| Concentra Urgent Care | |
|
5080 Spectrum Dr Suite 1200w Addison TX 75001-4648 | |
| (972) 364-8000 | |
| (214) 775-4502 |
| Full Name | Concentra Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 5080 Spectrum Dr, Addison, Texas |
| Authorized Official Name and Position | Robert Hassett (SENIOR VP / CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9723648000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concentra Urgent Care 5080 Spectrum Dr Suite 1200w Addison TX 75001-4648 Ph: (972) 364-8000 | Concentra Urgent Care 5080 Spectrum Dr Suite 1200w Addison TX 75001-4648 Ph: (972) 364-8000 |
| NPI Number | 1275714677 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 06/14/2016 |
| Medicare PECOS PAC ID | 9739260019 |
|---|---|
| Medicare Enrollment ID | O20090304000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275714677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| Provider Name | Judy a Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710068275 PECOS PAC ID: 9638162175 Enrollment ID: I20040408000332 |
| Provider Name | Raymund Dela Cruz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578600466 PECOS PAC ID: 0345237657 Enrollment ID: I20040428001254 |
| Provider Name | Victor J Bonuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801869862 PECOS PAC ID: 8224027099 Enrollment ID: I20040507000944 |
| Provider Name | Cornell Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700990421 PECOS PAC ID: 7719977503 Enrollment ID: I20040514000026 |
| Provider Name | Mitulkumar P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093701674 PECOS PAC ID: 2961480264 Enrollment ID: I20040713000292 |
| Provider Name | Todd Radivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497757181 PECOS PAC ID: 5698711232 Enrollment ID: I20050705000678 |
| Provider Name | Conrado D Ferrer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487741922 PECOS PAC ID: 3375569593 Enrollment ID: I20051018000227 |
| Provider Name | Craig P Mosier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376512517 PECOS PAC ID: 1850305376 Enrollment ID: I20060203000199 |
| Provider Name | Richard R Gasparre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083783708 PECOS PAC ID: 1658365762 Enrollment ID: I20070613000464 |
| Provider Name | Michel Matthew Joffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154347102 PECOS PAC ID: 3375552466 Enrollment ID: I20070906000352 |
| Provider Name | John Jay E Betz |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1538171681 PECOS PAC ID: 6800807348 Enrollment ID: I20090316000166 |
| Provider Name | Jeromy R Mendenhall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881858280 PECOS PAC ID: 1759459894 Enrollment ID: I20090429000521 |
| Provider Name | Roger Belcourt |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1538202338 PECOS PAC ID: 3274670849 Enrollment ID: I20091030000335 |
| Provider Name | Allen Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053325456 PECOS PAC ID: 8325185994 Enrollment ID: I20091030000369 |
| Provider Name | Ran Jia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598830416 PECOS PAC ID: 7012982424 Enrollment ID: I20100819000936 |
| Provider Name | Peter a Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942256169 PECOS PAC ID: 1052355187 Enrollment ID: I20101026000185 |
| Provider Name | Melinda Dy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508870312 PECOS PAC ID: 0648372466 Enrollment ID: I20110603000397 |
| Provider Name | Bernard Hunwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720215759 PECOS PAC ID: 0648422907 Enrollment ID: I20121212000504 |
| Provider Name | Felicia Antoinette Lowenstein-moffett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477787521 PECOS PAC ID: 0941488977 Enrollment ID: I20130501000177 |
| Provider Name | Ting J Tai |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1184692659 PECOS PAC ID: 0749312064 Enrollment ID: I20130517000158 |
| Provider Name | Angelo Lambos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164549218 PECOS PAC ID: 4284707423 Enrollment ID: I20131210001004 |
| Provider Name | Jason Rusk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043648793 PECOS PAC ID: 6406083468 Enrollment ID: I20131218001634 |
| Provider Name | Rex T Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245200476 PECOS PAC ID: 8426063397 Enrollment ID: I20140408001575 |
| Provider Name | Elsa Cuellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376768630 PECOS PAC ID: 0244205763 Enrollment ID: I20140410001861 |
| Provider Name | Debbra Ann Montoya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922328251 PECOS PAC ID: 9234445503 Enrollment ID: I20150901001698 |
| Provider Name | Jacqueline N Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639455330 PECOS PAC ID: 5294043337 Enrollment ID: I20151009000021 |
| Provider Name | Shehram Djafroodi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467996918 PECOS PAC ID: 8628350154 Enrollment ID: I20170118001813 |
| Provider Name | Simone a Vargo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760718860 PECOS PAC ID: 4880970664 Enrollment ID: I20170410001421 |
