| Back Office Management Services Llc | |
|
4200 Shepherd Ln, Balch Springs, TX 75180-3423 | |
| (718) 972-5000 | |
| (718) 972-3774 |
| Full Name | Back Office Management Services Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 4200 Shepherd Ln, Balch Springs, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265739973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Dustin W Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164468344 PECOS PAC ID: 4688636111 Enrollment ID: I20041027001243 |
| Provider Name | Mitchell N Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194990077 PECOS PAC ID: 6709958648 Enrollment ID: I20100217000121 |
| Provider Name | Baha Atway |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215168521 PECOS PAC ID: 8123216686 Enrollment ID: I20120307000714 |
| Provider Name | Eideh D Atway |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922367663 PECOS PAC ID: 1153587365 Enrollment ID: I20120716000286 |
| Provider Name | Thomas George |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457334583 PECOS PAC ID: 0840296547 Enrollment ID: I20130409000208 |
| Provider Name | Jennifer T Maungu |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023430121 PECOS PAC ID: 7012227531 Enrollment ID: I20151112000489 |
| Provider Name | Yermesha L Kyle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649681537 PECOS PAC ID: 5890084925 Enrollment ID: I20170809000068 |
| Provider Name | Gireesh Reddy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366976748 PECOS PAC ID: 2062784812 Enrollment ID: I20200626000705 |
| Provider Name | Jinsung J Yoon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396212247 PECOS PAC ID: 5496125882 Enrollment ID: I20221229000983 |
| Provider Name | Porsha Melcher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437568136 PECOS PAC ID: 3577825991 Enrollment ID: I20230413003026 |
| Provider Name | Matthew T Vu |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295350254 PECOS PAC ID: 7012353048 Enrollment ID: I20240322000312 |
| Provider Name | Victoria M Adeniran |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023681269 PECOS PAC ID: 0840654331 Enrollment ID: I20250117000424 |
| Provider Name | Rene Deras-alvarenga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013581438 PECOS PAC ID: 9335678465 Enrollment ID: I20250117002979 |
| Mailing Address | Practice Location Address |
|---|---|
| Back Office Management Services Llc 2802 Avenue P, Brooklyn, NY 11229-1810 Ph: (718) 972-5000 | Back Office Management Services Llc 4200 Shepherd Ln, Balch Springs, TX 75180-3423 Ph: (718) 972-5000 |