| 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 | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| 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 | Frank E Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639162944 PECOS PAC ID: 1759348758 Enrollment ID: I20041210000831 |
| Provider Name | Jacqueline Denise Combellick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780694794 PECOS PAC ID: 2668439357 Enrollment ID: I20041214000859 |
| 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 | Warrick L Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023056868 PECOS PAC ID: 8921170747 Enrollment ID: I20080710000347 |
| 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 | Lisa R Clay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124228010 PECOS PAC ID: 8224194451 Enrollment ID: I20090312000598 |
| Provider Name | Christopher L Kimmey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457513913 PECOS PAC ID: 7911181995 Enrollment ID: I20110415000604 |
| 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 | Diane O Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821326760 PECOS PAC ID: 1850432782 Enrollment ID: I20140326001220 |
| Provider Name | Peter Sorokin |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1952523011 PECOS PAC ID: 0244387801 Enrollment ID: I20150202000952 |
| Provider Name | Roy G Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861426694 PECOS PAC ID: 3173663689 Enrollment ID: I20150611001103 |
| Provider Name | Laura Devlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184057671 PECOS PAC ID: 0749598605 Enrollment ID: I20150928000471 |
| Provider Name | Kenneth Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588705537 PECOS PAC ID: 6507763646 Enrollment ID: I20160126000925 |
| Provider Name | Kristin W Houseknecht |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538489869 PECOS PAC ID: 9830342609 Enrollment ID: I20161121000673 |
| Provider Name | Eric O Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881614469 PECOS PAC ID: 4284738949 Enrollment ID: I20170707002819 |
| Provider Name | Kelly Anne Marszalek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265846810 PECOS PAC ID: 4981829199 Enrollment ID: I20170822000898 |
| 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 | Nicole A Patino |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1366688913 PECOS PAC ID: 4981854593 Enrollment ID: I20180618001986 |
| Provider Name | Janel F Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598008161 PECOS PAC ID: 2365740750 Enrollment ID: I20180816002891 |
| Provider Name | Troy Bergin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578783551 PECOS PAC ID: 8527317809 Enrollment ID: I20180820002368 |
| Provider Name | Abiola O Alalade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790268548 PECOS PAC ID: 5991044620 Enrollment ID: I20190327001983 |
| Provider Name | John A Nahre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710986856 PECOS PAC ID: 4880507458 Enrollment ID: I20190725003615 |
| 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 | Lisa Marie Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568083038 PECOS PAC ID: 4284044462 Enrollment ID: I20201028002547 |
| Provider Name | Steven Zerilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528452422 PECOS PAC ID: 0749563534 Enrollment ID: I20220302000903 |
| Provider Name | Adam William Schmitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528644911 PECOS PAC ID: 7719387026 Enrollment ID: I20220803003321 |
| Provider Name | April Tolbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255336269 PECOS PAC ID: 2769587534 Enrollment ID: I20221006003359 |
| 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 | Lauren Elizabeth Bujenita |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972132728 PECOS PAC ID: 5193155190 Enrollment ID: I20230804001160 |
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 Health Serivces, Inc. 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 |