| Concentra Urgent Care | |
|
5080 Spectrum Drive Suite 1200 West Addison TX 75001-4648 | |
| (972) 364-8000 | |
| (214) 775-4502 |
| Full Name | Concentra Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 5080 Spectrum Drive, Addison, Texas |
| Authorized Official Name and Position | Robert G Hassett (PRESIDENT/TREASURER) |
| 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 Drive Suite 1200 West Addison TX 75001-4648 Ph: (972) 720-7772 | Concentra Urgent Care 5080 Spectrum Drive Suite 1200 West Addison TX 75001-4648 Ph: (972) 364-8000 |
| NPI Number | 1013194455 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 04/04/2017 |
| Medicare PECOS PAC ID | 9739260019 |
|---|---|
| Medicare Enrollment ID | O20080624000647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013194455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| Provider Name | Alvaro Vega |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073585980 PECOS PAC ID: 2860387586 Enrollment ID: I20040220000049 |
| Provider Name | Raphael T Villavicencio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780643627 PECOS PAC ID: 3971594631 Enrollment ID: I20040520001329 |
| Provider Name | Larry O Tunnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134243884 PECOS PAC ID: 1658354527 Enrollment ID: I20040610001627 |
| Provider Name | Ardrienne H Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770633034 PECOS PAC ID: 4587630470 Enrollment ID: I20040902000350 |
| Provider Name | Jason G Carter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023108768 PECOS PAC ID: 0648236729 Enrollment ID: I20041209000903 |
| Provider Name | Frank E Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639162944 PECOS PAC ID: 1759348758 Enrollment ID: I20041210000831 |
| Provider Name | Linda S Schmid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730174541 PECOS PAC ID: 9234140542 Enrollment ID: I20060531000005 |
| Provider Name | Willie F Stewart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053418442 PECOS PAC ID: 0840247839 Enrollment ID: I20070118000223 |
| Provider Name | Richard L Hon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255431813 PECOS PAC ID: 2466426812 Enrollment ID: I20070920000361 |
| Provider Name | Daria B Kaval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821258617 PECOS PAC ID: 5799850517 Enrollment ID: I20080813000591 |
| Provider Name | Beth a Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770751588 PECOS PAC ID: 0042385510 Enrollment ID: I20080818000605 |
| Provider Name | Duan Lamont Pierce |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972741338 PECOS PAC ID: 1153487202 Enrollment ID: I20090226000004 |
| Provider Name | Michael Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255380036 PECOS PAC ID: 9537298559 Enrollment ID: I20100528000434 |
| Provider Name | John M Hannaford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922121870 PECOS PAC ID: 6002005550 Enrollment ID: I20110113001003 |
| Provider Name | Adrienne Bedford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134398183 PECOS PAC ID: 1456531607 Enrollment ID: I20110207000057 |
| Provider Name | Eno a Nsima-obot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033180245 PECOS PAC ID: 2860440351 Enrollment ID: I20110217000340 |
| Provider Name | Christopher L Kimmey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457513913 PECOS PAC ID: 7911181995 Enrollment ID: I20110415000604 |
| Provider Name | Shawn M Stout |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093098295 PECOS PAC ID: 1355513730 Enrollment ID: I20111006000475 |
| Provider Name | Daniella Courtney Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821354614 PECOS PAC ID: 6901069020 Enrollment ID: I20120529000302 |
| Provider Name | Justin R Hollen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134358997 PECOS PAC ID: 8628214814 Enrollment ID: I20130412000350 |
| Provider Name | Tracy L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982943122 PECOS PAC ID: 6305083684 Enrollment ID: I20130503000371 |
| Provider Name | Deborah Jean Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780778779 PECOS PAC ID: 0547165193 Enrollment ID: I20130610000758 |
| Provider Name | Mark G Kehres |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1548388341 PECOS PAC ID: 1153467022 Enrollment ID: I20131210000266 |
| Provider Name | Hilma L Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629754 PECOS PAC ID: 5496843443 Enrollment ID: I20140311001386 |
| Provider Name | William D Starsiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639431216 PECOS PAC ID: 2769613330 Enrollment ID: I20140324001935 |
| Provider Name | Diane O Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821326760 PECOS PAC ID: 1850432782 Enrollment ID: I20140326001220 |
| Provider Name | David J Gilmore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184701922 PECOS PAC ID: 3274532692 Enrollment ID: I20140521000433 |
| Provider Name | Roy G Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861426694 PECOS PAC ID: 3173663689 Enrollment ID: I20150611001103 |
| Provider Name | Brenna Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285016469 PECOS PAC ID: 7416261995 Enrollment ID: I20150728004342 |
| Provider Name | Larissa Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821479908 PECOS PAC ID: 1052627775 Enrollment ID: I20150826000893 |
