 75219 | 2018-08-20 |
| 1144716580 | My Health & Homecare Transportation Inc | Non-emergency Medical Transport (VAN) | 3710 Rawlins St Ste 1420, Dallas, TX 75219 | 2018-07-09 |
| 1750876785 | David Dwayne Weir | Registered Nurse | 3883 Turtle Creek Blvd Apt 818, Dallas, TX 75219 | 2018-06-22 |
| 1053802264 | Stem Cell Pros LLC | Durable Medical Equipment & Medical Supplies | 4100 Harry Hines Blvd Ste 300, Dallas, TX 75219 | 2018-05-23 |
| 1346749231 | White Dental Limited Company Pllc | Clinic/Center | 3878 Oak Lawn Avenue Suite 310, Dallas, TX 75219 | 2018-02-06 |
| Find all providers in zip 75219 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279208 | Jill Bynum Farmar | Obstetrics & Gynecology | 4611 Travis St Apt 7, Dallas, TX 75205-5581 | 2019-11-13 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1073746160 | Leesa Blake Condry | Obstetrics & Gynecology | 3605 Lexington Ave, Dallas, TX 75205-3916 | 2009-08-24 |
| 1427285915 | Martin Leon Freifeld | Obstetrics & Gynecology | 32 Shrine Vw, Dallas, PA 18612-9213 | 2009-06-11 |
| 1740463314 | Charles P. Guerriero IIi, Md | Obstetrics & Gynecology | 8315 Walnut Hill Ln Ste 105, Dallas, TX 75231-4248 | 2007-12-06 |
| 1609079805 | Angela F Walker | Obstetrics & Gynecology | 7777 Forest Ln D570, Dallas, TX 75230-2559 | 2007-06-06 |
| 1962619791 | Nancy Sue Silverblatt | Obstetrics & Gynecology | 10529 Sandpiper Ln, Dallas, TX 75230-4218 | 2007-05-17 |
| 1154309656 | Glen Wayne Heckman | Obstetrics & Gynecology | 3801 Gaston Avenue, Suite 200, Dallas, TX 75246-1619 | 2006-01-04 |
| 1477184398 | The Livingston Agency, Pllc | Obstetrics & Gynecology | 16970 Dallas Pkwy Ste 500, Dallas, TX 75248-1983 | 2020-01-29 |
| 1558826933 | Kamilia Tagi Smith Md Pllc | Obstetrics & Gynecology | 3611 Swiss Ave Ste 201, Dallas, TX 75204-6245 | 2019-02-09 |
| 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.