Old Town Endoscopy Center LLC
Old Town Endoscopy Center · Nurse Anesthetist, Certified Registered

Address: 5500 Greenville Avenue Suite 1100, Dallas, TX 75206
Phone: 2147399544

Old Town Endoscopy Center LLC (NPI# 1851890636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1851890636
Entity Type Organization
Practice Address 5500 Greenville Avenue Suite 1100
TX 75206
Practice Telephone 2147399544
Practice Fax Number 2147399582
Mailing Address 1a Burton Hills Blvd. Attn: Provider Enrollment
TN 37215-6187
Mailing Telephone 6159226102
Authorized Official Name Alina Logan (VICE PRESIDENT)
Authorized Official Telephone 6152403740
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-02-07
Last Update Date 2018-02-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Old Town Endoscopy Center Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1821067554 Old Town Endoscopy Center LLC Clinic/Center 9500 N Central Expy Ste 200, Dallas, TX 75231-5128 2006-03-15

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

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1114438991 Donald R Missel Nurse Anesthetist, Certified Registered 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 2017-10-19
1225554165 Southwest Joint Pain Management, LLC Nurse Anesthetist, Certified Registered 8611 Hillcrest Rd, Suite 245d, Dallas, TX 75225 2017-08-22
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1316393218 Miranda Limmer Nurse Anesthetist, Certified Registered 1623 Main St, Apt. 702, Dallas, TX 75201-4740 2016-05-10
1942661988 Hanan Genet Johnson Nurse Anesthetist, Certified Registered 5200 Harry Hinesblvd, Dallas, TX 75235 2016-03-18
1891166039 Td Anesthesia Services Nurse Anesthetist, Certified Registered 3728 Shady Hill Dr, Dallas, TX 75229-2711 2015-10-14
1669737615 Stratus Anesthesia Associates Frisco Pllc Nurse Anesthetist, Certified Registered 12222 N Central Expy Ste 400, Dallas, TX 75243-3764 2012-07-05
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Office Location

Street Address 5500 GREENVILLE AVENUE SUITE 1100
State TX
Zip Code 75206

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316596919 Dallas Anesthesia Group, Pllc Anesthesiology 5706 E. Mockingbird Ln, Ste 115, Dallas, TX 75206 2019-09-06
1003398074 Aaron Hands Psychologist 5646 Milton St Ste 740, Dallas, TX 75206 2018-09-05
1174001960 Robert Butler Hampson Psychologist 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 2018-08-02
1851830434 Amanda Rash Physical Therapy Assistant 5855 Milton Road, Dallas, TX 75206 2017-02-16
1649727272 Insights Psychotherapy Group, Pllc Counselor 5255 Vickery Boulevard, Dallas, TX 75206 2016-09-01
1215389655 Revolution Monitoring Management, LLC Psychiatry & Neurology 4925 Greenville Ave #200, Dallas, TX 75206 2016-07-11
1225413776 Chelsea Young Speech-Language Pathologist 8820 Southwestern Blvd #605, Dallas, TX 75206 2015-07-27
1861802332 Shane Ahlers Student in an Organized Health Care Education/Training Program 6037 Marquita Ave, Dallas, TX 75206 2014-05-05
1417386442 Inspire Pediatric Therapy Speech-Language Pathologist 5646 Milton, #307, Dallas, TX 75206 2013-11-12
1588098156 Sandy Lee Gaylord Counselor 5641 Smu Blvd., Suite 105, Dallas, TX 75206 2013-08-30
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Zip Code 75206

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Dataset Information

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.