| Provider Name | Joi Anevia Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861644619 PECOS PAC ID: 2769663244 Enrollment ID: I20170815004153 |
| Provider Name | Michael Allen Engler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245647205 PECOS PAC ID: 5395032916 Enrollment ID: I20180524002448 |
| Provider Name | Veronica Pricillia Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114241130 PECOS PAC ID: 7719123348 Enrollment ID: I20181126001596 |
| Provider Name | Dominic Mason Etli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962934885 PECOS PAC ID: 9335419522 Enrollment ID: I20190315000768 |
| Provider Name | Ingrid E Hoden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376772467 PECOS PAC ID: 1759622400 Enrollment ID: I20190408001573 |
| Provider Name | Ikaika Kalaniakea Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407349715 PECOS PAC ID: 0042552267 Enrollment ID: I20190605003077 |
| Provider Name | Brent Charles Deatherage |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336373257 PECOS PAC ID: 0547312308 Enrollment ID: I20190627001749 |
| Provider Name | Pamela L. Kurtzhals |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427038553 PECOS PAC ID: 3870597917 Enrollment ID: I20190813001207 |
| Provider Name | Joanne Marie Fierro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831489350 PECOS PAC ID: 6204148166 Enrollment ID: I20200723003310 |
| Provider Name | Danielle Treadway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831717925 PECOS PAC ID: 7012333099 Enrollment ID: I20200820003463 |
| Provider Name | Jennifer Lee Simcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073125928 PECOS PAC ID: 1658782024 Enrollment ID: I20201117000492 |
| Provider Name | Deokchol Parish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841885142 PECOS PAC ID: 0042611196 Enrollment ID: I20210625002097 |
| Provider Name | James a Black |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1962479881 PECOS PAC ID: 8729254032 Enrollment ID: I20210720004023 |
| Provider Name | Jency Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821760307 PECOS PAC ID: 6709278393 Enrollment ID: I20220111000771 |
| Provider Name | Brett R Boyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720469083 PECOS PAC ID: 6901108489 Enrollment ID: I20220302000522 |
| Provider Name | Marisa Eleanor Singleton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619629979 PECOS PAC ID: 0749675031 Enrollment ID: I20220323002801 |
| Provider Name | Nicholas Freeman Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508299348 PECOS PAC ID: 9234363474 Enrollment ID: I20221103002182 |
| Provider Name | Phillip C Zinni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366447385 PECOS PAC ID: 7517138662 Enrollment ID: I20221207002599 |
| Provider Name | Camille Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376321810 PECOS PAC ID: 3971951898 Enrollment ID: I20231201002476 |
| Provider Name | Danielle Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376382382 PECOS PAC ID: 7517499932 Enrollment ID: I20241010000715 |
| Provider Name | Logan P Marcus |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518353887 PECOS PAC ID: 9335471606 Enrollment ID: I20241219002523 |
| Provider Name | Melvin Webb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093764151 PECOS PAC ID: 5890766844 Enrollment ID: I20250122001496 |
| Provider Name | Jordan Daneshzadeh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669139044 PECOS PAC ID: 8426406430 Enrollment ID: I20250725003000 |
| Provider Name | Jannifer Ho |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1407506462 PECOS PAC ID: 6305228669 Enrollment ID: I20260302003207 |
| Provider Name | Zina Sanchez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659154789 PECOS PAC ID: 3173961323 Enrollment ID: I20260309001565 |
| Provider Name | Heather S West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629828728 PECOS PAC ID: 5395185557 Enrollment ID: I20260323003535 |
| Provider Name | Carlene a Mott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295465797 PECOS PAC ID: 0446622419 Enrollment ID: I20260421002736 |
American Current Care PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr, Suite 1200 West Tower, Addison, TX 75001 Phone: 972-364-8083 Fax: 214-775-4502 |
Concentra Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5080 Spectrum Drive, Suite 1200 West, Addison, TX 75001 Phone: 972-364-8000 Fax: 214-775-4502 |
Concentra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr, Suite 1200 West Tower, Addison, TX 75001 Phone: 972-364-8000 |
Virtual Health Provider Group PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5057 Keller Springs Rd Ste 300, Addison, TX 75001 Phone: 877-345-3992 |
Concentra Onsite - Appriss Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr Ste 1200w, Addison, TX 75001 Phone: 972-364-3000 |
Occupational Health Centers of the Southwest P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr, Suite 1200w, Addison, TX 75001 Phone: 972-720-7768 Fax: 214-775-4502 |