Gary A Heredia (NPI# 1508270695, PAC ID# 7113147281) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1508270695 |
| PAC ID by PECOS | 7113147281 |
| Professional Enrollment ID | I20170705000657 |
| Full Name | Gary A Heredia |
| Organization Legal Name | PODIATRIC MEDICAL PARTNERS OF TEXAS, PA |
| Address |
1151 N Buckner Bvld 304 Complete Foot and Ankle Dallas TX 75218-3405 |
| Phone Number | 2146600777 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2860544749 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450678 | BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK |
| 450021 | BAYLOR UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1151 N Buckner Bvld, 304 Complete Foot and Ankle, Dallas, TX 75218-3405 | 2146600777 | PODIATRIC MEDICAL PARTNERS OF TEXAS, PA |
| Organization Legal Name | PODIATRIC MEDICAL PARTNERS OF TEXAS, PA |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fernando Michael Cruz | Podiatry | Podiatric Medical Partners of Texas, Pa | 3229 W 7th Ave, Corsicana, TX 75110-4817 |
| Neha Singh | Podiatry | Podiatric Medical Partners of Texas, Pa | 1105 N Central Expressway, Suite 2300, Allen, TX 75013-6119 |
| Justin L Brown | Podiatry | Podiatric Medical Partners of Texas, Pa | 4214 Andrews Hwy 305, Midland, TX 79703-4811 |
| William C Arrington Ii | Podiatry | Podiatric Medical Partners of Texas, Pa | 124 E Us Hwy 80 104, Forney Foot and Ankle Specialist, Forney, TX 75126-8607 |
| Jacquelyn Perry | Podiatry | Podiatric Medical Partners of Texas, Pa | 3020 Race St, Fort Worth, TX 76111-4116 |
| Gene G Reister | Podiatry | Podiatric Medical Partners of Texas, Pa | 2001 N Collins, Suite 103, Richardson, TX 75214-2681 |
| Richard C Galperin | Podiatry | Podiatric Medical Partners of Texas, Pa | 801 N Zang Blvd, Suite 103, Dallas, TX 75208-4858 |
| Paul Kinberg | Podiatry | Podiatric Medical Partners of Texas, Pa | 1151 N Buckner Bvld, 304 Complete Foot and Ankle, Dallas, TX 75218-3405 |
| Jonathan M Kletz | Podiatry | Podiatric Medical Partners of Texas, Pa | 166 Heritage Pkwy, Gun Barrel City, TX 75156-3712 |
| Samuel Nava | Podiatry | Podiatric Medical Partners of Texas, Pa | 4333 N Josey Ln, Suite 102, Carrollton, TX 75010-4620 |
| Street Address |
1151 N BUCKNER BVLD 304 COMPLETE FOOT AND ANKLE |
| City | DALLAS |
| State | TX |
| Zip | 75218-3405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Kinberg | Podiatry | Podiatric Medical Partners of Texas, Pa | 1151 N Buckner Bvld, 304 Complete Foot and Ankle, Dallas, TX 75218-3405 |
| Matthew S Babich | Podiatry | Podiatric Medical Partners of Texas, Pa | 1151 N Buckner Bvld, 304 Complete Foot and Ankle, Dallas, TX 75218-3405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer E Aldrich | Family Medicine | 11411 E Northwest Hwy, Suite 120, Dallas, TX 75218-0323 | |
| Sylvia Heck | Physical Therapy | 11037 Ridgemeadow Dr, Dallas, TX 75218-1214 | |
| Ricky Lee Hanks | Chiropractic | 11411e Northwest Hwy 107, Dallas, TX 75218-1442 | |
| Muzzaffar Hussain | Internal Medicine | Kidney Care of Dallas Pllc | 10611 Garland Rd, Suite 105, Dallas, TX 75218-2680 |
| Richard T May | Ophthalmology | 10611 Garland Rd, Suite 113, Dallas, TX 75218-2685 | |
| Corazon L Llarena | Internal Medicine | 10611 Garland Rd, Suite 114, Dallas, TX 75218-2686 | |
| William Wylie Howell | Chiropractic | 10611 Garland Rd, Suite 115, Dallas, TX 75218-2688 | |
| Elizabeth T Dolan | Dermatology | Elizabeth T Dolan, Md Pa | 10611 Garland Rd, Suite 210, Dallas, TX 75218-2695 |
| Christy C Riddle | Dermatology | Elizabeth T Dolan, Md Pa | 10611 Garland Rd, Suite 210, Dallas, TX 75218-2695 |
| Sonak B Daulat | Allergy/immunology | 10216 Garland Rd A, Dallas, TX 75218-2921 | |
| Find all physicians in zip 75218 | |||
| City | DALLAS |
| Zip Code | 75218 |
| Specialty | PODIATRY |
| City + Specialty | DALLAS + PODIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.