| Provider Name | Elaine a Turner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770953630 PECOS PAC ID: 4082923644 Enrollment ID: I20151021001872 |
| Provider Name | Corpia C Keyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831322965 PECOS PAC ID: 9436306545 Enrollment ID: I20151218000079 |
| Provider Name | Kristin Houseknecht |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538489869 PECOS PAC ID: 9830342609 Enrollment ID: I20161121000673 |
| Provider Name | Robert J Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013337641 PECOS PAC ID: 2860769783 Enrollment ID: I20170525000479 |
| Provider Name | Eric O Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881614469 PECOS PAC ID: 4284738949 Enrollment ID: I20170707002819 |
| Provider Name | Omotayo Temitope Fawibe |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1851634554 PECOS PAC ID: 0345507950 Enrollment ID: I20171206000631 |
| Provider Name | Anjali Kalra |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1770640468 PECOS PAC ID: 8729182944 Enrollment ID: I20171215001097 |
| Provider Name | Scott Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053438069 PECOS PAC ID: 0547318016 Enrollment ID: I20171215001109 |
| Provider Name | Nicholas J Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336649383 PECOS PAC ID: 1355602830 Enrollment ID: I20180223002319 |
| Provider Name | Nicole a Patino |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1366688913 PECOS PAC ID: 4981854593 Enrollment ID: I20180618001986 |
| Provider Name | Kyle C Geiss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154812287 PECOS PAC ID: 5496003584 Enrollment ID: I20180806003171 |
| Provider Name | Janel F Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598008161 PECOS PAC ID: 2365740750 Enrollment ID: I20180816002891 |
| Provider Name | Kevin a Bird |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477043859 PECOS PAC ID: 3779833926 Enrollment ID: I20180910000335 |
| Provider Name | Allison Elizabeth Wolter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881123529 PECOS PAC ID: 5092050880 Enrollment ID: I20181226000870 |
| Provider Name | Abiola O Alalade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790268548 PECOS PAC ID: 5991044620 Enrollment ID: I20190327001983 |
| Provider Name | Laura K Lenik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790094548 PECOS PAC ID: 1456531904 Enrollment ID: I20190621001783 |
| Provider Name | John a Nahre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710986856 PECOS PAC ID: 4880507458 Enrollment ID: I20190725003615 |
| Provider Name | Shawnta Crayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023651072 PECOS PAC ID: 8527494707 Enrollment ID: I20200206001698 |
| Provider Name | Linda Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871532580 PECOS PAC ID: 0244279826 Enrollment ID: I20200827003477 |
| Provider Name | Mary Lou Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679114607 PECOS PAC ID: 2567881279 Enrollment ID: I20200930000638 |
| Provider Name | John Fyffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942811088 PECOS PAC ID: 2062831514 Enrollment ID: I20201001002426 |
| Provider Name | Kandace Desadier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356017016 PECOS PAC ID: 6406254341 Enrollment ID: I20211007001860 |
| Provider Name | Sarah Ludwigsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760098719 PECOS PAC ID: 6305239617 Enrollment ID: I20220209002184 |
| Provider Name | Jeffrey a Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154671790 PECOS PAC ID: 9436383544 Enrollment ID: I20220215000676 |
| Provider Name | Steven Zerilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528452422 PECOS PAC ID: 0749563534 Enrollment ID: I20220302000903 |
| Provider Name | April Tolbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255336269 PECOS PAC ID: 2769587534 Enrollment ID: I20221006003359 |
| Provider Name | Jagjit Kaur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801510094 PECOS PAC ID: 1355717398 Enrollment ID: I20221017002796 |
| Provider Name | Travis William Mccain Pebror |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821624974 PECOS PAC ID: 8628479581 Enrollment ID: I20230127000624 |
| Provider Name | Joseph Kavanagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992408785 PECOS PAC ID: 2769849793 Enrollment ID: I20240708002488 |
| Provider Name | Amean Amra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134784721 PECOS PAC ID: 8325373632 Enrollment ID: I20240719000858 |
| Provider Name | Anna Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154939023 PECOS PAC ID: 2769858521 Enrollment ID: I20250514003664 |
| Provider Name | Mohamed a Mohamed |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972180131 PECOS PAC ID: 0143666966 Enrollment ID: I20250624002542 |
| Provider Name | Iren N Solomon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508871476 PECOS PAC ID: 4880690544 Enrollment ID: I20251120001967 |
| Provider Name | Adeshola Ezeokoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003121922 PECOS PAC ID: 2769646207 Enrollment ID: I20260410001176 |
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 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 |
Neuropathy Healers, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16300 Addison Rd Ste 300, Addison, TX 75001 Phone: 972-920-6898 |